CHU de Rennes, Rennes, France.
Université Rennes 1, Faculté de Médecine, Rennes, France.
Age Ageing. 2020 Oct 23;49(6):1028-1033. doi: 10.1093/ageing/afaa120.
Since 2017, geriatric medicine has been available as a postgraduate specialty to French year 7 medical students. We investigated the incentives of the 171 French medical students who opted for geriatric medicine as a postgraduate specialty subsequent to year 6 national qualifying examinations in 2017. A prospective quantitative survey-based study was conducted by means of a questionnaire compiled online and sent by email between December 2017 and May 2018. The questionnaire comprised 43 questions, including 14 single or multiple choice questions, 28 scaled questions evaluating factors of influence using a 5-point Likert scale, and one open-ended contingency question. Of the 171 students, 139 responses were received. The national response rate to this questionnaire was 81.2%. One hundred fourteen students (82.6%) had previous experience of training in geriatric medicine, which for 95 (84.0%) students took place between years 3 and 6 of medical training. This training influenced the choice of 102 respondents (90.2%). Factors reported as having exerted a strong or very strong influence were in particular the rewards of working with older adults; positive personal encounters with older adults in the past; the appeal of interprofessional teamwork; the challenge of cases involving complex diagnostic and therapeutic decisions; the challenge of patients with chronic conditions. The present study is the first to focus on the reasons why French students choose to specialise in geriatric medicine. The results emphasise the importance of training programs in geriatric medicine to promote enthusiasm for this specialty.
自 2017 年以来，老年医学已成为法国医学生第 7 年的研究生专业。我们调查了 2017 年国家资格考试后选择老年医学作为研究生专业的 171 名法国医学生的激励因素。通过在线编制和电子邮件发送的问卷，进行了一项前瞻性定量调查研究。问卷包括 43 个问题，其中 14 个是单项或多项选择题，28 个是使用 5 点李克特量表评估影响因素的评分问题，还有一个开放式应急问题。在 171 名学生中，收到了 139 份答复。对这份问卷的全国答复率为 81.2%。114 名学生（82.6%）有过老年医学培训的经验，其中 95 名学生（84.0%）在医学培训的第 3 年至第 6 年期间接受过培训。这种培训影响了 102 名受访者（90.2%）的选择。报告称具有强烈或非常强烈影响的因素特别是与老年人一起工作的回报；过去与老年人的积极个人接触；跨专业团队合作的吸引力；涉及复杂诊断和治疗决策的病例的挑战；患有慢性疾病的患者的挑战。本研究首次关注法国学生选择老年医学专业的原因。研究结果强调了老年医学培训计划对于促进对该专业的热情的重要性。
