Nguyen Annie L, Duthie Elizabeth A, Denson Kathryn M, Franco Jose, Duthie Edmund H
a Program in Geriatrics, Department of Family Medicine , University of California-Irvine , Orange , California , USA.
Gerontol Geriatr Educ. 2013;34(4):342-53. doi: 10.1080/02701960.2013.809714. Epub 2013 Aug 25.
Medical schools must consider innovative ways to ensure that graduates are prepared to care for the aging population. One way is to offer a geriatrics clerkship as an option for the fulfillment of a medical school's internal medicine rotation requirement. The authors' purpose was to evaluate the geriatrics clerkship's impact on internal medicine knowledge and medical student attitudes toward older adults. Mean National Board of Medical Examiners (NBME) internal medicine subject exam scores from geriatrics and internal medicine students who matriculated from 2005 to 2011 were compared using student's t-tests. Academic performance was controlled for using the United States Medical Licensing Exam Step 1 exam scores. Focus groups were conducted to explore student attitudes. Geriatrics students performed just as well on the NBME exam as their internal medicine colleagues, but reported greater comfort with elder care. Geriatrics students also reported more positive attitudes toward older adults. Completing an internal medicine requirement using a geriatrics clerkship is an innovation for medical school curriculum structure.
医学院校必须考虑采用创新方法，以确保毕业生有能力照顾老年人群体。一种方法是提供老年医学实习课程，作为满足医学院校内科轮转要求的一种选择。作者的目的是评估老年医学实习课程对内科知识以及医学生对老年人态度的影响。使用学生t检验比较了2005年至2011年入学的老年医学专业学生和内科专业学生的美国国家医学考试委员会（NBME）内科科目考试平均成绩。使用美国医师执照考试第一步的成绩来控制学业表现。开展焦点小组讨论以探究学生的态度。老年医学专业学生在NBME考试中的表现与他们的内科专业同学一样好，但报告称在老年护理方面更得心应手。老年医学专业学生对老年人也表现出更积极的态度。通过老年医学实习课程来满足内科要求，是医学院校课程结构的一项创新。
