Ageing and Movement Research Group, Bristol Medical School, University of Bristol, Bristol, UK.
Older People's Unit, Royal United Hospitals NHS Foundation Trust, Bath, UK.
Age Ageing. 2023 Feb 1;52(2). doi: 10.1093/ageing/afac325.
medical education must adapt to meet the challenges and demands of an ageing population, ensuring that graduates are equipped to look after older patients with complex health and social care needs. Recommended curricula in geriatric medicine in the United Kingdom and Europe offer guidance for optimal undergraduate education in ageing. The UK version, written by the British Geriatrics Society (BGS), requires updating to take account of innovations in the specialty, changing guidance from the General Medical Council (GMC), and the need to support medical schools preparing for the introduction of the national Medical Licensing Assessment (MLA).
the BGS recommended curriculum was mapped to the most recent European curriculum (2014) and the MLA content map, to compare and contrast between current recommendations and nationally mandated guidance. These maps were used to guide discussion through a virtual Nominal Group Technique (NGT), including 21 expert stakeholders, to agree consensus on the updated BGS curriculum.
the curriculum has been re-structured into seven sections, each with 1-2 overarching learning outcomes (LOs) that are expanded in multiple sub-LOs. Crucially, the curriculum now reflects the updated GMC/MLA requirements, having incorporated items flagged as missing in the mapping stages.
the combined mapping exercise and NGT have enabled appropriate alignment and benchmarking of the UK national curriculum. These recommendations will help to standardise and enhance teaching and learning around the care of older persons with complexity.
医学教育必须适应人口老龄化的挑战和需求,确保毕业生能够照顾有复杂健康和社会护理需求的老年患者。英国和欧洲的老年医学推荐课程为老化的本科最佳教育提供了指导。由英国老年医学会(BGS)编写的英国版课程需要更新,以考虑到该专业的创新、从普通医学委员会(GMC)获得的不断变化的指导以及支持医学院为国家医疗许可评估(MLA)的引入做准备的需求。
将 BGS 推荐的课程与最新的欧洲课程(2014 年)和 MLA 内容图进行映射,以比较当前建议和国家授权指导之间的差异。这些地图用于指导通过虚拟名义群体技术(NGT)进行讨论,包括 21 名专家利益相关者,以就更新的 BGS 课程达成共识。
该课程已重新构建为七个部分,每个部分都有 1-2 个总体学习成果(LO),这些成果在多个子 LO 中得到扩展。至关重要的是,该课程现在反映了更新的 GMC/MLA 要求,其中包含在映射阶段标记为缺失的项目。
综合映射练习和 NGT 使英国国家课程进行了适当的调整和基准测试。这些建议将有助于标准化和加强对老年人复杂性护理的教学。