Abrass I B
Department of Medicine, University of Washington, Seattle.
Clin Pharmacol Ther. 1987 Dec;42(6):693-5. doi: 10.1038/clpt.1987.224.
Training of physicians in geriatrics is essential to improving health care for the elderly. Considering the frequent use, cost, and side effects of drugs in the elderly, knowledge in clinical pharmacology is an important component of that training. The present study surveyed 68 geriatric medicine, 27 geropsychiatry, and 46 clinical pharmacology fellowship programs in the United States for the clinical geropharmacology content of their programs. In geriatric medicine, 73% of the programs had formal didactic material, 58% had formal training in this area during clinical experiences, and 43% formally interacted with clinical pharmacology faculty or fellows. In geropsychiatry these numbers were 79%, 67%, and 31%, respectively. In clinical pharmacology, 34% of the programs had formal didactic content, 9% had clinical experience on a specific geriatrics unit, and 14% had clinical experiences in a long-term care facility. Although some training in clinical geropharmacology exists in fellowship training programs, clearly there is much room for expansion and improvement in this important area of health care of the elderly.
对医生进行老年医学培训对于改善老年人的医疗保健至关重要。考虑到老年人用药的频繁性、成本及副作用，临床药理学知识是该培训的重要组成部分。本研究对美国68个老年医学、27个老年精神病学以及46个临床药理学 fellowship 项目的临床老年药理学内容进行了调查。在老年医学项目中，73% 的项目有正式的教学材料，58% 在临床实习期间有该领域的正式培训，43% 与临床药理学教员或学员有正式互动。在老年精神病学项目中，这些数字分别为79%、67% 和31%。在临床药理学项目中，34% 的项目有正式的教学内容，9% 在特定的老年病科有临床实习经历，14% 在长期护理机构有临床实习经历。尽管 fellowship 培训项目中存在一些临床老年药理学培训，但显然在老年人医疗保健这一重要领域仍有很大的扩展和改进空间。
