Quimby Center for Geriatric Care, Mount Auburn Hospital, Cambridge, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
J Am Geriatr Soc. 2022 Sep;70(9):2659-2665. doi: 10.1111/jgs.17968. Epub 2022 Jul 19.
Home visits are an important part of Geriatrics education for medical and dental students (MS), and the lessons learned by students from these experiences inform further curriculum development. A mixed methods analysis of students' lessons learned from a single Geriatrics home visit shapes the future focus and impact of similar educational programs to ultimately improve the care of older adults.
Over a 3-year period at Harvard Medical School, approximately 495 first year MS participated in an educational Geriatrics home visit to learn about the geriatric assessment. Three hundred and forty-eight students completed voluntary anonymous evaluation forms, rating whether their interest in geriatrics increased after the home visit and describing two lessons learned. We analyzed the student responses and conducted a qualitative content analysis of the lessons learned, identifying major themes within the Geriatrics 5Ms Framework (Mobility, Mind, Medications, Multicomplexity, and Matters Most).
Most students (70.7%) reported their interest in Geriatrics somewhat or greatly increased after the home visit. Three hundred and ten students (89% of participants) reported 605 lessons learned; 174 students' lesson learned related to Multicomplexity (56.1%), and 158 students reported a lesson related to Mobility (51%).
After a Geriatrics home visit, a majority of students report an increase interest in Geriatrics. The most common lessons learned relate to Mobility and Multicomplexity, essential areas of focus in a Geriatrics curriculum. Educational home visits are an important opportunity to increase student interest in geriatrics and build their skills to improve the care of older adults using the Geriatrics 5Ms Framework.
家访是医学生和牙科学员（MS）老年医学教育的重要组成部分，学生从这些经历中获得的经验教训为进一步的课程发展提供了信息。对学生从单一老年医学家访中获得的经验教训进行混合方法分析，为未来类似教育计划的重点和影响提供了信息，最终改善了对老年人的护理。
在哈佛医学院的 3 年期间，大约 495 名一年级医学生参加了一次教育性老年医学家访，以了解老年评估。348 名学生完成了自愿匿名评估表，评估他们在家访后对老年医学的兴趣是否增加，并描述了两个经验教训。我们分析了学生的回答，并对经验教训进行了定性内容分析，确定了老年医学 5Ms 框架（移动、思维、药物、多因素和最重要的问题）内的主要主题。
大多数学生（70.7%）表示，家访后他们对老年医学的兴趣有所增加或大大增加。310 名学生（89%的参与者）报告了 605 个经验教训；174 名学生的经验教训与多因素（56.1%）有关，158 名学生报告了与移动性（51%）有关的经验教训。
家访后，大多数学生表示对老年医学的兴趣有所增加。最常见的经验教训与移动性和多因素有关，这是老年医学课程的重要关注点。教育性家访是一个重要的机会，可以增加学生对老年医学的兴趣，并培养他们的技能，以使用老年医学 5Ms 框架改善对老年人的护理。
