Health and Social Sciences Research Institute, Faculty of Health, School of Medicine, Health Policy and Practice, Chancellors Drive, University of East Anglia, Norwich, NR4 7TJ Norfolk, UK.
Arch Gerontol Geriatr. 2010 Nov-Dec;51(3):257-9. doi: 10.1016/j.archger.2009.11.012. Epub 2009 Dec 14.
Little is known about elder abuse training in post-graduate medical education in the United Kingdom. A questionnaire survey was conducted among Specialist Registrars (SpRs) in Geriatric Medicine attending a single training day within five UK Post-graduate Deaneries to assess self-report experience of elder abuse training during their post-graduate medical education. The questionnaire included quantity, quality and self-report confidence in dealing with elder abuse issues. A total of 112 questionnaires were returned (response rate 100%, representing 78.9% of eligible trainees within these five deaneries). The majority of the participants rated low scores for both quantity and quality of training they received. This finding was consistent across all 5 years of training with no significant difference in rating scores in more experienced (years 3-5) SpRs. The majority (62.5%) of final year SpRs reported feeling inadequately prepared to deal with cases of elder abuse. The results of our survey suggest that the provision and quality of training regarding elder abuse is poor for trainees in Geriatric Medicine. The majority of SpRs approaching the completion of their training felt ill-prepared in managing such cases. Our study highlights the requirement of structured approach in elder abuse training for trainees in Geriatric Medicine.
在英国,研究生医学教育中对虐待老年人问题的培训知之甚少。在英国五个研究生学系的一次培训日中,对参加培训的老年医学专科住院医师(SpR)进行了问卷调查,以评估他们在研究生医学教育期间处理虐待老年人问题的自我报告培训经验。该问卷包括数量、质量和自我报告处理虐待老年人问题的信心。共收回 112 份问卷(响应率 100%,代表这五个学系中符合条件的受训者的 78.9%)。大多数参与者对他们接受的培训的数量和质量都给予了较低的评分。这种发现贯穿于所有 5 年的培训中,在经验更丰富(第 3-5 年)的 SpR 中,评分没有显著差异。大多数(62.5%)最后一年的 SpR 报告说,他们对处理虐待老年人的案例感到准备不足。我们的调查结果表明,老年医学专业受训者接受虐待老年人问题培训的数量和质量都很差。大多数接近完成培训的 SpR 都觉得在处理这类案例时准备不足。我们的研究强调了老年医学专业受训者需要进行结构化的虐待老年人问题培训。