Chief Tony Anenih Geriatric Centre, University College Hospital, Ibadan, Oyo State, Nigeria.
Department of Community Medicine, College of Medicine, University of Ibadan, Oyo State, Nigeria.
West Afr J Med. 2023 Aug 28;40(8):877-882.
The population of older people is increasing exponentially and geriatric care is just evolving in Nigeria. There is a shortage of training opportunities for doctors in Nigeria to care for older people.
This was an account of the conceptualisation, structure, and outcomes of the annual two-week basic certificate course in geriatric medicine for doctors at the University College Hospital (UCH), Ibadan, Nigeria, between 2016 and 2022.
In all, 204 doctors were trained. Their mean age was 40.1 ± 8.5 years, and 105 (51.5%) were females. Majority (80%) worked in public hospitals, especially in the tertiary health sector (62.2%). Annual participation increased from 26 participants in 2016 to 39 participants in 2022. Knowledge acquisition was the main reason for attending the course (56.7%). There were 42 didactic lectures and ten clinical/practical sessions. On average, participants' self-rating in caring for older persons improved significantly after (80.2 ± 12.7%) than before (49.9 ± 16.4%) the course [mean difference = 30.24%, 95%CI (25.91-34.57), p<0.0001]. Similarly, the overall post-course test score in the 20 MCQs (14.08 ± 2.89) was significantly higher than the pre-course test (12.51 ± 2.01) scores [Mean difference = 1.57, 95%CI (0.45-2.69), p = 0.007]. Some participants (37.8%) had commenced special clinics for older persons in 39 institutions across Nigeria.
Our training programme has yielded a modest increase in the capacity building of doctors for the care of older Nigerians. However, more concerted efforts are needed to train more doctors throughout Nigeria.
老年人的人口呈指数级增长，而尼日利亚的老年护理才刚刚起步。尼日利亚的医生缺乏照顾老年人的培训机会。
本文介绍了 2016 年至 2022 年期间，在尼日利亚伊巴丹大学教学医院（UCH）为医生举办的为期两周的老年医学基础证书课程的概念、结构和成果。
共有 204 名医生接受了培训。他们的平均年龄为 40.1±8.5 岁，其中 105 名（51.5%）为女性。大多数（80%）医生在公立医院工作，特别是在三级卫生部门（62.2%）。年度参与人数从 2016 年的 26 人增加到 2022 年的 39 人。学习知识是参加课程的主要原因（56.7%）。课程包括 42 次讲座和 10 次临床/实践课程。平均而言，参与者在照顾老年人方面的自我评分在课程结束后（80.2±12.7%）显著高于课程开始前（49.9±16.4%）[平均差异=30.24%，95%CI（25.91-34.57），p<0.0001]。同样，20 道多项选择题（MCQs）的总课后测试分数（14.08±2.89）也显著高于课前测试分数（12.51±2.01）[平均差异=1.57，95%CI（0.45-2.69），p=0.007]。在尼日利亚的 39 家机构中，有 37.8%的参与者开设了老年人特别诊所。
我们的培训计划在为照顾尼日利亚老年人方面提高了医生的能力建设，但尼日利亚还需要做出更多的努力来培训更多的医生。
