Al-Aama Tareef
Department of Medicine, King Abdulaziz University, PO Box: 80215, Jeddah, 21589, Saudi Arabia.
J Cross Cult Gerontol. 2016 Jun;31(2):213-20. doi: 10.1007/s10823-016-9289-x.
To assess the basic knowledge of medical trainees, in the absence of a structured geriatrics curriculum, around a variety of geriatric medicine components that are considered essential for the care of the rapidly increasing elderly population. Eighty-three trainees at different levels of training in internal medicine were asked about a variety of common geriatric conditions. Those included: delirium, falls, geriatric syndromes, pain, cognitive impairment, and medications. The trainees' knowledge about common geriatric condition was overall poor. The most pronounced deficits included: the lack of familiarity in diagnosing geriatric syndromes (63 %) or managing them (67 %), the underestimation of the prevalence of delirium (49 %), and the tendency to undertreat pain (64 %). Poor familiarity with polypharmacy and its impact, as well as inappropriate prescription practices in the elderly were also observed. In the absence of a structured geriatric medicine curriculum, internal medicine trainees' knowledge about important geriatric conditions is poor, even if their internal medicine knowledge is overall adequate. This would translate into suboptimal care for this vulnerable and rapidly expanding segment of the population.
为评估医学实习生的基础知识，在缺乏结构化老年医学课程的情况下，围绕各种对照顾迅速增加的老年人口至关重要的老年医学组成部分展开研究。针对83名不同内科培训阶段的实习生，询问了他们关于多种常见老年疾病的情况。这些疾病包括：谵妄、跌倒、老年综合征、疼痛、认知障碍和药物治疗。实习生对常见老年疾病的了解总体较差。最明显的不足包括：对老年综合征的诊断（63%）或管理（67%）缺乏熟悉度，对谵妄患病率估计不足（49%），以及对疼痛治疗不足的倾向（64%）。还观察到对多重用药及其影响的熟悉度低，以及老年人不适当的处方行为。在缺乏结构化老年医学课程的情况下，即使内科实习生的内科知识总体足够，他们对重要老年疾病的了解也很差。这将导致对这一脆弱且迅速增长的人群的护理不够理想。
