Jones J S, Rousseau E W, Schropp M A, Sanders A B
Emergency Medicine Residency Program, Butterworth Hospital, Grand Rapids, Michigan.
Ann Emerg Med. 1992 Jul;21(7):825-9. doi: 10.1016/s0196-0644(05)81029-7.
The health care needs of the elderly population are significantly different from those of younger patients and require special knowledge and skills on the part of emergency physicians. The purpose of this study was to identify the nature and extent of geriatric training currently provided to emergency medicine residents.
Self-administered survey distributed to residency directors of the 85 accredited emergency medicine residency programs in the United States.
The survey consisted of 17 questions focusing on residency directors' views about teaching and research of geriatric emergency care.
Survey information was obtained from 85 (100%) emergency medicine residency programs. Forty percent (34 of 85) of respondents believed the teaching of geriatric emergency care was inadequate; 44 programs (52%) plan to increase the number of didactic hours devoted to geriatrics (mean increase of 5.9 hours). The five geriatric topics most frequently taught included acute dementia, atypical presentation of illness, common complaints in the elderly, geriatric trauma, and ethical issues. Sixty-five percent believed ongoing national research efforts regarding geriatric emergency medicine were insufficient; 21 programs (25%) had faculty involved in geriatric studies. Most respondents reported that growing numbers of elderly will have a major impact on all areas of patient care in the near future.
Although geriatric emergency care is becoming an integral part of the emergency medicine residency program, there may be a need for better focused and more intensive training.
老年人群的医疗保健需求与年轻患者有显著差异，这要求急诊医生具备特殊的知识和技能。本研究的目的是确定目前为急诊医学住院医师提供的老年医学培训的性质和程度。
向美国85个经认可的急诊医学住院医师培训项目的住院医师主任发放自行填写的调查问卷。
该调查问卷包含17个问题，重点关注住院医师主任对老年急诊护理教学与研究的看法。
从85个（100%）急诊医学住院医师培训项目获取了调查信息。40%（85个中的34个）的受访者认为老年急诊护理教学不足；44个项目（52%）计划增加老年医学理论教学时长（平均增加5.9小时）。最常讲授的五个老年医学主题包括急性痴呆、疾病的非典型表现、老年人常见症状、老年创伤和伦理问题。65%的人认为目前关于老年急诊医学的全国性研究工作不足；21个项目（25%）有教员参与老年医学研究。大多数受访者表示，在不久的将来，老年患者数量的增加将对患者护理的各个领域产生重大影响。
尽管老年急诊护理正成为急诊医学住院医师培训项目不可或缺的一部分，但可能需要更有针对性、更深入的培训。
