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Article 1. University Of California Programs of California Health And Safety Code >> Division 103. >> Part 4. >> Chapter 3. >> Article 1.
The Legislature finds and declares all of the following:
(a) In 1998, there were about 3.57 million Californians age 65 and older, a 15 percent increase since 1990. This number will at least increase to five million in 2010 and grow to seven million by 2020, with those persons over age 85 representing the fastest growing segment of the population.
(b) By 2020, the numbers of Hispanic, African American, and other minority older persons will more than quadruple to an estimated total of at least 2.8 million.
(c) The age group over 75 has the highest rate of health care utilization of all groups.
(d) The higher prevalence of chronic conditions in those age 65 and older results in greater use of physician services. On average, they visit a physician nine times a year compared to five visits by the general population. They are hospitalized over three times as often as the younger population, stay 50 percent longer, and use twice as many prescription drugs.
(e) The knowledge and skill base in geriatrics, which is essential to the provision of medical care to older patients, has not been adequately integrated into the training of today's doctors and other health care professionals.
(f) If resources are not invested now for better training in geriatrics, there will be an inadequate supply of doctors properly trained to treat older patients by 2010.
(g) The Academic Geriatric Resource Program was established in 1984 as a mechanism for developing within the University of California new educational initiatives in geriatrics, gerontology, and other disciplines relating to aging. The program originally was funded at one million dollars ($1,000,000). Funding has not kept pace with inflation or need. The program in 1999 was funded at one million one hundred thousand dollars ($1,100,000).
(h) The Association of American Medical Colleges acknowledged the problem of inadequate medical education in geriatrics in December 1999 by launching a new program to enhance the gerontology and geriatric curricula at United States medical schools. The association recognized that geriatrics should "be represented in a more coherent and comprehensive manner in the curricula of all U.S. medical schools."
(a) In 1998, there were about 3.57 million Californians age 65 and older, a 15 percent increase since 1990. This number will at least increase to five million in 2010 and grow to seven million by 2020, with those persons over age 85 representing the fastest growing segment of the population.
(b) By 2020, the numbers of Hispanic, African American, and other minority older persons will more than quadruple to an estimated total of at least 2.8 million.
(c) The age group over 75 has the highest rate of health care utilization of all groups.
(d) The higher prevalence of chronic conditions in those age 65 and older results in greater use of physician services. On average, they visit a physician nine times a year compared to five visits by the general population. They are hospitalized over three times as often as the younger population, stay 50 percent longer, and use twice as many prescription drugs.
(e) The knowledge and skill base in geriatrics, which is essential to the provision of medical care to older patients, has not been adequately integrated into the training of today's doctors and other health care professionals.
(f) If resources are not invested now for better training in geriatrics, there will be an inadequate supply of doctors properly trained to treat older patients by 2010.
(g) The Academic Geriatric Resource Program was established in 1984 as a mechanism for developing within the University of California new educational initiatives in geriatrics, gerontology, and other disciplines relating to aging. The program originally was funded at one million dollars ($1,000,000). Funding has not kept pace with inflation or need. The program in 1999 was funded at one million one hundred thousand dollars ($1,100,000).
(h) The Association of American Medical Colleges acknowledged the problem of inadequate medical education in geriatrics in December 1999 by launching a new program to enhance the gerontology and geriatric curricula at United States medical schools. The association recognized that geriatrics should "be represented in a more coherent and comprehensive manner in the curricula of all U.S. medical schools."
It is the intent of the Legislature that the University of
California provide academic courses and training in the field of
geriatrics for medical students and existing general internists and
family physicians in order to ensure that every general internist and
family physician, along with other professions, have the requisite
knowledge and skills to competently treat the older population by the
year 2010 when the baby boomer generation begins to retire.
It is the purpose of the Legislature, in enacting this
chapter, for the University of California to establish academic
geriatric resource programs and encourage the development of expanded
educational and community service programs in geriatric medicine at
its medical schools or other health science campuses. A
multidisciplinary approach shall be utilized in the development of
these programs. The programs shall include, but not be limited to,
one or more of the following elements:
(a) Preclinical, clinical, or postgraduate educational programs in geriatrics for health science students to instruct and train them in recognizing and responding to the needs and dynamics of the health care of older patients.
(b) Provision of continuing education in geriatrics for health care providers and the general public.
(c) A teaching nursing home program to research nursing home health care practices and to instruct and train health science students about geriatric care.
(d) Development and evaluation of the best practices for the health care of older persons.
(e) Development and evaluation of interdisciplinary models of geriatric training.
(f) Development and evaluation of innovative health care delivery sites and programs for older persons.
(a) Preclinical, clinical, or postgraduate educational programs in geriatrics for health science students to instruct and train them in recognizing and responding to the needs and dynamics of the health care of older patients.
(b) Provision of continuing education in geriatrics for health care providers and the general public.
(c) A teaching nursing home program to research nursing home health care practices and to instruct and train health science students about geriatric care.
(d) Development and evaluation of the best practices for the health care of older persons.
(e) Development and evaluation of interdisciplinary models of geriatric training.
(f) Development and evaluation of innovative health care delivery sites and programs for older persons.
For purposes of this chapter, the following definitions
apply:
(a) "Academic geriatric resource program" means a program which includes one of the elements specified in Section 105105.
(b) "Nursing home" means a licensed skilled nursing or licensed intermediate care facility, as defined by Section 1250.
(c) "Teaching nursing home" means a licensed skilled nursing or licensed intermediate care facility, as defined by Section 1250, which is owned or operated by, or affiliated with, a University of California or private university campus with a medical or health sciences center, for the purpose of providing training, patient care, research, and community service.
(a) "Academic geriatric resource program" means a program which includes one of the elements specified in Section 105105.
(b) "Nursing home" means a licensed skilled nursing or licensed intermediate care facility, as defined by Section 1250.
(c) "Teaching nursing home" means a licensed skilled nursing or licensed intermediate care facility, as defined by Section 1250, which is owned or operated by, or affiliated with, a University of California or private university campus with a medical or health sciences center, for the purpose of providing training, patient care, research, and community service.
(a) It is the intent of the Legislature that University of
California medical students complete a definable curriculum in
geriatric medicine over the course of their medical school training
to meet recommended core competencies for the care of older persons.
It is the intent of the Legislature that this curriculum instill the
attitudes, knowledge, and skills that physicians need to provide
competent and compassionate care for older persons, including both
didactic and clinical experiences encompassing the spectrum of health
status of older persons and community-based sites for clinical
training.
(b) It is the intent of the Legislature that University of California medical residents in internal medicine, family practice, and psychiatry complete a definable curriculum in geriatric medicine over the course of their residency training. It is the intent of the Legislature that this curriculum instill the attitudes, knowledge, and skills that physicians practicing these specialties need to provide competent and compassionate care for older persons. This curriculum should encompass the spectrum of health status of older persons and include community-based sites for clinical training.
(c) It is the intent of the Legislature that the University of California be responsible for developing, implementing, maintaining, and evaluating the geriatric medicine content needed in the curriculum. The curriculum shall take into consideration the recommendations of the Institute of Medicine of the National Academy of Sciences, the American Geriatric Society, and other nationally recognized medical organizations. The expanded geriatric medicine program and curriculum should be developed and implemented at each University of California school of medicine as soon as possible, but no later than September 1, 2003.
(d) The Legislature requests that, no later than March 30, 2003, the Regents of the University of California submit a progress report on the status of the implementation of a definable curriculum in geriatric medicine at each campus in accordance with this act.
(e) The Legislature requests that, no later than March 30, 2004, the Regents of the University of California submit a report on the status of the implementation of a definable curriculum in geriatric medicine at each campus. The report should include the total number of hours of geriatric instruction to be given at each school of medicine and the number of weeks of that instruction or experience provided at each medical school. This report should be written by a committee that is specifically charged with reporting on the status of the implementation of this section. The majority of committee members should be national experts in the geriatric field who are not University of California employees.
(f) The Legislature requests that every 5 years, commencing no later than June 30, 2005, the Regents of the University of California submit a report describing progress in geriatrics training and related initiatives at each campus in accordance with the act. This report should be written by a committee that is specifically charged with evaluating this progress. The majority of committee members should be national experts in the geriatric field who are not University of California employees.
(g) Copies of the reports requested in subdivisions (d), (e), and (f) are to be submitted to the members of the Assembly Committee on Aging and Long-Term Care, the members of the Senate Health and Human Services Subcommittee on Aging and Long-Term Care, and the Chairpersons of the Assembly Committee on Budget and the Senate Committee on Budget and Fiscal Review.
(h) It is the intent of the Legislature that the professors occupying the University of California endowed chairs in geriatric medicine funded in the 2000-01 Budget Act provide leadership in developing and implementing the expanded geriatric medicine programs and curriculum at the University of California, and that one-time funds provided to the Academic Geriatric Resource Program in the Budget Act of 2000 also be used to expand geriatric medicine programs and curriculum at the university to implement subdivisions (a) and (b).
(b) It is the intent of the Legislature that University of California medical residents in internal medicine, family practice, and psychiatry complete a definable curriculum in geriatric medicine over the course of their residency training. It is the intent of the Legislature that this curriculum instill the attitudes, knowledge, and skills that physicians practicing these specialties need to provide competent and compassionate care for older persons. This curriculum should encompass the spectrum of health status of older persons and include community-based sites for clinical training.
(c) It is the intent of the Legislature that the University of California be responsible for developing, implementing, maintaining, and evaluating the geriatric medicine content needed in the curriculum. The curriculum shall take into consideration the recommendations of the Institute of Medicine of the National Academy of Sciences, the American Geriatric Society, and other nationally recognized medical organizations. The expanded geriatric medicine program and curriculum should be developed and implemented at each University of California school of medicine as soon as possible, but no later than September 1, 2003.
(d) The Legislature requests that, no later than March 30, 2003, the Regents of the University of California submit a progress report on the status of the implementation of a definable curriculum in geriatric medicine at each campus in accordance with this act.
(e) The Legislature requests that, no later than March 30, 2004, the Regents of the University of California submit a report on the status of the implementation of a definable curriculum in geriatric medicine at each campus. The report should include the total number of hours of geriatric instruction to be given at each school of medicine and the number of weeks of that instruction or experience provided at each medical school. This report should be written by a committee that is specifically charged with reporting on the status of the implementation of this section. The majority of committee members should be national experts in the geriatric field who are not University of California employees.
(f) The Legislature requests that every 5 years, commencing no later than June 30, 2005, the Regents of the University of California submit a report describing progress in geriatrics training and related initiatives at each campus in accordance with the act. This report should be written by a committee that is specifically charged with evaluating this progress. The majority of committee members should be national experts in the geriatric field who are not University of California employees.
(g) Copies of the reports requested in subdivisions (d), (e), and (f) are to be submitted to the members of the Assembly Committee on Aging and Long-Term Care, the members of the Senate Health and Human Services Subcommittee on Aging and Long-Term Care, and the Chairpersons of the Assembly Committee on Budget and the Senate Committee on Budget and Fiscal Review.
(h) It is the intent of the Legislature that the professors occupying the University of California endowed chairs in geriatric medicine funded in the 2000-01 Budget Act provide leadership in developing and implementing the expanded geriatric medicine programs and curriculum at the University of California, and that one-time funds provided to the Academic Geriatric Resource Program in the Budget Act of 2000 also be used to expand geriatric medicine programs and curriculum at the university to implement subdivisions (a) and (b).
The Regents of the University of California shall be the
agency with the responsibility for making grants for the Academic
Geriatric Resource Program.
The Legislature requests that, on March 30, 2001, and
biennially thereafter, the Regents of the University of California
submit a progress report to the Legislature, including copies to the
members of the Assembly Committee on Aging and Long-Term Care, the
members of the Senate Health and Human Services Subcommittee on Aging
and Long-Term Care, and the Chairpersons of the Assembly Committee
on Budget and the Senate Committee on Budget and Fiscal Review,
regarding the grant programs established pursuant to this chapter.
The report should include, but not be limited to, all of the
following elements:
(a) A description of the progress made in implementing and maintaining the programs.
(b) The number of academic geriatric resource programs established.
(c) The characteristics and costs of the programs.
(d) A summary of the progress towards developing and implementing educational and community service programs in geriatric medicine at each campus.
(e) An evaluation of the program's effectiveness at each campus, including identification of problems and limitations, and strategies to overcome them. The report should separately delineate the information required pursuant to this section with respect to each medical or health science campus that receives funding under a grant program established pursuant to this chapter.
(a) A description of the progress made in implementing and maintaining the programs.
(b) The number of academic geriatric resource programs established.
(c) The characteristics and costs of the programs.
(d) A summary of the progress towards developing and implementing educational and community service programs in geriatric medicine at each campus.
(e) An evaluation of the program's effectiveness at each campus, including identification of problems and limitations, and strategies to overcome them. The report should separately delineate the information required pursuant to this section with respect to each medical or health science campus that receives funding under a grant program established pursuant to this chapter.
No provision of this chapter shall be applicable to the
University of California unless the Regents of the University of
California, by resolution, make that provision applicable.
The department shall seek any Medicaid waivers necessary to
implement this chapter.
(a) In addition to the other programs provided under this
chapter, it is the intent of the Legislature to encourage the Regents
of the University of California to monitor existing physician
licensing requirements, and any additional requirements developed in
response to Section 105135. It is also the intent of the Legislature
that the regents review programs and offerings in the schools of
medicine to ensure that graduates of those schools are adequately
prepared to meet the licensing requirements in geriatric medicine and
any other educational requirements in geriatric medicine deemed
appropriate by the regents.
(b) It is the intent of the Legislature that the regents request the medical and other health science schools of the University of California to consider the need for additional emphasis on geriatrics in their curricula.
(b) It is the intent of the Legislature that the regents request the medical and other health science schools of the University of California to consider the need for additional emphasis on geriatrics in their curricula.
