Columbia University College of Physicians and Surgeons (LF), New York, NY.
Department of Medicine, Division of Geriatrics and Palliative Care, Weill Cornell Medicine (DS), New York, NY.
Am J Geriatr Psychiatry. 2022 Apr;30(4):504-510. doi: 10.1016/j.jagp.2021.08.008. Epub 2021 Aug 21.
Palliative care is an essential part of the standard of care for individuals with serious medical illnesses. Integration of palliative care and mental health is important for elderly patients with medical and psychiatric comorbidities. Geriatric psychiatrists are natural stewards of palliative care-mental health integration, however this is contingent on palliative care training. Currently, palliative care training in geriatric psychiatry fellowship programs is uncharacterized. We surveyed geriatric psychiatry fellowship program directors in the United States to assess current palliative care training practices.
Web-based anonymous survey of geriatric psychiatry fellowship training directors RESULTS: Forty-six percent (28/61) of program directors responded. Seventy one percent (20/28) of programs provide didactics on palliative care. Seventy-seven percent (20/26) of programs provide clinical experiences in palliative care. Sixty-three percent (15/24) have formalized interactions between geriatric psychiatry and palliative care fellows.
Palliative care training for geriatric psychiatry fellows is robust but unstandardized. Operationalizing palliative care training for geriatric psychiatrists may improve mental health integration into serious illness care.
姑息治疗是严重疾病患者护理标准的重要组成部分。姑息治疗与心理健康的整合对于患有医疗和精神共病的老年患者很重要。老年精神病学家是姑息治疗-心理健康整合的天然管理者,但这取决于姑息治疗培训。目前,老年精神病学住院医师培训计划中的姑息治疗培训尚不成熟。我们对美国的老年精神病学住院医师培训计划主任进行了调查,以评估当前的姑息治疗培训实践。
对老年精神病学住院医师培训主任进行基于网络的匿名调查
46%(28/61)的项目主任做出了回应。71%(20/28)的项目提供姑息治疗的教学。77%(20/26)的项目提供姑息治疗的临床经验。63%(15/24)有老年精神病学和姑息治疗研究员之间的正式互动。
老年精神病学住院医师的姑息治疗培训很扎实但不规范。为老年精神病学家实施姑息治疗培训可能会改善心理健康在严重疾病护理中的整合。