Centre for Dementia Studies, Brighton and Sussex Medical School, Brighton, UK.
Centre for Dementia Studies, The Trafford Centre, Brighton and Sussex Medical School, Brighton, UK.
Int J Geriatr Psychiatry. 2017 Jan;32(1):68-75. doi: 10.1002/gps.4602. Epub 2016 Oct 10.
Traditional healthcare education, delivered through a series of time-limited clinical placements, often fails to deliver an understanding of the experiences of those with long-term conditions, a growing issue for healthcare systems. Responses include longitudinal integrated clerkships and senior mentor programmes allowing students' longer placements, continuity of contact and opportunities to learn about chronic illness and patient experience. We review their development and delivery in dementia and present the Time for Dementia (TFD) Programme, a novel 2-year interdisciplinary educational programme.
The study design involves a scoping review of enhanced placements in dementia for healthcare professionals in training including longitudinal integrated clerkships and senior mentor programmes and a case study of the development of TFD and its evaluation.
Eight enhanced programmes in dementia were identified and seven in the USA. None were compulsory and all lasted 12 months. All reported positive impact from case study designs but data quality was weak. Building on these, TFD was developed in partnership between the Alzheimer's Society, universities and NHS and made a core part of the curriculum for medical, nursing and paramedic students. Students visit a person with dementia and their family in pairs for 2 h every 3 months for 2 years. They follow a semi-structured interaction guide focusing on experiences of illness and services and complete reflective appraisals.
We need interprofessional undergraduate healthcare education that enables future healthcare professionals to be able to understand and manage the people with the long-term conditions who current systems often fail. TFD is designed to help address this need. © 2016 The Authors. International Journal of Geriatric Psychiatry Published by John Wiley & Sons Ltd.
传统的医疗保健教育通过一系列限时的临床实习来提供，但往往无法让学生理解患有长期疾病的人的体验，这是医疗保健系统日益面临的问题。应对措施包括纵向综合实习和高级导师计划，让学生有更长的实习时间、连续性的接触机会，并了解慢性病和患者体验。我们回顾了这些计划在痴呆症方面的发展和实施情况，并介绍了一项新颖的 2 年制跨学科教育计划——痴呆症时间（Time for Dementia，TFD）计划。
这项研究设计涉及对培训中的医疗保健专业人员在痴呆症方面强化实习的范围进行综述，包括纵向综合实习和高级导师计划，并对 TFD 的发展及其评估进行案例研究。
确定了 8 个强化痴呆症计划，其中 7 个在美国。这些计划都不是强制性的，且持续时间均为 12 个月。所有计划都报告了从案例研究设计中获得的积极影响，但数据质量较弱。在此基础上，TFD 由阿尔茨海默病协会、大学和 NHS 合作开发，并成为医学生、护生和辅助医疗学生课程的核心部分。学生每 3 个月以两人一组的形式，每 2 小时访问 1 名痴呆症患者及其家属，为期 2 年。他们遵循半结构化的互动指南，重点关注疾病和服务体验，并完成反思性评估。
我们需要为未来的医疗保健专业人员提供跨专业的本科医疗保健教育，使他们能够理解和管理长期患病的人，而当前的系统往往无法做到这一点。TFD 旨在帮助满足这一需求。© 2016 作者。国际老年精神病学杂志由约翰威利父子有限公司出版。
