Nuss Valentine, Barben Jérémy, Laborde Caroline, Vovelle Jérémie, Deidda Martha, Mihai Anca-Maria, Putot Alain, Manckoundia Patrick
"Pôle Personnes Âgées", Hospital of Champmaillot, Dijon Bourgogne University Hospital, 21079 Dijon, France.
INSERM U-1093, Cognition, Action and Sensorimotor Plasticity, University of Burgundy Franche-Comté, 21000 Dijon, France.
Geriatrics (Basel). 2020 Nov 4;5(4):87. doi: 10.3390/geriatrics5040087.
To understand why students in the 2nd cycle of medical studies choose to complete a Diploma of Specialized Studies (DSS) in geriatrics, we conducted a study to identify the factors influencing the choice of a future specialty. In addition, we assessed the impact of clinical in-hospital training (CIHT) in a geriatric hospital on the students' selection of their future specialty. We included all students who completed CIHT in the geriatric facility of our University Hospital between 1 May and 31 October 2018. Data were collected using a two-part questionnaire: one part was given before CIHT and the other after. The students were classified into two groups: those considering a career in geriatrics (CIG) before CIHT, forming the group DSS geriatrics+ (GDSSG+), and those not considering it, constituting the group DSS geriatrics- (GDSSG-). Seventy-four students aged 22 years old were included. Of these students, 26% were considering a CIG before CIHT. This rate increased significantly to 42% after CIHT ( = 0.04). However, none of the students who indicated that they were potentially interested in pursuing geriatrics before CIHT preselected geriatrics as their first option. For more than 92% of the students, the comprehensive care of geriatric patients was an asset. The main drawbacks were diagnostic and therapeutic limitations (60% of students), then managing aging, disability, and neurocognitive disorders (55% of students). After CIHT, the view of geriatrics improved by 74%. In conclusion, geriatric CIHT improves students' opinions of geriatrics and increases the number of students considering a CIG. However, geriatrics still suffers from a lack of prestige.
为了解医学专业二年级学生选择完成老年医学专业研究文凭（DSS）的原因，我们开展了一项研究，以确定影响未来专业选择的因素。此外，我们评估了在老年医院进行的住院临床培训（CIHT）对学生未来专业选择的影响。我们纳入了2018年5月1日至10月31日期间在我校医院老年科完成CIHT的所有学生。数据通过一份分为两部分的问卷收集：一部分在CIHT之前发放，另一部分在之后发放。学生被分为两组：CIHT之前考虑从事老年医学工作的学生（CIG），组成DSS老年医学+组（GDSSG+），以及不考虑从事该工作的学生，组成DSS老年医学-组（GDSSG-）。共纳入74名22岁的学生。在这些学生中，26%在CIHT之前考虑从事CIG。CIHT之后，这一比例显著上升至42%（P = 0.04）。然而，在CIHT之前表示可能对从事老年医学感兴趣的学生中，没有一人将老年医学作为首选。对于超过92%的学生来说，老年患者的综合护理是一项优势。主要缺点是诊断和治疗方面的限制（60%的学生），其次是应对衰老、残疾和神经认知障碍（55%的学生）。CIHT之后，对老年医学的看法改善了74%。总之，老年医学CIHT提高了学生对老年医学的看法，并增加了考虑从事CIG的学生数量。然而，老年医学仍然缺乏声望。
