The older population may soon be facing a medical care crisis as numbers of students studying geriatric medicine continue to decrease rapidly, say researchers at the University of Cincinnati (UC).
It is estimated that by the year 2030, there will be more than 70 million people over the age of 65 in the United States.
According to the data collected over the last decade, the number of certified geriatricians in the United States has declined from 8,800 to 7,100.
"The population of doctors who are trained to deal with problems of aging people is dropping dramatically," said Elizabeth Bragg, PhD, of UC's Institute for the Study of Health and co-investigator for the study, adding that trends in the data revealed that numbers will continue to decrease.
Results showed that from 1999 to 2006, the percentage of people entering family medicine or one of its subspecialties, including geriatrics, has dropped 6.3 percent.
Only 67 percent of positions in fellowship programs, needed for geriatric students to graduate, were filled during 2005:06.
The National Institute of Medicine is now using this data as it begins studying the health care workforce for older Americans and targeting the needs of the older population. The study is set to be completed in March 2008.
Bragg said one reason for the decline of geriatric students is money.
"On average, in 2006 total medical student debt was around $113,000," she said, adding that geriatric students must also take an extra one to three years of training on top of their normal residencies. "Geriatric doctors' salaries are much lower than many other medical specialties, and students with considerable debt are more likely to choose a higher paying specialty."
"Students see better pay and more predictable work schedules as an incentive to stay away from geriatrics."
Aside from more work and a smaller paycheck, Bragg said the reason students don't want to go into geriatrics is simple.