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Fellows-in-Training Newsletter

An Update on AGS Fellows-in-Training

Spring 1999


Tomas L. Griebling, MD
Chair-Elect, Fellows-in-Training Section, American Geriatrics Society

As Chair-Elect of the Fellows-in-Training Section of the American Geriatrics Society, I would like to extend heartfelt greetings to all of my colleagues in the field of geriatrics. This is certainly an exciting time for those of us concerned about the health care of older adults. We are all familiar with the changing demographics of our global society, and the predicted future needs for additional health care providers with specialty training related to aging.

We are rapidly moving toward the new millennium, and I would encourage you to stop and ponder the changes that have occurred in both medicine and society-at-large over the past one-hundred years. I try to imagine the issues my ancestors faced in the late 1800s as they approached the turn of the century. Although there are certainly differences, I am sure that many central themes of concern remain the same today. I would also ask you to take the time to consider your own aging. What is your vision for the future of elder care? What topics should take priority for impending clinical and research agendas? How can you make a difference? We are in a position to help shape the policy and practices that will influence our own lives into the geriatric years. I encourage you to take an active role in this process.

The evolution of computer technology has clearly been one of the leading developments of the twentieth century. We are constantly bombarded by the media about the pending ‘Y2K’ dilemma. The principal concern is that computers will not be able to recognize dates after the year 2000. As a geriatric specialist, I find this debate particularly intriguing. Last week, when I met with a biostatistician colleague regarding one of my research projects, I had the opportunity to experience the wrath of the Y2K bug firsthand. We had transferred information on nearly one-thousand patients from the central hospital computer system to a research database for additional analysis. Both of the systems are supposedly Y2K compatible. However, in the process, the computers converted most of the birth dates of my elderly subjects. Instead of recognizing that they were born in the early 1900s, it claimed they were born in 2013, 2025, or another future date. This incident reminds me that in our enthusiasm for tomorrow, we must not lose sight of our past.

The scientific and technical advances which have revolutionized health care over the past century have allowed us to begin to shift our focus from prolonging the length of human life to extending and improving the quality of our lives. Ongoing developments in molecular and cellular biology, an increased understanding of psychosocial health and illness, and a heightened emphasis on health services and outcomes research will continue to expand our comprehension of the aging process.

During the past year, the American Geriatrics Society welcomed more than 650 new individuals into membership. Last year’s annual meeting in Seattle saw record-breaking attendance, and the trend is expected to continue at the upcoming meeting in Philadelphia. The multi and interdisciplinary aspects of geriatrics continue to flourish. Although primary care will always remain the cornerstone of geriatrics, there is an increasing awareness of the need for experts from all fields who share a passion for quality elder care. As a surgical specialist I am particularly encouraged by this trend. The American Geriatrics Society serves as a forum for all health care professionals in the field of aging. This is your society. Welcome.