Lüttje D
Klinik für Geriatrie, Klinikum Osnabrück GmbH, Sedanstr. 115, 49090, Osnabrück.
Z Gerontol Geriatr. 2005 Sep;38 Suppl 1:I52-5. doi: 10.1007/s00391-005-1114-z.
Acceptance of Geriatric Medicine in the academic world in Germany is still problematic. A WHO study on undergraduate training reveals a disastrous situation in Germany compared with other countries altogether and even in the subgroup "Old Population--Weak in Geriatric Education". This is due to the fact that there is little representation in universities and insufficient integration in training curricula. Subsequently research in Geriatric Medicine in Germany still needs to be increased. Academic acceptance is also reflected by positioning in the postgraduate training rules. In contrast to the opinion of specialists in national and international boards Geriatric Medicine is mostly implemented as sub-/supraspecialty with inadequately shortened duration of specialised training and requirements for the start of specialised training that lead to a shortage of Geriatric Specialists. European recommendations on duration and contents are followed only in two regional chambers. These would enable the specialty of Geriatric Medicine either as a lone-standing specialty or within the common trunk Internal Medicine.
老年医学在德国学术界的认可度仍然存在问题。世界卫生组织一项关于本科培训的研究表明,与其他国家相比,德国的情况非常糟糕,甚至在“老年人口——老年医学教育薄弱”这一亚组中也是如此。这是因为老年医学在大学中的代表性不足,且在培训课程中的整合不够充分。因此,德国老年医学的研究仍需加强。学术认可度也体现在研究生培训规则中的定位上。与国内和国际委员会专家的观点相反,老年医学大多作为亚专业/超专业实施,专科培训时间大幅缩短,专科培训起始要求导致老年医学专家短缺。只有两个地区分会遵循了欧洲关于培训时长和内容的建议。这些建议将使老年医学专业既可以作为独立专业,也可以纳入普通内科主干专业。