In trying to answer that query, this paper will focus on the special attributes of the geriatric approach. A large proportion of internists have not had formal training in geriatrics. Many have not been reading the geriatric literature or attending continuing medical education courses in geriatrics. Internists assume that they know about geriatrics because they treat hypertension, diabetes, and the gamut of diseases associated with aging. It would emphasize sensitive communication techniques, appropriate screening and preventive measures, prescribing for the elderly, evaluating functional status, and interdisciplinary resources to broaden the support base.
Some people continue to live full lives well into later years.
They may continue to work, exercise, travel, and function independently as they have always done. Even the healthy elderly need age-appropriate health screening tests, evaluation, and guidance along with their checkups. Many internists do not get involved with issues not pertinent to their specialty area. With tight scheduling and shrinking reimbursement, there is little incentive for the internist to broaden the scope of the encounter with the elderly patient. In addition, the training and the pattern of practice of the subspecialists may have constricted their focus.