How to Help an Aging Parent Find a Geriatrician

A guide to identifying and selecting a geriatrician to support healthy aging and complex medical needs. HowTo: Family Edition: family how-tos that actually help.

1. Understanding the Role of a Geriatrician. Geriatricians are physicians who have completed fellowship training in geriatrics after their primary residency in internal or family medicine. They are particularly adept at managing multiple chronic conditions, coordinating care across different specialists, and addressing issues related to mobility, medication management, and cognitive health. Many families consider transitioning to a geriatrician when an aging parent begins to experience a higher volume of medications, complex health conditions, or a desire for a more holistic approach to aging. The goal is to establish a primary care relationship that prioritizes quality of life and functional independence.
2. Steps for Identifying Potential Providers. Start by gathering recommendations from trusted sources, such as a current primary care physician, local hospital systems, or regional medical associations. Many families also find it helpful to consult a geriatric care manager, who can provide a list of local providers who are accepting new patients and are well-regarded in the community. Once you have a list of potential candidates, consider scheduling an introductory appointment or a brief consultation. This allows both the senior and the adult child to assess the physician’s communication style, their approach to shared decision-making, and how well they listen to the patient's goals for their care.
3. Evaluating Compatibility and Logistics. When evaluating a potential geriatrician, consider practical factors such as office accessibility, the ease of scheduling appointments, and the clinic's process for coordinating with other specialists. It is also useful to ask how the practice handles urgent concerns and whether they offer telehealth options, which can reduce the burden of frequent travel. Beyond logistics, consider the 'fit.' A good geriatrician should view the senior as an individual with personal values and preferences, not just a collection of medical conditions. Observe how the doctor addresses the senior directly, ensuring the senior feels heard and respected throughout the interaction.