Page:United States Statutes at Large Volume 102 Part 4.djvu/167

 PUBLIC LAW 100-607—NOV. 4, 1988

102 STAT. 3137

"(B) PREREQUISITES.—The Secretary may not approve or disapprove an application for a grant or contract under this subsection unless the Secretary has received recommendations with respect to such application from the appropriate peer review group required under subparagraph (A) and has consulted with the National Advisory Council on Health Professions Education with respect to such application. "(b) GERIATRIC TRAINING.—

"(1) IN GENERAL.—The Secretary may make grants to, and Grants. enter into contracts with, schools of medicine, schools of osteop- Contracts. athy, teaching hospitals, and graduate medical education programs, for the purpose of providing support (including residencies, traineeships, and fellowships) for geriatric training projects to train physicians and dentists who plan to teach geriatric medicine or geriatric dentistry. "(2) REQUIREMENTS.—Each project for which a grant or contract is made under this subsection shall— "(A) be staffed by full-time teaching physicians who have experience or training in geriatric medicine; (B) be staffed, or enter into an agreement with an institution staffed by full-time or part-time teaching dentists who have experience or training in geriatric dentistry; "(C) be beised in a graduate medical education program in internal medicine or family medicine, or in a department of geriatrics in existence as of December 1, 1987; "(D) provide participants in the project with exposure to a population of elderly individuals; (E) provide training in geriatrics and exposure to the physical and mental disabilities of elderly individuals through a variety of service rotations, such as geriatric consultation services, acute care services, dental services, geriatric psychiatry units, day and home care programs, rehabilitation services, extended care facilities, geriatric ambulatory care and comprehensive evaluation units, and community care programs for elderly mentally retarded individuals; and "(F) provide training in geriatrics through one or both of the training options described in subparagraphs (A) and (B) of paragraph (3). "(3) TRAINING OPTIONS.—The training options referred to in subparagraph (F) of paragraph (2) shall be as follows: "(A) A 1-year retraining program in geriatrics for— "(i) physicians who are faculty members in departments of internal medicine, family medicine, gynecology, geriatrics, and psychiatry at schools of medicine and osteopathy; and "(ii) dentists who are faculty members at schools of dentistry or at hospital departments of dentistry. "(B) A 1-year or 2-year internal medicine or family medicine fellowship program providing emphasis in geriatrics, which shall be desired to provide training in clinical geriatrics and geriatrics research for— "(i) physicians who have completed graduate medical education programs in internal medicine, family medicine, psychiatry, neurology, gynecology, or rehabilitation medicine; and

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