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老年病学教育:与老年人和医学生通话。

Geriatrics Education: Phone Calls With Older Adults and Medical Students.

机构信息

Keck School of Medicine of University of Southern California, Los Angeles, CA.

出版信息

Fam Med. 2023 Jul;55(7):471-475. doi: 10.22454/FamMed.149721. Epub 2023 Apr 18.

DOI:10.22454/FamMed.149721
PMID:37099388
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10622065/
Abstract

BACKGROUND AND OBJECTIVES

The rapid increase in the older adult population necessitates an increase in physicians who are adept at caring for the various medical comorbidities that accompany aging. To fill the gap in geriatric medical education and overcome barriers to medical student interest in geriatrics, we developed a friendly caller program that links medical students to older adults through multiple weekly phone calls. This study examines the impact of this program on geriatric care competency, a foundational skill for primary care physicians, in first-year medical students.

METHODS

We used a mixed-methods design to measure how medical students' self-assessed geriatric knowledge was impacted by their longitudinal interactions with seniors. We compared pre- and postsurvey data using a Mann-Whitney test. We used deductive qualitative analysis to examine themes that emerged from narrative feedback.

RESULTS

Our results demonstrated that students (n=29) showed a statistically significant increase in components of their self-assessed geriatric care competency. Qualitative analysis of student responses revealed five common themes: transformation of preconceived notions regarding older adults, relationship building, greater understanding of older adults, communication skills, and self-compassion.

CONCLUSIONS

Given the shortage of physicians competent in geriatric care amid a rapidly growing older adult population, this study highlights a novel, older adult service-learning program that positively impacts geriatric knowledge in medical students.

摘要

背景与目的

老年人口的迅速增加需要增加擅长治疗伴随衰老而来的各种医学合并症的医生。为了填补老年医学教育的空白并克服医学生对老年医学兴趣的障碍,我们开发了一个友好呼叫者计划,通过每周多次电话将医学生与老年人联系起来。本研究考察了该计划对医学生老年护理能力的影响,老年护理能力是初级保健医生的一项基本技能。

方法

我们采用混合方法设计,通过与老年人的长期互动来衡量医学生自我评估的老年知识如何受到影响。我们使用曼-惠特尼检验比较了预调查和后调查数据。我们使用演绎定性分析来检查从叙事反馈中出现的主题。

结果

我们的结果表明,学生(n=29)在自我评估的老年护理能力方面表现出统计学上显著的提高。对学生反应的定性分析揭示了五个共同的主题:对老年人的先入为主观念的转变、关系的建立、对老年人的理解的加深、沟通技巧和自我同情。

结论

鉴于在快速增长的老年人口中,有能力进行老年护理的医生短缺,本研究强调了一种新颖的、以老年人为服务对象的学习计划,该计划对医学生的老年知识产生了积极影响。

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本文引用的文献

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Out of the classroom, into the home: Medical and dental students' lessons learned from a Geriatrics home visit.走出课堂,走进家庭:老年医学家访中,医学生和牙科学学生的所得所获。
J Am Geriatr Soc. 2022 Sep;70(9):2659-2665. doi: 10.1111/jgs.17968. Epub 2022 Jul 19.
2
Matching 25% of Medical Students in Family Medicine by 2030: Realistic or Beyond Our Reach?到 2030 年,为家庭医学匹配 25%的医学生:现实还是遥不可及?
Fam Med. 2021 Apr;53(4):252-255. doi: 10.22454/FamMed.2021.982403.
3
The Looming Geriatrician Shortage: Ramifications and Solutions.即将出现的老年医学医生短缺:影响和解决方案。
J Aging Health. 2020 Oct;32(9):1052-1062. doi: 10.1177/0898264319879325. Epub 2019 Oct 4.
4
Playing the Long Game: Addressing the Shortage of Geriatrics Educators.从长远着手:解决老年医学教育工作者短缺问题
J Am Geriatr Soc. 2019 Apr;67(4):647-649. doi: 10.1111/jgs.15901. Epub 2019 Apr 5.
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A Preliminary Qualitative Evaluation of an In-home Geriatric Care Elective Experience for Third-year Medical Students.对三年级医学生居家老年护理选修经历的初步定性评估
Cureus. 2018 Apr 3;10(4):e2415. doi: 10.7759/cureus.2415.
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Why medical students do not choose a career in geriatrics: a systematic review.医学生为何不选择老年医学职业:一项系统综述。
BMC Med Educ. 2015 Jun 5;15:101. doi: 10.1186/s12909-015-0384-4.
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