VA Bedford, New England Geriatrics Research Education and Clinical Center, Bedford, MA, USA.
Boston University School of Medicine, Section of Geriatrics, Boston, MA, USA.
J Am Geriatr Soc. 2022 Oct;70(10):2996-3005. doi: 10.1111/jgs.17997. Epub 2022 Sep 9.
Graduating US medical students must build strong skills in caring for older adults, necessitated by shifting population demographics. Little is known, however, about current medical student exposure to geriatrics on a national scale. This systematic website review characterizes geriatrics opportunities at US medical schools, seen through the lens of publicly available information online.
Reviewers searched for 18 online Geriatrics Elements, in the domains of Information Prevalence, Geriatrics Environment, and Geriatrics Education, for all 191 US medical schools accredited as of January 2020. Latent Class Analysis was used to classify schools according to their publicly visible geriatrics opportunities.
Schools had a median of 7 Geriatrics Elements identified online [IQR 4-10]. Optional geriatrics clinical activity was the most prevalent (76%), while fewer than half of all schools had online evidence of required geriatrics clinical activity (45%). A profile of the three groups of schools identified by Latent Class Analysis, termed Geriatrics Online-Visibility groups (High n = 39, 20%; Medium n = 90, 47%; Low n = 62, 32%), is presented. Online evidence of geriatrics-specific funding was the greatest distinguishing factor among the groups.
Examining US medical school websites collectively and comparatively across Geriatrics Online-Visibility groups can ground discussions of geriatrics education in current national data. Though many school websites present optional geriatrics activities, far fewer specify geriatrics requirements. High Geriatrics Online-Visibility schools present an array of both optional and required geriatrics opportunities on their websites, but this cohort comprises only 20% of schools. Recommended next steps are proposed to guide schools inspired to enhance their Geriatrics Online-Visibility.
由于人口结构的变化，即将毕业的美国医学生必须掌握照顾老年人的技能。然而，目前在全国范围内，医学生对老年医学的接触情况却知之甚少。本系统的网站回顾从网上公开信息的角度描述了美国医学院的老年医学机会。
审查员搜索了 18 个在线老年医学要素，这些要素在信息流行度、老年医学环境和老年医学教育领域，针对截至 2020 年 1 月获得认证的美国 191 所医学院。潜在类别分析用于根据其公开可见的老年医学机会对学校进行分类。
学校在线上有中位数为 7 个老年医学要素[四分位距（IQR）为 4-10]被识别。可选的老年医学临床活动最为普遍（76%），而不到一半的学校在线上有老年医学临床活动的要求（45%）。根据潜在类别分析确定的三组学校（高组 n = 39，20%；中组 n = 90，47%；低组 n = 62，32%）的特征进行了描述。各组之间最大的区别因素是老年医学特定资金的在线证据。
从老年医学在线可见性的角度对美国医学院网站进行集体和比较检查，可以为当前的国家数据基础上的老年医学教育讨论提供依据。尽管许多学校网站都展示了可选的老年医学活动，但很少有网站具体说明老年医学的要求。高老年医学在线可见性学校在其网站上展示了一系列可选和必需的老年医学机会，但这一组仅占学校的 20%。建议下一步采取措施，指导有兴趣提高老年医学在线可见性的学校。
