Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Department of Psychiatry, University of South Alabama School of Medicine, Mobile, AL.
Am J Geriatr Psychiatry. 2017 Oct;25(10):1041-1047. doi: 10.1016/j.jagp.2017.05.006. Epub 2017 May 12.
America is aging as the population of older adults increases. The shortage of geriatric mental health specialists means that most geriatric mental healthcare will be provided by physicians who do not have specialty training in geriatrics. The Institute of Medicine Report of 2012 highlighted the urgent need for development of national competencies and curricula in geriatric mental health for all clinicians. Virtually all physicians can expect to treat older patients with mental health symptoms, yet currently there are no widely accepted learning objectives in geriatric mental health specific for medical students. The authors describe the development of a set of such learning objectives that all medical students should achieve by graduation. The iterative process included initial drafting by content experts from five medical schools with input and feedback from a wider group of geriatric psychiatrists, geriatricians, internists, and medical educators. The final document builds upon previously published work and includes specific knowledge, attitudes and skills in six key domains: Normal Aging, Mental Health Assessment of the Geriatric Patient, Psychopharmacology, Delirium, Depression, and Dementia. These objectives address a pressing need, providing a framework for national standards and curriculum development.
美国正在老龄化，老年人口增加。老年心理健康专家的短缺意味着大多数老年心理健康护理将由没有老年医学专业培训的医生提供。2012 年美国医学研究所的报告强调迫切需要为所有临床医生制定老年心理健康方面的国家能力和课程。几乎所有的医生都可以预期治疗有心理健康症状的老年患者，但目前对于医学生来说，还没有广泛接受的老年心理健康具体学习目标。作者描述了一套这样的学习目标的开发，所有医学生都应该在毕业时达到。该迭代过程包括来自五所医学院的内容专家的初步起草，并得到了更广泛的老年精神病学家、老年病学家、内科医生和医学教育工作者的投入和反馈。最终文件以先前发表的工作为基础，包括六个关键领域的具体知识、态度和技能：正常衰老、老年患者的心理健康评估、精神药理学、谵妄、抑郁和痴呆。这些目标满足了紧迫的需求，为国家标准和课程制定提供了框架。
