Reuben D B, Fink A, Vivell S, Hirsch S H, Beck J C
Multicampus Division of Geriatric Medicine and Gerontology, UCLA School of Medicine 90024-1686.
Acad Med. 1990 Jun;65(6):382-7. doi: 10.1097/00001888-199006000-00006.
To determine how well geriatrics has been integrated into residency training, the authors surveyed a random 33% sample of all the 378 family practice (n = 126) and 420 internal medicine (n = 140) training programs in the United States in 1988. All the programs responded. On average, the internal medicine programs had more geriatrics faculty than did the family practice faculty, but these numbers were insufficient to meet current or future needs. Fewer than half of the residencies had geriatrics inpatient or ambulatory-care evaluation units, geriatrics consult services, geropsychiatry wards, or geriatrics clinics available as training sites. In contrast, nursing homes were available for 93% of the family practice programs and 58% of the internal medicine programs. A total of 80% of the family practice programs but only 36% of the internal medicine programs had geriatrics curricula in place. The authors conclude that integration of geriatrics content into residency training is far from universal, largely because of a shortage of faculty and clinical training sites.
为了确定老年医学在住院医师培训中的整合程度，作者于1988年对美国378个家庭医学培训项目（n = 126）和420个内科培训项目（n = 140）中的33%进行了随机抽样调查。所有项目均作出了回应。平均而言，内科培训项目的老年医学教员比家庭医学教员多，但这些人数不足以满足当前或未来的需求。不到一半的住院医师培训项目设有老年医学住院或门诊评估单元、老年医学咨询服务、老年精神科病房或老年医学诊所作为培训地点。相比之下，93%的家庭医学培训项目和58%的内科培训项目可利用养老院。共有80%的家庭医学培训项目设有老年医学课程，而内科培训项目中只有36%设有该课程。作者得出结论，老年医学内容在住院医师培训中的整合远未普及，主要原因是教员和临床培训地点短缺。
