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Geriatric Medicine

RACP. Complex care of older people, the fastest-growing demand curve in medicine, an accessible entry, and superb flexibility.

Medicine (physician)3 years AT (dual gen-med common, 4 years)Competitiveness: accessibleSubspecialty, entry via Basic Physician Training (Adult Medicine)
Competition snapshot: Accessible   Posts regularly outnumber strong applicants, among the most accessible physician ATs (indicative)
Program length
3 years AT (dual gen-med common, 4 years)
Typical entry
AT from PGY5–6
Women (trainees)
≈ 65% of trainees
Consultant (public)
$280,000–440,000 package
Consultant (private)
$300,000–450,000 (aged-care/medicolegal/private consulting) (indicative)
Hours & lifestyle
Ward/clinic based; on-call gentle; part-time standard
Entry routeYou enter Geriatric Medicine through Basic Physician Training (Adult Medicine): complete basic training and both divisional exams first, then compete for advanced-training posts in this specialty. This page covers what's specific to Geriatric Medicine.

Overview

Geriatricians run acute aged-care wards, ortho-geriatric services, memory clinics, rehabilitation and community/RACF outreach, comprehensive physicianship for the fastest-growing patient demographic in the country. It is medicine at its most whole-person, and workforce demand is so deep that geriatricians choose their jobs, cities and hours.

Selection and points

How selection works

ComponentWhat it involves
AT job applicationHospital-level; dual general-medicine pathways widespread.
The unofficial view
  • Entry is welcoming: genuine interest, sound BPT record and decent referees are typically sufficient. Use the slack strategically; build a special interest (perioperative, memory, movement) early.

Competition & demographics

Competitiveness

  • Among the least contested physician ATs, despite excellent job outcomes, arguably the best supply/demand mismatch in adult medicine.

Who's in the program

  • Majority-female; the strongest part-time and flexible-training culture among physician specialties.

How to improve your chances at each stage

StageResident (PGY2–3)
  • Geris/gen-med BPT terms; a delirium or falls QI project is quick and valued.
StageRegistrar years & applications
  • Dual gen med/geris is the most employable combination in the hospital system.
StageIf you don't get on (or change your mind)
  • Rarely needed, but adjacent: general medicine, rehabilitation, palliative care, GP with aged-care focus.

See also the general strategy guide: universal CV, referee and interview advice that applies across specialties.

Job market & workforce outlook

Outlook: Effectively unlimited, ageing demographics, ortho-geriatrics, aged-care reform; every hospital is recruiting
  • Every health service is hiring; ortho-geriatrics and perioperative medicine expanding; regional demand insatiable.

Income

  • $300,000–450,000 indicative; aged-care medical-director and medicolegal work supplements.

Pre-tax, indicative, and highly variable with hours, setting and billing model. ATO figures are averages of taxable income by reported occupation.

Subspecialties & special interests

AreaNotes
Ortho-geriatrics/perioperativeGrowth area
Cognition/memoryClinics + new AD therapeutics
Community/RACFOutreach models

Community: questions and perspectives

CommunityAsk questions and share real-world experience below. Sign in with your email (button top right) to post. Your training stage and specialty interest appear beside your name so readers know the perspective, and the best posts are folded into the page at each annual review.

❓ Questions & answers

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🩺 Experiences, corrections & perspectives

If you've trained in geriatric medicine, or tried to, share what the page can't capture: what it's really like, what's changed, what you wish you'd known.

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Last reviewed July 2026. Details marked “verified” were checked against official/current sources at review; unmarked figures are indicative estimates from training data, college publications and community knowledge. Selection regulations change annually, always read the current-year official documents before acting.