The majority of community-based nursing facilities in the United States have part-time
medical directors whose basic training is either in primary care, internal medicine, or family …

Federal regulations that were published in 1974 required a physician to be employed full or
part time as the medical director by a skilled nursing facilities. Negotiation was needed in …

Physicians have a legal and ethical responsibility to provide leadership in the care of our
institutionalized elderly. In the nursing home, this responsibility includes three components …

Objective To evaluate what nursing home medical directors actually do, what they and other
nursing home personnel believe would be desirable to do, and what problems and …

The federal requirement for skilled nursing facilities to retain medical directors, which
became effective on January 2, 1976, introduced a concept that was totally new to many …

In 1991, the California Geriatric Education Center (GCEC) 1 conducted a survey of nursing
home medical directors in the state of California to answer three questions: What are the …

The care of frail elders and vulnerable other residents of long term care (LTC) facilities is a
sacred trust. The immense ethical, economic, and social implications to society make the …

Objective To compare the self‐reported role of nursing home medical directors in 1989 (prior
to the implementation of the nursing home reform amendments of OBRA 87 in 1990) with the …

The medical director is an important member of the healthcare team in a nursing home, and
is responsible for overall coordination of care and for implementation of policies related to …

To illustrate the evolution of the Medical Director concept, phases I, II and III of “The
Maryland Story” are presented. The Medical Director should be an integral part of the …