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重视老年医学教育可改善全人群的医疗照护。

Prioritizing geriatrics in medical education improves care for all.

机构信息

Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA.

Department of Medicine, University of Michigan and Geriatric Research Education and Clinical Center (GRECC), Veterans Affairs Healthcare System, Ann Arbor, MI, USA.

出版信息

Med Educ Online. 2022 Dec;27(1):2105549. doi: 10.1080/10872981.2022.2105549.

Abstract

Within the United States, there is a deficit of Geriatricians providing care for older adults, and this deficit will only grow as the population continues to age, meaning all clinicians, particularly Internal Medicine (IM) and Family Medicine (FM) trained physicians, will provide the bulk of primary care for older adults. However, geriatric training requirements for clinicians fall short, and in the case of IM were reduced as of 2022). Serving as a call to action, this article provides insight on ways to enhance geriatric education for all graduate medical trainees, utilizing both conventional teaching and newer, non-traditional media, such as national online journal clubs, podcasts, and online teaching curricula, as well as expanding sites of training to include evidence-based models of care, such as the Program of All-Inclusive Care for the Elderly (PACE). Providing geriatric education improves care for older adults and our future selves, ensuring trainees are prepared to care and advocate for this diverse and often vulnerable population.

摘要

在美国,提供老年人护理的老年病医生短缺,而且随着人口老龄化,这一短缺只会越来越严重,这意味着所有临床医生,特别是接受过内科(Internal Medicine,IM)和家庭医学(Family Medicine,FM)培训的医生,都将为老年人提供大部分初级保健。然而,临床医生的老年病培训要求不足,而且自 2022 年以来,内科的培训要求有所减少。本文呼吁采取行动,就如何为所有住院医师培训生加强老年病教育提供了一些见解,利用传统教学和更新的非传统媒体,如全国在线期刊俱乐部、播客和在线教学课程,以及扩大培训场所,纳入以循证为基础的护理模式,如全人关怀老年计划(Program of All-Inclusive Care for the Elderly,PACE)。提供老年病教育可以改善对老年人和我们未来自己的护理,确保培训生有能力为这个多样化且往往脆弱的人群提供护理和倡导。

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