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Medically reviewed by William Wadzinski | MD, Uniformed Services University of the Health Sciences on January 10th, 2025.
Key Takeaways
- These specialists complete 1-2 years of fellowship training beyond internal medicine or family practice, focusing specifically on age-related physiological changes and complex medication interactions common after age 65.
- Patients typically benefit from referral when taking 5+ medications daily (polypharmacy), experiencing frequent falls, or showing signs of cognitive decline that complicate standard treatment approaches.
- Assessment includes comprehensive geriatric evaluation covering functional status, cognitive testing, medication review, and social support systems—often taking 60-90 minutes compared to typical 15-minute visits.
- They specialize in managing "geriatric syndromes" like delirium, incontinence, and frailty that don't fit traditional disease categories but significantly impact quality of life and independence.
- Care coordination often involves interdisciplinary teams including pharmacists, social workers, and physical therapists to address the average of 6-8 chronic conditions many older adults manage simultaneously.
As you age, your healthcare needs may become more complex, and you may wonder if a geriatrician would be the best choice for your primary care physician. While a family physician or internist can provide excellent care for generally healthy older adults, there are certain situations where a geriatrician's expertise may be beneficial.
What is a Geriatrician?
A geriatrician is a medical doctor who specializes in caring for older adults with complex illnesses and frailty. They are trained to manage multiple chronic conditions, medications, and the unique challenges that come with aging. Geriatricians focus on improving their patients' ability to function and quality of life.
When to Consider a Geriatrician
You may benefit from choosing a geriatrician as your primary care physician if you:
Have multiple chronic health conditions
Take numerous medications
Experience physical or cognitive impairment
Require the involvement of friends and family in your medical care
Are approaching the end of life and need support with serious illness
Managing Complexity and Uncertainty
Geriatricians are skilled at managing the complexity and uncertainty that often accompany aging and multiple health issues. They take a holistic approach, considering not only your medical needs but also your personal preferences and goals. This patient-centered focus ensures that your care plan aligns with what matters most to you.
Collaborating with Families
Geriatricians understand the importance of involving family members in the care of older adults. They work closely with patients and their loved ones to develop care plans that address the unique challenges and concerns of each individual and family.
Making the Decision
Ultimately, the decision to choose a geriatrician as your primary care physician depends on your specific health needs and personal preferences. If you are a generally healthy older adult, a family physician or internist may be sufficient. However, if you have complex health issues, multiple medications, or physical or cognitive impairments, a geriatrician's expertise may provide the specialized care you need to maintain the best possible quality of life.
For more information on geriatric care, visit:
The Bottom Line
Consider geriatric consultation when standard medical care feels overwhelming due to multiple conditions, medication complexity, or declining function rather than waiting for a crisis. Early intervention can prevent hospitalizations and maintain independence longer. If you're unsure whether specialized aging care is appropriate, Doctronic can help you evaluate your specific situation and care needs.
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