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{ "pk": 42061, "title": "Emergency Medicine Residents’ Perceptions of Geriatric Emergency Medicine and Careers: A Qualitative Study", "subtitle": null, "abstract": "<p><strong>Introduction: </strong>Geriatric emergency medicine (GEM) has emerged as a subspecialty of emergency medicine (EM) with seven fellowships available throughout North America and opportunities for career development in administration, clinical leadership, education, and research. Our objective in this study was to ascertain the perspectives and understanding of the subspecialty among EM trainees.</p>\n<p><strong>Methods:</strong> We recruited participants from four geographically diverse institutions. Three institutions were academic and had GEM faculty or divisions, and the fourth institution was a community site without geriatric-specific faculty. We conducted semi-structured interviews, adapted from a prior protocol, via teleconferencing and subsequently transcribed them. Codes were generated by two investigators and categorized into themes derived from the data.</p>\n<p><strong>Results:</strong> Seventeen trainees with an average age of 32.1 years across four institutions participated in the study. Three themes emerged, demonstrating that trainees’ perceptions of GEM were affected by 1) education and exposure; 2) perception of geriatrics; and 3) future career considerations. Trainees with exposure to GEM had greater appreciation for the specialty, but their understanding of career opportunities was mixed. Participants acknowledged broader clinical and social considerations for older adults and in general felt that specialty training would benefit older patients. However, most participants had no personal interest in pursuing GEM, with reasons for disinterest including belief that they would only see older patients, dislike of geriatric complexity, and uncertainty about GEM as a career. Many <br>participants identified educational opportunities for GEM, including noting that curricula include dedicated time for other subspecialties such as pediatrics but not geriatrics. Fellowship decisions were influenced by duration of training, salary, job opportunities, practice settings, and career goals.</p>\n<p><strong>Conclusion: </strong>Emergency medicine trainees who participated in semi-structured interviews overall viewed geriatrics as an important aspect of EM with perceptions formed from exposure and education at both the institutional and individual level, perceptions of treating older adults, and future career considerations. However, interest in pursuing GEM was overall low, and participants expressed uncertainty about the subspecialty and career options, indicating opportunity for increased awareness, education, and mentorship. </p>", "language": "eng", "license": { "name": "Creative Commons Attribution 4.0", "short_name": "CC BY 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by/4.0" }, "keywords": [ { "word": "geriatric" }, { "word": "geriatric emegency medicine" }, { "word": "training" } ], "section": "Geriatrics", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/43k2685p", "frozenauthors": [ { "first_name": "Katherine", "middle_name": "", "last_name": "Selman", "name_suffix": "", "institution": "Cooper Medical School of Rowan University, Cooper University Health Care, Department of Emergency Medicine, Camden, New Jersey", "department": "" }, { "first_name": "Abigail", "middle_name": "E.", "last_name": "Jones", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "" }, { "first_name": "Christina", "middle_name": "", "last_name": "Curran", "name_suffix": "", "institution": "University of California Irvine School of Medicine, Irvine , California", "department": "" }, { "first_name": "Lauren", "middle_name": "", "last_name": "Cameron-Comasco", "name_suffix": "", "institution": "Oakland University William Beaumont School of Medicine, Corewell Health William Beaumont University Hospital, Department of Emergency Medicine, Royal Oak, Michigan", "department": "" }, { "first_name": "Wendy", "middle_name": "C.", "last_name": "Coates", "name_suffix": "", "institution": "Geffen School of Medicine, University of California, Department of Emergency Medicine, Los Angeles, California", "department": "" }, { "first_name": "Angel", "middle_name": "", "last_name": "Li", "name_suffix": "", "institution": "The Ohio State University, Department of Emergency Medicine, Columbus, Ohio", "department": "" }, { "first_name": "Katren", "middle_name": "", "last_name": "Tyler", "name_suffix": "", "institution": "University of California Davis School of Medicine, Sacramento , California", "department": "" }, { "first_name": "Fernanda", "middle_name": "", "last_name": "Bellolio", "name_suffix": "", "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota", "department": "" }, { "first_name": "Shan", "middle_name": "W.", "last_name": "Liu", "name_suffix": "", "institution": "Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts", "department": "" } ], "date_submitted": "2025-01-27T18:20:07.127000Z", "date_accepted": "2025-06-07T23:05:52.113000Z", "date_published": "2025-09-25T22:51:00Z", "render_galley": null, "galleys": [ { "label": "PDF", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/42061/galley/40021/download/" } ] }