Mind the geriatric gap

Now this from our friends at STAT: "Despite a record number of applicants in 2017, US residency programs still struggled to fill positions in geriatrics, nephrology, infectious diseases, and several pediatric specialties, according to a new report.

The biggest gap was in geriatric medicine, where less than half of the positions were filled and 107 programs reported at least one open slot. Given an aging US population, that could add to critical gaps in care for seniors.”

There’s no mystery as to why the mismatches exist. Just follow the money. These specialties present challenging cases with anemic reimbursement.

As long as economic incentives are misaligned with patient needs, shortages will bedevil the US healthcare system.