Koenig H G, Kvale J N, Hector M
Department of Family Practice, Southern Illinois University School of Medicine, Springfield.
Fam Med. 1988 Jan-Feb;20(1):28-32.
The American Board of Medical Specialties recently approved the concept of certificates of added qualifications in geriatrics within both internal medicine and family practice. Certification requirements have been worked out for each training model, and questions have quite naturally arisen addressing whether the developing family practice model is substantially different from the longer established internal medicine model. A survey was made of 12 family practice based geriatric fellowship programs. Program directors were asked how they felt family practice geriatrics differed from internal medicine geriatrics in approaches to patient care and training and in areas of research interests. Information was also gathered about program size, length of training, and operational status. Eight fellowship programs were found to be active at the time of the survey, but only two for more than six months. Of the eight functioning programs, four were currently without fellows--a forewarning, perhaps, of potential recruitment problems for additional programs under development. Survey responses indicated a universal feeling among directors of family practice geriatric programs that their model does serve a unique function. Within the "distinguishing characteristics" most frequently noted, an emphasis on psychosocial and family issues can be identified. This emphasis can also be seen in the suggestions for distinctive research, with an indication of special interest in the delivery of health care.
美国医学专业委员会最近批准了在内科和家庭医疗领域颁发老年医学附加资格证书的概念。针对每种培训模式制定了认证要求，自然而然地出现了一些问题，即正在发展的家庭医疗模式与历史更悠久的内科模式是否存在实质性差异。对12个以家庭医疗为基础的老年医学 fellowship 项目进行了一项调查。项目主任被问及他们认为家庭医疗老年医学在患者护理和培训方法以及研究兴趣领域与内科老年医学有何不同。还收集了有关项目规模、培训时长和运营状况的信息。调查时发现有8个 fellowship 项目处于活跃状态，但只有2个超过6个月。在8个运作中的项目中，有4个目前没有学员——这或许是对正在开发的其他项目潜在招募问题的一个预警。调查反馈表明，家庭医疗老年医学项目主任普遍认为他们的模式确实发挥着独特作用。在最常提到的“显著特征”中，可以确定强调心理社会和家庭问题。这种强调在独特研究的建议中也能看到，表明对医疗保健服务有特别兴趣。
