Department of Family Medicine, University of North Carolina, Chapel Hill.
Department of Family Medicine, School of Medicine, University of North Carolina, Chapel Hill.
Fam Med. 2020 Mar;52(3):206-208. doi: 10.22454/FamMed.2020.139945.
Older adults are the fastest growing subset of the population and residency training in the basic concepts of care to the older adult is limited. We created a 1-day interactive training program, Advanced Geriatric Evaluation Skills (AGES), to upskill first-year primary care residents in the care of older adults.
An interprofessional faculty team developed and taught the IRB-approved course to a convenience sample of family medicine and internal medicine interns in 2017, 2018, and 2019. Topics addressed common geriatric presentations seen in the outpatient setting. The faculty provided useful tips and hints for successful workup, diagnosis, and treatment.
Over the 3 years, 56 of the 135 (41%) first-year primary care residents participated. Residents reported that the course was well organized, relevant, and well taught, and they appreciated the dedicated time to focus on caring for older adults. During 2019, residents completed a pre- and posttest with 25 multiple-choice questions. The average score on the pretest was 76% and the average on the posttest was 88%. Ninety percent of the residents improved their score from the pre- to the posttest.
The development of an AGES program provided a structured geriatric didactic curriculum for primary care residents. The course was well received by the residents, was reported to be relevant and timely, and resulted in increased knowledge in the care of older adults in the outpatient setting.
老年人是人口中增长最快的群体，而针对老年人的基本护理概念的住院医师培训却十分有限。我们创建了一个为期 1 天的互动培训计划，即高级老年评估技能（AGES），旨在提高初级保健住院医师照顾老年人的技能。
一个跨专业教师团队开发并教授了该课程，该课程针对的是 2017 年、2018 年和 2019 年家庭医学和内科实习医生的便利样本。课程涵盖了门诊中常见的老年病表现。教师提供了成功进行检查、诊断和治疗的有用技巧和提示。
在 3 年中，共有 135 名初级保健住院医师中的 56 名（41%）参加了该课程。住院医师报告称，该课程组织有序、内容相关且教学质量高，他们非常感谢有专门的时间来关注照顾老年人。在 2019 年，住院医师完成了包含 25 个多项选择题的预测试和后测试。预测试的平均得分为 76%，后测试的平均得分为 88%。90%的住院医师提高了他们在预测试和后测试中的分数。
AGES 项目的开发为初级保健住院医师提供了结构化的老年病学教学课程。该课程受到住院医师的欢迎，被认为是相关且及时的，并且提高了他们在门诊环境中照顾老年人的知识。
