面向医生的大“G”与小“g”老年医学教育
Big 'G' and Little 'g' Geriatrics Education for Physicians.
作者信息
Callahan Kathryn E, Tumosa Nina, Leipzig Rosanne M
机构信息
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.
出版信息
J Am Geriatr Soc. 2017 Oct;65(10):2313-2317. doi: 10.1111/jgs.14996. Epub 2017 Jul 10.
Abstract
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.
摘要
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。
相似文献
1
Big 'G' and Little 'g' Geriatrics Education for Physicians.面向医生的大“G”与小“g”老年医学教育
J Am Geriatr Soc. 2017 Oct;65(10):2313-2317. doi: 10.1111/jgs.14996. Epub 2017 Jul 10.
2
The training of geriatricians in the United States: three decades of progress.美国老年医学专家的培训：三十年的进展
J Am Geriatr Soc. 2003 Jul;51(7 Suppl):S338-45. doi: 10.1046/j.1365-2389.2003.51345.x.
3
National survey of geriatric medicine fellowship programs: comparing findings in 2006/07 and 2001/02 from the American Geriatrics Society and Association of Directors of Geriatric Academic Programs Geriatrics Workforce Policy Studies Center.全国老年医学研究员课程项目调查：美国老年医学会和老年医学学术课程主任协会老年医学劳动力政策研究中心在 2006/07 年和 2001/02 年的调查结果比较。
J Am Geriatr Soc. 2010 Nov;58(11):2166-72. doi: 10.1111/j.1532-5415.2010.03126.x. Epub 2010 Oct 11.
4
Do geriatricians stay in geriatrics?老年病科医生会一直从事老年病学工作吗？
Gerontol Geriatr Educ. 2006;27(1):57-65. doi: 10.1300/J021v27n01_04.
5
American Geriatrics Society/Association of Directors of Geriatric Academic Programs curricular milestones for graduating geriatric fellows.美国老年医学学会/老年医学学术项目主任协会老年住院医师毕业课程基准。
J Am Geriatr Soc. 2014 May;62(5):930-5. doi: 10.1111/jgs.12821. Epub 2014 Apr 18.
6
Geriatric education for the physicians of tomorrow.面向未来医生的老年医学教育。
Arch Gerontol Geriatr. 2009 Dec;49 Suppl 2:S17-20. doi: 10.1016/S0167-4943(09)70007-X.
7
Strengthening the fellowship training experience: findings from a national survey of fellowship trained geriatricians 1990-1998.加强专科培训经历：1990 - 1998年对接受过专科培训的老年病医生的全国性调查结果
J Am Geriatr Soc. 2004 Apr;52(4):607-10. doi: 10.1111/j.1532-5415.2004.52170.x.
8
Prioritizing geriatrics in medical education improves care for all.重视老年医学教育可改善全人群的医疗照护。
Med Educ Online. 2022 Dec;27(1):2105549. doi: 10.1080/10872981.2022.2105549.
9
Return on educational investment in geriatrics training.
J Am Geriatr Soc. 2004 Nov;52(11):1940-5. doi: 10.1111/j.1532-5415.2004.52523.x.
10
Geriatrics fellowship training and the role of geriatricians in older adult cancer care: A survey of geriatrics fellowship directors.老年医学专科培训及老年病医生在老年癌症护理中的作用：一项对老年医学专科培训主任的调查。
Gerontol Geriatr Educ. 2018 Apr-Jun;39(2):170-182. doi: 10.1080/02701960.2016.1247070. Epub 2016 Dec 18.
引用本文的文献
1
Preparing Physicians to Care for Older Adults: Strategies for Making Your Educational Program More "Age-Friendly".培养医生照顾老年人：使你的教育项目更具“年龄友好型”的策略。
Med Sci Educ. 2025 Jan 17;35(2):1063-1070. doi: 10.1007/s40670-025-02279-x. eCollection 2025 Apr.
2
Age-Friendly Health Systems Integration into Rural Primary Care Clinics: A Journey of One Geriatric Workforce Enhancement Program.老年友好型卫生系统融入农村基层医疗诊所：一项老年医学人才队伍建设强化项目的探索。
Inquiry. 2024 Jan-Dec;61:469580241281478. doi: 10.1177/00469580241281478.
3
Needs of social isolation, loneliness, and intergenerational interventions in the United States: a scoping review.美国社会隔离、孤独感和代际干预的需求：范围综述。
Front Public Health. 2024 Aug 9;12:1386651. doi: 10.3389/fpubh.2024.1386651. eCollection 2024.
4
Geriatric medicine is advancing, not declining: A proposal for new metrics to assess the health of the profession.老年医学正在进步，而非衰退：关于评估该专业健康状况的新指标的提议。
J Am Geriatr Soc. 2025 Jan;73(1):323-328. doi: 10.1111/jgs.19143. Epub 2024 Aug 21.
5
"The Big Three" of geriatrics: A review of perioperative cognitive impairment, frailty and malnutrition.老年医学的“三大问题”：围手术期认知障碍、衰弱和营养不良综述
Saudi J Anaesth. 2023 Oct-Dec;17(4):509-516. doi: 10.4103/sja.sja_532_23. Epub 2023 Aug 18.
6
Microlearning for surgical residents enhances perioperative comprehensive geriatric assessment.针对外科住院医师的微学习可增强围手术期综合老年评估。
J Am Geriatr Soc. 2023 Dec;71(12):E30-E33. doi: 10.1111/jgs.18612. Epub 2023 Sep 29.
7
Talking About Notes: Using a Design-Based Research Approach to Develop a Discharge Summary Template on a Geriatric Inpatient Unit.谈笔记：运用基于设计的研究方法开发老年住院病房出院小结模板
Can Geriatr J. 2023 Sep 1;26(3):326-338. doi: 10.5770/cgj.26.661. eCollection 2023 Sep.
8
Trends of Geriatric Certification and Practice Patterns of Family Physicians: 1988-2019.老年病学认证趋势和家庭医生的实践模式：1988-2019 年。
Fam Med. 2023 Feb;55(2):95-102. doi: 10.22454/FamMed.2023.917437.
9
Out of the classroom, into the home: Medical and dental students' lessons learned from a Geriatrics home visit.走出课堂，走进家庭：老年医学家访中，医学生和牙科学学生的所得所获。
J Am Geriatr Soc. 2022 Sep;70(9):2659-2665. doi: 10.1111/jgs.17968. Epub 2022 Jul 19.
10
A New Interprofessional Community-Service Learning Program, HATS (Health Ambassador Teams for Seniors) to Improve Older Adults Attitudes about Telehealth and Functionality.一项新的跨专业社区服务学习项目 HATS（健康大使团队为老年人服务）旨在改善老年人对远程医疗和功能的态度。
Int J Environ Res Public Health. 2021 Sep 25;18(19):10082. doi: 10.3390/ijerph181910082.
本文引用的文献
1
The Geriatrics 5M's: A New Way of Communicating What We Do.老年医学5M原则：一种阐述我们工作内容的新方式。
J Am Geriatr Soc. 2017 Sep;65(9):2115. doi: 10.1111/jgs.14979. Epub 2017 Jun 6.
2
Geriatrics-for-Specialists Initiative: An Eleven-Specialty Collaboration to Improve Care of Older Adults.老年医学专家倡议：一项改善老年人护理的十一个专业合作项目。
J Am Geriatr Soc. 2017 Oct;65(10):2140-2145. doi: 10.1111/jgs.14963. Epub 2017 May 17.
3
Meeting the Need for Training in Geriatrics: The Geriatrics Education for Specialty Residents Program.满足老年医学培训需求：专科住院医师老年医学教育项目
J Am Geriatr Soc. 2017 Oct;65(10):e142-e145. doi: 10.1111/jgs.14966. Epub 2017 May 17.
4
Expanding the Field of Surgical Researchers: The Jahnigen Career Development Award.拓展外科研究人员领域：扬尼根职业发展奖。
J Am Geriatr Soc. 2017 Oct;65(10):e146-e150. doi: 10.1111/jgs.14967. Epub 2017 May 17.
5
Improving Specialty Care of Older Adults: Creating Champions, Supporting Research, Fostering Partnerships.
J Am Geriatr Soc. 2017 Oct;65(10):2151-2152. doi: 10.1111/jgs.14975. Epub 2017 May 17.
6
Aging, the Medical Subspecialties, and Career Development: Where We Were, Where We Are Going.衰老、医学亚专业与职业发展：我们的过去、我们的未来走向。
J Am Geriatr Soc. 2017 Apr;65(4):680-687. doi: 10.1111/jgs.14708. Epub 2017 Jan 16.
7
Mainstream or Extinction: Can Defining Who We Are Save Geriatrics?主流还是消亡：定义我们是谁能拯救老年医学吗？
J Am Geriatr Soc. 2016 Jul;64(7):1400-4. doi: 10.1111/jgs.14181. Epub 2016 Jun 28.
8
Integrating Geriatric Consults into Routine Care of Older Trauma Patients: One-Year Experience of a Level I Trauma Center.将老年病会诊整合到老年创伤患者的常规护理中：一家一级创伤中心的一年经验。
J Am Coll Surg. 2016 Jun;222(6):1029-35. doi: 10.1016/j.jamcollsurg.2015.12.058. Epub 2016 Mar 3.
9
Advancing Geriatrics Education Through a Faculty Development Program for Geriatrics-Oriented Clinician Educators.通过面向老年医学的临床医生教育工作者的师资发展计划推进老年医学教育。
J Am Geriatr Soc. 2015 Dec;63(12):2580-2587. doi: 10.1111/jgs.13824. Epub 2015 Nov 13.
10
Preoperative assessment of the older surgical patient: honing in on geriatric syndromes.老年外科患者的术前评估：聚焦老年综合征
Clin Interv Aging. 2014 Dec 16;10:13-27. doi: 10.2147/CIA.S75285. eCollection 2015.
Zotero 插件