Maggiore Ronald J, Gorawara-Bhat Rita, Levine Stacie K, Dale William
Section of Geriatrics and Palliative Medicine, University of Chicago, Chicago, IL, United States; Section of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL, United States.
Section of Geriatrics and Palliative Medicine, University of Chicago, Chicago, IL, United States.
J Geriatr Oncol. 2014 Jan;5(1):106-15. doi: 10.1016/j.jgo.2013.10.003. Epub 2013 Nov 7.
The aging of the U.S. population continues to highlight emerging issues in providing care generally for older adults and specifically for older adults with cancer. The majority of patients with cancer in the U.S. are currently 65 years of age or older; therefore, training and research in geriatrics and geriatric oncology are viewed to be integral in meeting the needs of this vulnerable population. Yet, the ways to develop and integrate best geriatrics training within the context of hematology/oncology fellowship remain unclear. Toward this end, the current study seeks to evaluate the prior and current geriatric experiences and perspectives of hematology/oncology fellows. To gain insight into these experiences, focus groups of hematology/oncology fellows were conducted. Emergent themes included: 1) perceived lack of formal geriatric oncology didactics among fellows; 2) a considerable amount of variability exists in pre-fellowship geriatric experiences; 3) shared desire to participate in a geriatric oncology-based clinic; 4) differences across training levels in confidence in managing older adults with cancer; and 5) identification of specific criteria on how best to approach older adults with cancer in a particular clinical scenario. The present findings will help guide future studies in evaluating geriatrics among hematology/oncology fellows across institutions. They will also have implications in the development of geriatrics curricula and competencies specific to hematology/oncology training.
美国人口老龄化继续凸显在为老年人提供一般护理,尤其是为老年癌症患者提供护理方面出现的新问题。美国目前大多数癌症患者年龄在65岁及以上;因此,老年医学和老年肿瘤学的培训与研究被视为满足这一弱势群体需求的不可或缺的部分。然而,在血液学/肿瘤学 fellowship 的背景下,如何开展和整合最佳的老年医学培训尚不清楚。为此,本研究旨在评估血液学/肿瘤学 fellowship 学员过去和当前的老年医学经历及观点。为深入了解这些经历,开展了血液学/肿瘤学 fellowship 学员焦点小组讨论。出现的主题包括:1)学员们认为缺乏正式的老年肿瘤学教学;2)入学前的老年医学经历存在相当大的差异;3)共同希望参与以老年肿瘤学为基础的诊所;4)不同培训水平的学员在管理老年癌症患者方面的信心存在差异;5)确定在特定临床场景中如何最好地治疗老年癌症患者的具体标准。本研究结果将有助于指导未来评估不同机构血液学/肿瘤学 fellowship 学员老年医学情况的研究。它们还将对血液学/肿瘤学培训特有的老年医学课程和能力的发展产生影响。