Miller D K, Morley J E, Rubenstein L Z
Division of Geriatric Medicine, St. Louis University Medical Center, MO 63104.
Acad Med. 1991 Aug;66(8):489-91. doi: 10.1097/00001888-199108000-00018.
Internal medicine residents in two programs providing different amounts of training in geriatrics were surveyed in 1988 regarding their opinions about the management of four geriatric problems and two traditional internal medicine problems. The residents generally agreed that geriatric problems were legitimate concerns in a general internal medicine practice but demonstrated less confidence in the management of geriatric problems than in the management of traditional problems. Residents from the program that provided more extensive training in geriatrics evidenced greater support for nondiscriminatory care of elderly diabetics; otherwise there was no convincing evidence of differences between the two programs. The authors conclude that educational efforts in geriatrics need to target trainees' confidence in the management of geriatric problems.
1988年，对两个提供不同老年医学培训量的项目中的内科住院医师进行了调查，询问他们对四个老年医学问题和两个传统内科问题管理的看法。住院医师普遍认为，老年医学问题在普通内科实践中是合理的关注点，但与传统问题相比，他们对老年医学问题的管理缺乏信心。来自提供更广泛老年医学培训项目的住院医师对老年糖尿病患者的非歧视性护理表现出更大的支持；除此之外，没有令人信服的证据表明这两个项目之间存在差异。作者得出结论，老年医学教育工作需要针对学员对老年医学问题管理的信心。
