Callahan Kathryn E, Tumosa Nina, Leipzig Rosanne M
Section on Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Health Resources and Services Administration, Rockville, Maryland.
J Am Geriatr Soc. 2017 Oct;65(10):2313-2317. doi: 10.1111/jgs.14996. Epub 2017 Jul 10.
In the July 2016 issue of this journal, Dr. Mary Tinetti proposed that geriatric medicine abandon attempts to increase the numbers of board-certified geriatricians and change focus to the development of a "small elite workforce." What would be gained and what sacrificed by accepting this challenge? We agree that the best clinical use of a scarce resource, specialty trained geriatricians, is to care for frail, complex, severely ill elderly adults and to help design and study novel interventions in research, education, and care models to improve the care of all older adults, but for this to happen, all other providers must attain specific competency in the care of older adults. This article responds and discusses alternative pathways for teaching geriatrics care, training specialists, and geriatrics fellows.
在本期刊2016年7月号中，玛丽·蒂内蒂博士提议老年医学放弃增加获得委员会认证的老年医学专家数量的尝试，转而将重点放在培养一支“小型精英队伍”上。接受这一挑战会有哪些收获和牺牲呢？我们认同，对于稀缺资源——经过专科培训的老年医学专家，最佳的临床用途是照料体弱、情况复杂、重病缠身的老年人，并协助设计和研究用于研究、教育及护理模式的新型干预措施，以改善所有老年人的护理状况，但要实现这一点，所有其他医疗服务提供者必须具备照料老年人的特定能力。本文对此作出回应，并讨论教授老年护理、培训专科医生及老年医学研究员的替代途径。
