Linn B S, Zeppa R
Ann Surg. 1987 Mar;205(3):324-8. doi: 10.1097/00000658-198703000-00019.
Although emphasis has been placed on including content on treating the elderly in the medical school curriculum, little attention has been given to whether content on surgical management of the elderly should be provided in the surgical clerkship. The purpose of this paper is to describe geriatric principles emphasized in a surgical clerkship and changes in attitudes of students. Junior students (N = 175) were tested on attitudes before and after the clerkship. Attitudes about treating the elderly and surgery in the elderly changed significantly and positively. Attitudes about emergency surgery in the elderly became more realistic, particularly in those selecting surgery as a career. This study differs from others that found that students became more negative about treating the elderly as they progressed through medical school. The surgical clerkship provides a different perspective of the older patient from that seen on medicine or in long-term care, in that the elderly are usually admitted and treated successfully in a short time. The fact that the surgical clerkship, in contrast to other medical school experiences, can positively influence attitudes about aging for all students, regardless of career choice, is encouraging and suggests that including content on surgical management of the elderly can help students become more favorable about treating older patients.
尽管医学院课程已强调要纳入老年治疗相关内容，但对于外科实习中是否应提供老年外科管理内容却鲜有关注。本文旨在描述外科实习中所强调的老年医学原则以及学生态度的变化。低年级学生（N = 175）在实习前后接受了态度测试。学生对老年治疗和老年外科手术的态度发生了显著且积极的变化。对老年急诊手术的态度变得更加现实，尤其是那些选择外科作为职业的学生。这项研究与其他研究不同，其他研究发现学生在医学院学习过程中对老年治疗的态度变得更加消极。外科实习从与内科或长期护理不同的视角看待老年患者，因为老年人通常在短时间内入院并得到成功治疗。与医学院的其他经历不同，外科实习能对所有学生（无论职业选择如何）对衰老的态度产生积极影响，这一事实令人鼓舞，表明纳入老年外科管理内容有助于学生对治疗老年患者持更积极的态度。
