Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Acad Psychiatry. 2019 Aug;43(4):407-410. doi: 10.1007/s40596-019-01032-y. Epub 2019 Mar 6.
With a growing geriatric population and limited geriatric psychiatrists in Canada, it is crucial to provide sufficient training in geriatric psychiatry during medical school. The authors examined how geriatric psychiatry education is delivered in Canadian medical schools during clerkship. Factors that could be associated with increased geriatric psychiatry teaching in medical schools were examined. The authors were also interested in comparing Canadian to US findings.
A cross-sectional survey was distributed to the psychiatry medical education representatives attending the Canadian Organization of Undergraduate Psychiatry Educators (COUPE) semi-annual meeting in September 2017.
All 17 (100%) medical schools completed the survey. Fifteen of the 17 schools (88%) have geriatric psychiatry-specific learning objectives. Five schools (29%) offer a clinical component in geriatric psychiatry. One school has an award for clerks (6%), and no awards exist for faculty. The number of lecture hours in geriatric psychiatry is moderately correlated with the presence of a geriatric component to psychiatry clerkship (Spearman's rho = 0.67, p = 0.003) and the length of the geriatric portion of clerkship (Spearman's rho = 0.64, p value = 0.006). Lecture hours are also moderately correlated with the presence of a geriatric fellowship (Spearman's rho = 0.68, p value = 0.003).
Geriatric psychiatry clerkship education is inconsistent in Canada. There is virtually no recognition of excellence in teaching or undergraduate performance in this area in clerkship. Geriatric psychiatry may receive more frequent attention in Canadian medical schools than in US medical schools.
随着加拿大老年人口的增长和老年精神科医生的短缺，在医学院提供充足的老年精神病学培训至关重要。作者研究了在实习期间加拿大医学院如何提供老年精神病学教育。检查了与医学院增加老年精神病学教学相关的因素。作者还比较了加拿大和美国的发现。
2017 年 9 月，向参加加拿大本科生精神病学教育代表组织（COUPE）半年一次会议的精神病医学教育代表分发了一份横断面调查。
所有 17 所（100%）医学院都完成了调查。17 所学校中有 15 所（88%）有老年精神病学特定的学习目标。5 所学校（29%）提供老年精神病学临床部分。有一所学校为学员（6%）设立了奖项，但没有为教师设立奖项。老年精神病学讲座的数量与精神病学实习中是否存在老年部分（斯皮尔曼 rho = 0.67，p = 0.003）和实习中老年部分的长度（斯皮尔曼 rho = 0.64，p 值= 0.006）呈中度相关。讲座时间与老年精神病学奖学金的存在也呈中度相关（斯皮尔曼 rho = 0.68，p 值= 0.003）。
加拿大的老年精神病学实习教育不一致。在这个领域，实际上没有对教学或本科生表现的卓越表现给予认可。老年精神病学在加拿大医学院的关注度可能高于美国医学院。
