Department of Geriatric, West China Hospital, Sichuan University, Chengdu, Sichuan providence, PR China.
J Nutr Health Aging. 2013 Feb;17(2):192-5. doi: 10.1007/s12603-012-0086-0.
The aim of this survey is to determine the main barriers of geriatric health care from the physicians' point of view and compare the improvement before and after the Continue Medical Education (CME) provided by International Association of Gerontology and Geriatrics (IAGG).
Cross-sectional survey.
Five hundred samples were generated using systematic random sampling from the address lists of physicians in Southwest China who had received the IAGG CME or been trained in Sichuan Association of Geriatrics (SAG) CME.
The interview instrument examined demographics and information on geriatric education.
Of the 500 physician sampled, 461(92.2 percent) responded. 34.3 percent of the respondents reported that over 70 percent of their patients were older persons. 76.8 percent of the respondents felt that they lacked geriatric knowledge. Only 15.6 percent of the respondents had geriatric curriculum before graduation, and 26.0 percent received geriatric trainings after graduation. Most physicians felt that "Language barrier" and "Insufficient geriatric education in undergraduate medical school and postgraduate education" were the main challenges in practicing geriatric medicine. Geriatric training and knowledge are inadequate due to the lack of geriatric curriculums in medical schools and CME for physicians who practice geriatrics. With the help of IAGG, CME in Southwest China provided more workshops on geriatric progress in year 2011 than in year 2007-2010. Eighty percent of the physicians acknowledged that the IAGG CME was helpful for their clinical practice. The physicians paid more attention to geriatric syndromes rather than age-related pathophysiology alone.
CME provided by geriatric associations is helpful. Collaboration between different geriatric societies such as IAGG and SAG may be a good model for spreading geriatric knowledge and should be considered by medical educational administration.
本调查旨在从医生的角度确定老年医疗保健的主要障碍，并比较国际老年学和老年医学协会（IAGG）提供的继续医学教育（CME）前后的改善情况。
横断面调查。
使用系统随机抽样从中国西南部接受过 IAGG CME 培训或参加过四川老年医学协会（SAG）CME 培训的医生的地址列表中生成了 500 个样本。
访谈工具检查了人口统计学和老年教育信息。
在抽样的 500 名医生中，有 461 名（92.2%）做出了回应。34.3%的受访者报告说，超过 70%的患者是老年人。76.8%的受访者认为他们缺乏老年知识。只有 15.6%的受访者在毕业前有老年课程，26.0%的人在毕业后接受了老年培训。大多数医生认为“语言障碍”和“本科和研究生医学教育中老年人医学教育不足”是实践老年医学的主要挑战。由于医学院校缺乏老年课程和从事老年医学的医生的 CME，老年培训和知识不足。在 IAGG 的帮助下，2011 年中国西南地区的 CME 提供了更多的老年进展研讨会，而 2007-2010 年则较少。80%的医生承认 IAGG CME 对他们的临床实践有帮助。医生更关注老年综合征，而不仅仅是年龄相关的病理生理学。
老年医学协会提供的 CME 很有帮助。不同老年医学协会（如 IAGG 和 SAG）之间的合作可能是传播老年知识的良好模式，应得到医学教育管理部门的考虑。
