Bragg Elizabeth J, Warshaw Gregg A, Arenson Christine, Ho Mona L, Brewer David E
Institute for the Study of Health, University of Cincinnati, OH 45267-0840, USA.
Fam Med. 2006 Apr;38(4):258-64.
We compared findings from this 2004 survey with our 2001 survey to determine progress in family medicine residency programs' efforts to better train residents to care for America's aging population.
A survey was mailed and made available on-line to all 470 family medicine residency directors in the United States.
The response rate was 71%. Ninety-six percent of family medicine residencies have a required geriatrics curriculum, compared to 92% in 2001. There was a significant increase in the number of required lecture hours in geriatrics in 2004 as compared to 2001. Since 2001, the median number of MD geriatrics faculty per program has nearly doubled from .5 full-time equivalent (FTE) to .9 FTE. Conflicting time demands with other curricula was ranked as the most significant barrier to geriatrics education in both 2004 and 2001. However, in 2001, the attitude of residents was listed as a significant barrier by 32.1% of the program directors as compared to just 3.6% in 2004.
Family medicine educators are continuing to improve the training of residents to provide state-of-the-art care for the aging population. Faculty must take advantage of this period of experimentation in residency education to identify best practices for geriatrics education.
我们将2004年的这项调查结果与2001年的调查结果进行比较，以确定家庭医学住院医师培训项目在更好地培训住院医师照顾美国老年人群体方面所取得的进展。
向美国所有470名家庭医学住院医师培训主任邮寄了一份调查问卷，并在网上提供。
回复率为71%。96%的家庭医学住院医师培训项目设有老年医学必修课程，2001年这一比例为92%。与2001年相比，2004年老年医学必修讲座时长显著增加。自2001年以来，每个项目的医学博士老年医学教员中位数从0.5全职等效人员（FTE）几乎增加了一倍，达到0.9 FTE。2004年和2001年，与其他课程相互冲突的时间需求均被列为老年医学教育的最大障碍。然而，2001年，32.1%的项目主任将住院医师的态度列为重大障碍，而2004年这一比例仅为3.6%。
家庭医学教育工作者正在持续改进住院医师培训，以便为老年人群体提供最先进的护理。教员必须利用住院医师教育的这一试验阶段，确定老年医学教育的最佳实践方法。
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