Robinson B E, Barry P P, Renick N, Bergen M R, Stratos G A
University of South Florida, Geriatrics, Sarasota Memorial Hospital, Sarasota, Florida 34239, USA.
J Am Geriatr Soc. 2001 Jul;49(7):963-7. doi: 10.1046/j.1532-5415.2001.49188.x.
To assess physicians' confidence in and interest in learning more about 18 specific geriatric topics.
Written survey.
Annual meetings of the American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP).
Seven hundred and fifty-eight physicians (547 ACP members, 211 AAFP members).
For each topic, participants rated their confidence in performance, their peers' need for education, and their interest in learning more, using a five-point Likert scale.
Survey participants were on average 16 years out of medical school and 61% were in a community primary care practice that included many geriatric patients on a primarily fee-for-service basis. High levels of interest in learning more about dementia, functional assessment, urinary incontinence, and sensory impairment were found. A substantial correlation (r =.44, P <.0001) between the proportion of seniors reported in the physicians' practice and confidence in performance in the areas surveyed was identified.
These findings provide useful information on the physician-learner's perception of needs, which is important in the design of effective continuing education efforts in geriatrics.
评估医生对18个特定老年医学主题的信心以及进一步了解这些主题的兴趣。
书面调查。
美国医师协会（ACP）和美国家庭医师学会（AAFP）的年会。
758名医生（547名ACP成员，211名AAFP成员）。
对于每个主题，参与者使用五点李克特量表对他们在执行方面的信心、同行对教育的需求以及他们进一步学习的兴趣进行评分。
参与调查的医生从医学院毕业平均已有16年，61%在社区初级保健机构工作，这些机构主要基于按服务收费模式，接收许多老年患者。结果发现，医生们对进一步了解痴呆症、功能评估、尿失禁和感觉障碍有着浓厚的兴趣。研究发现，医生所服务的老年患者比例与在所调查领域的执行信心之间存在显著相关性（r = 0.44，P < 0.0001）。
这些发现为医生学习者对需求的认知提供了有用信息，这对于设计有效的老年医学继续教育活动非常重要。
