Keck School of Medicine of USC, Los Angeles, California, USA.
USC Chan Division of Occupational Science and Occupational Therapy, Los Angeles, California, USA.
Gerontol Geriatr Educ. 2021 Apr-Jun;42(2):196-206. doi: 10.1080/02701960.2020.1758081. Epub 2020 May 3.
This 6-year prospective study describes the impact on student attitudes of an innovative, interprofessional geriatrics curriculum (IPGC) focused on team-based care with older adults in a home-based community setting. Dental, medical, occupational therapy, pharmacy, physical therapy, and physician assistant students were placed into teams each led by faculty members from all of the professions. The curriculum consisted of five, four-hour sessions over one academic year. Teams met with a community-dwelling older adult three times. Students completed the Geriatric Assessment Scale (GAS) before and after the IPGC experience. At the conclusion, improvements in attitudes toward older adults in the GAS and its four domains - social value, medical care, compassion, and societal resources-were observed across a wide spectrum of students. Students with the lowest initial attitudes improved the most, as did the scores of the youngest students. Older students improved more than younger students in the social value domain (i.e., the perceived social value of older adults). Among disciplines, occupational therapy and social work students improved the most in the social value domain. This study demonstrates improvement in attitudes toward older adults from student involvement in IPGC that combines didactic and experiential learning through community partnerships in a home-based setting.
本为期 6 年的前瞻性研究描述了以团队为基础的老年护理为重点的创新跨专业老年医学课程（IPGC）对学生态度的影响，该课程面向的是在居家社区环境中的老年人。牙科、医学、职业治疗、药学、物理治疗和医师助理专业的学生被分配到由所有专业的教师领导的团队中。该课程由五个为期四个小时的单元组成，在一个学年内完成。各团队与一位社区居住的老年患者三次会面。学生在参加 IPGC 前后完成老年评估量表（GAS）。在课程结束时，观察到学生对老年人的态度在 GAS 及其四个方面（社会价值、医疗保健、同情心和社会资源）均有改善，涵盖了广泛的学生群体。最初态度最低的学生改善最多，最年轻的学生的分数也有所提高。在社会价值领域（即，老年人的社会价值感知），年龄较大的学生比年龄较小的学生进步更大。在职业治疗和社会工作专业的学生在社会价值领域的进步最大。这项研究表明，通过在居家环境中建立社区伙伴关系，将理论学习和体验学习相结合的跨专业老年医学课程（IPGC）使学生对老年人的态度得到改善。
