Suppr超能文献

一种跨学科方法,用于培养医学生进行痴呆症评估和治疗规划。

An Interdisciplinary Approach to Educating Medical Students About Dementia Assessment and Treatment Planning.

作者信息

Padala Kalpana P, Mendiratta Priya, Orr L Casey, Dean Kim T, Boozer Eugenia M, Lensing Shelly Y, Wei Jeanne Y, Sullivan Dennis H, Padala Prasad R

机构信息

is Associate Director for Clinical Research; and are Health Science Specialists; is a Neuropsychology Postdoctoral Fellow; is a Biostatistician; is Director; and is Associate Director for Clinical Programs; all at the Geriatric Research Education, and Clinical Center at Central Arkansas Veterans Healthcare System in Little Rock. , Dennis Sullivan, and Prasad Padala are Professors; is Professor and Chair; and Kalpana Padala is Associate Professor; all in the Departments of Geriatrics and Psychiatry; Shelly Lensing is a Biostatistician; all at the University of Arkansas for Medical Sciences in Little Rock.

出版信息

Fed Pract. 2020 Oct;37(10):466-471. doi: 10.12788/fp.0052.

Abstract

BACKGROUND

Many general practitioners consider dementia care beyond their clinical domain and feel that dementia assessment and treatment should be addressed by specialists, such as geriatricians, geriatric psychiatrists, or neurologists. An urgent need exists to educate all medical trainees in dementia care, regardless of their specialization interests.

OBSERVATIONS

We developed a multicomponent, experiential, brief curriculum using team-based learning to expose senior medical students who rotated through the US Department of Veterans Affairs Memory Disorders Clinic at the Central Arkansas Veterans Healthcare System in Little Rock to an interdisciplinary assessment of dementia. The curriculum included didactics, clinical experience, and team-based learning. In pre- and postevaluation, students rated their perception of the role of interdisciplinary team members in assessing and managing dementia, their personal abilities to assess cognition, behavioral problems, caregiver burden, and their perception of the impact of behavioral problems on dementia care.

CONCLUSIONS

Dementia knowledge gaps were prevalent in this cohort of senior medical students. Providing interdisciplinary geriatric educational experience improved students perception of their ability to assess for dementia and their recognition of the roles of interdisciplinary team members. Plans are in place to continue and expand the program to other complex geriatric syndromes.

摘要

背景

许多全科医生认为痴呆症护理超出了他们的临床领域,觉得痴呆症评估和治疗应由老年病科医生、老年精神科医生或神经科医生等专科医生来处理。迫切需要对所有医学实习生进行痴呆症护理方面的教育,无论他们的专业兴趣如何。

观察结果

我们开发了一个多组成部分、体验式、简短的课程,采用基于团队的学习方法,让在小石城的阿肯色州中部退伍军人医疗保健系统的美国退伍军人事务部记忆障碍诊所轮转的高年级医学生接触痴呆症的跨学科评估。该课程包括讲授、临床经验和基于团队的学习。在评估前后,学生们对跨学科团队成员在评估和管理痴呆症中的作用、他们个人评估认知、行为问题、照顾者负担的能力以及他们对行为问题对痴呆症护理影响的看法进行了评分。

结论

在这组高年级医学生中,痴呆症知识差距普遍存在。提供跨学科老年医学教育经验提高了学生对其评估痴呆症能力的认知以及他们对跨学科团队成员角色的认识。目前已制定计划,将该项目继续并扩展到其他复杂的老年综合征。

相似文献

2
Student and educator experiences of maternal-child simulation-based learning: a systematic review of qualitative evidence protocol.
JBI Database System Rev Implement Rep. 2015 Jan;13(1):14-26. doi: 10.11124/jbisrir-2015-1694.
4
Emergency medicine management of the geriatric patient: an educational program for medical students.
J Am Geriatr Soc. 2005 Jan;53(1):141-5. doi: 10.1111/j.1532-5415.2005.53024.x.
6
Training the next generation of providers in addiction medicine.
Psychiatr Clin North Am. 2012 Jun;35(2):461-80. doi: 10.1016/j.psc.2012.04.001.
8
Interdisciplinary development and implementation of a dementia skills training program in a VA community living center: a pilot study.
Geriatr Nurs. 2018 Jul-Aug;39(4):400-406. doi: 10.1016/j.gerinurse.2017.12.012. Epub 2018 Jan 11.

引用本文的文献

2
Training Needs Analysis for Medical Students in Assessing Cognitive Functioning: An Observational Study.
Indian J Psychol Med. 2024 Sep;46(5):417-424. doi: 10.1177/02537176241274143. Epub 2024 Sep 9.
3
A Self-Guided Curriculum for Psychiatry Residents to Learn Bedside Cognitive Evaluations.
Acad Psychiatry. 2024 Aug;48(4):357-360. doi: 10.1007/s40596-024-01966-y. Epub 2024 Apr 22.
4
The Level of Knowledge and Attitudes Toward Dementia Among Senior Medical Students in Recife, Brazil.
Cureus. 2023 Sep 15;15(9):e45294. doi: 10.7759/cureus.45294. eCollection 2023 Sep.

本文引用的文献

1
How medical professional students view older people with dementia: Implications for education and practice.
PLoS One. 2019 Nov 20;14(11):e0225329. doi: 10.1371/journal.pone.0225329. eCollection 2019.
2
The Looming Geriatrician Shortage: Ramifications and Solutions.
J Aging Health. 2020 Oct;32(9):1052-1062. doi: 10.1177/0898264319879325. Epub 2019 Oct 4.
3
Six Things All Medical Students Need to Know About Geriatric Psychiatry (and How To Teach Them).
Acad Psychiatry. 2017 Oct;41(5):693-700. doi: 10.1007/s40596-017-0691-7. Epub 2017 Mar 2.
4
United States medical students' knowledge of Alzheimer disease.
J Educ Eval Health Prof. 2013 May 27;10:4. doi: 10.3352/jeehp.2013.10.4. Print 2013.
5
Medical student education program in Alzheimer's disease: the PAIRS Program.
BMC Med Educ. 2012 Aug 21;12:80. doi: 10.1186/1472-6920-12-80.
7
WHO/WFN Survey of neurological services: a worldwide perspective.
J Neurol Sci. 2006 Aug 15;247(1):29-34. doi: 10.1016/j.jns.2006.03.003. Epub 2006 Apr 19.
8
Global prevalence of dementia: a Delphi consensus study.
Lancet. 2005 Dec 17;366(9503):2112-7. doi: 10.1016/S0140-6736(05)67889-0.
9
Effect of a mandatory geriatric medicine clerkship on third-year students.
J Am Geriatr Soc. 2005 Nov;53(11):2007-11. doi: 10.1111/j.1532-5415.2005.00473.x.
10
The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment.
J Am Geriatr Soc. 2005 Apr;53(4):695-9. doi: 10.1111/j.1532-5415.2005.53221.x.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验