Need of Geriatri dentistry

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    Anonymous
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    In recent years, geriatric health has received the
    attention of health professionals and policy planners
    across the world. In India, with number of
    elderly constituting 7.7% of the population1, the
    need for geriatric care is increasingly being recognised.
    The government of India has taken a few initiatives
    to improve the heath care system; introduced
    a new National Health Policy-2002; increased the
    emphasis on improving the accessibility to health
    care facilities, increasing the role of private sectors
    in delivery of health care, promoting Indian and
    traditional system of medicine, especially for
    improved access to rural masses, supporting voluntary
    agencies to establish mobile medicare units,
    and improving the health insurance both for
    employees in organised and unorganised sector.
    In addition, special guidelines have been issued
    to promote the creation of outdoor and indoor
    facilities for elderly persons, separate queues at
    counters in government hospitals and priority to
    elderly persons in admission and treatment2.
    However, geriatric education has not received as
    much importance as health care delivery. Geriatric
    medicine is in its infancy and geriatric dentistry is
    almost non-existent in India. Very few initiatives
    that have been taken in geriatric education are
    enumerated below.
    • Only one Government Medical College in
    Chennai (in South India) offers full-fledged
    Doctor of Medicine (MD) and Master of Surgery
    (MS) degree courses in Geriatric Medicine and
    Geriatric Surgery respectively.
    • The Indira Gandhi National Open University at
    Delhi (IGNOU) has started a 1-year postgraduate
    (PG) Diploma Course in Geriatric Medicine from
    the academic year 2003–04. In this PG Diploma
    course, the curriculum includes a chapter on
    Geriatric Oral Health.
    • The All India Institute of Medical Sciences, in
    collaboration with WHO conducts short-term
    training programmes in Geriatric Medicine for
    104  2005 The Gerodontology Association and Blackwell Munksgaard Ltd, Gerodontology 2005; 22: 104–105
    sensitisation and reorientation of teachers in
    Medical Schools so that they can incorporate
    geriatric aspect in the teaching of various clinical
    subjects.
    There are other training programs run at different
    institutions for training of Geriatric care
    workers.
    • An institute of Mental Health and Neuro-sciences
    runs a 11/2 year course, which includes a
    6 month academic session and 1 year of field
    training in geriatric care. The eligibility for this
    course is 12th grade of schooling. It targets students
    of lower socio-economic class and provides
    them with job opportunities in geriatric care –
    either in old age homes, long-term care facilities
    or individually at home.
    • National Institute of Social Defense under the
    Ministry of Social Justice and Empowerment has
    initiated a Project ‘National Initiative on Care for
    Elderly’ (NICE). This project aims to create
    awareness and sensitise citizens to establish
    community support to the elderly. It conducts
    3 months, 6 months and 1-year courses, aimed
    at capacity building of the service providers to the
    elderly.

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