title: Do geriatricians practice what they preach?: geriatricians' personal establishment of advance directives.
abstract: Previous research has been conducted regarding preferences of physicians for life-sustaining treatments for themselves, but there is a dearth of data on personal use of advance directives (ADs) by geriatricians specifically. Using a phone survey, we contacted all graduates of the geriatric fellowship program to assess their personal use of advance directives and their personal preferences for life-sustaining treatment. Of the 124 living graduates of the Parker Jewish Institute for Health Care and Rehabilitation, 70 agreed to participate. One third of respondents had established ADs for themselves, with higher rates in women than men (p = .054). Older geriatricians were significantly more likely to have advance directives (exact trend test yields, p < .0001). In general, respondents did not inform their health care providers about their desires for end-of-life care. This study revealed that the majority of fellowship-trained geriatricians did not formally establish advance directives for themselves. Further research is needed to determine whether physicians who establish advance directives for themselves are more likely to encourage their patients to do so.
authors.affiliation: Division of Geriatric Medicine, Winthrop University Hospital; and Stony Brook University Medical, Mineola, New York 11501, USA. plester@winthrop.org
authors.forename: Paula E
authors.initials: PE
authors.lastname: Lester
authors.forename: Alzbeta
authors.initials: A
authors.lastname: Sykora
authors.forename: Gisele P
authors.initials: GP
authors.lastname: Wolf-Klein
authors.forename: Renee
authors.initials: R
authors.lastname: Pekmezaris
authors.forename: Charles
authors.initials: C
authors.lastname: Auerbach
authors.forename: Martin
authors.initials: M
authors.lastname: Feuerman
mesh_terms: D000328:Adult; D016223:Advance Directives / Q000706:statistics & numerical data*; D000367:Age Factors; D000368:Aged; D003657:Decision Making; D005260:Female; D005853:Geriatrics; D006801:Humans; D008020:Life Support Care; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012067:Religion; D012737:Sex Factors; D012959:Socioeconomic Factors; D013727:Terminal Care