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提高家庭医学住院医师在痴呆症护理方面的培训:初级保健协作记忆诊所的体验式学习机会。

Improving family medicine resident training in dementia care: An experiential learning opportunity in Primary Care Collaborative Memory Clinics.

机构信息

The Centre for Family Medicine Family Health Team, Kitchener, Canada.

Department of Family Medicine, McMaster University , Hamilton, Canada.

出版信息

Gerontol Geriatr Educ. 2020 Oct-Dec;41(4):447-462. doi: 10.1080/02701960.2018.1484737. Epub 2018 Jun 21.

Abstract

Family physicians often find themselves inadequately prepared to manage dementia. This article describes the curriculum for a resident training intervention in Primary Care Collaborative Memory Clinics (PCCMC), outlines its underlying educational principles, and examines its impact on residents' ability to provide dementia care. PCCMCs are family physician-led interprofessional clinic teams that provide evidence-informed comprehensive assessment and management of memory concerns. Within PCCMCs residents learn to apply a structured approach to assessment, diagnosis, and management; training consists of a tutorial covering various topics related to dementia followed by work-based learning within the clinic. Significantly more residents who trained in PCCMCs (sample = 98), as compared to those in usual training programs (sample = 35), reported positive changes in knowledge, ability, and confidence in ability to assess and manage memory problems. The PCCMC training intervention for family medicine residents provides a significant opportunity for residents to learn about best clinical practices and interprofessional care needed for optimal dementia care integrated within primary care practice.

摘要

家庭医生在处理痴呆症方面常常感到准备不足。本文描述了初级保健协作记忆诊所(PCCMC)住院医师培训干预措施的课程,概述了其背后的教育原则,并探讨了其对住院医师提供痴呆症护理能力的影响。PCCMC 是由家庭医生领导的跨专业诊所团队,提供循证综合评估和管理记忆问题。在 PCCMC 中,住院医师学习应用结构化方法进行评估、诊断和管理;培训包括涵盖与痴呆症相关的各种主题的教程,然后在诊所进行基于工作的学习。与接受常规培训计划的住院医师(样本量=35)相比,在 PCCMC 中接受培训的住院医师(样本量=98)报告在知识、能力和评估及管理记忆问题能力方面的信心方面有了积极的变化。家庭医学住院医师的 PCCMC 培训干预措施为住院医师提供了一个重要的机会,使他们了解最佳的临床实践和跨专业护理,以便将最佳的痴呆症护理整合到初级保健实践中。

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