Vilches-Moraga Arturo, Ariño-Blasco Sergio, Verdejo-Bravo Carlos, Mateos-Nozal Jesús
Salford Royal NHS Foundation Trust, Manchester, Reino Unido.
Fundación Privada Hospital Asilo de Granollers, Granollers, Barcelona, España.
Rev Esp Geriatr Gerontol. 2015 Mar-Apr;50(2):82-8. doi: 10.1016/j.regg.2014.10.003. Epub 2014 Dec 23.
The increase in the number of frail elderly people has led to the necessity that all doctors of the future acquire sufficient knowledge on human ageing and the skills in the management of the patient of advanced age, as well as the diseases associated with ageing. Few countries offer geriatric medicine within undergraduate training. The purpose of the present project was to obtain a consensus between European geriatricians on the minimum requirements that medical students must achieve at the end of their university degree course.
A modified Delphi process was used. Firstly, experts in education and geriatrics proposed a set of learning objectives based on a review of the literature. Three Delphi rounds were then performed, in which a panel of 49 experts representing 29 countries affiliated to the European Union of Medical Specialists took part. This enabled them to reach a consensus on a definitive study plan.
The number of disagreements after the Delphi rounds 1 and 2 were 81 and 53, respectively. Full agreement was reached after the third round. The definitive study plan consisted of detailed objectives grouped under 10 general training objectives.
A consensus has been reached between European geriatricians that sets specific training objectives for medical students. Great efforts will be required for the introduction of these requirements, given the variability there is in the quality of teaching in geriatrics. This study plan is a first step in helping to improve geriatrics teaching in faculties of medicine, and will also serve as a basis to make advances in the training in post-graduate geriatrics throughout Europe.
体弱老年人数量的增加使得未来所有医生都有必要掌握足够的人类衰老知识、管理高龄患者的技能以及与衰老相关的疾病知识。很少有国家在本科培训中开设老年医学课程。本项目的目的是在欧洲老年医学专家之间就医学生在大学学位课程结束时必须达到的最低要求达成共识。
采用了改良的德尔菲法。首先,教育和老年医学领域的专家在文献综述的基础上提出了一套学习目标。然后进行了三轮德尔菲调查,来自隶属于欧洲医学专家联盟的29个国家的49名专家组成的小组参与其中。这使他们能够就最终的学习计划达成共识。
第一轮和第二轮德尔菲调查后的分歧数量分别为81个和53个。第三轮后达成了完全一致。最终的学习计划包括根据10个总体培训目标分组的详细目标。
欧洲老年医学专家已达成共识,为医学生设定了具体的培训目标。鉴于老年医学教学质量存在差异,引入这些要求需要付出巨大努力。本学习计划是帮助改善医学院校老年医学教学的第一步,也将作为推动欧洲老年医学研究生培训进步的基础。