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学术集中课程对毕业生职业选择及照顾老年患者兴趣的影响。

The Impact of Scholarly Concentration Programs on Graduates' Career Choices and Interest in the Care of Older Patients.

作者信息

Wilson Lindsay, Kelley Casey, Cheever C Ray, Harlow Elizabeth, Buhr Gwendolen

机构信息

Department of Medicine, Division of Geriatrics, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, USA.

Geriatrics, University of Nebraska Medical Center, Omaha, USA.

出版信息

Cureus. 2024 Jan 5;16(1):e51697. doi: 10.7759/cureus.51697. eCollection 2024 Jan.

Abstract

More geriatricians are needed to care for the aging population. Geriatric scholarly concentration programs (GSCPs) may promote medical students' interest in this underserved field or careers working with older adults. Additionally, graduates of GSCPs may be more comfortable and competent in providing care for older adults. Surveys were administered to graduates of GSCPs to determine the role of these programs in shaping medical students' careers and views about caring for older adults.  Methods: The purpose of this study is to understand the impact of GSCPs on medical graduates' career choices and self-perceived skill and comfort in caring for older adults. A Qualtrics survey (Qualtrics International Inc., Seattle, Washington, United States) was developed and distributed to 83 graduates of four GSCPs in the United States. Data were analyzed using a significance level of p>0.05 for all tests. Descriptive statistics were calculated to summarize the data. Wilcoxon signed-rank tests were used to test for significant differences in interest in pursuing a career in geriatrics or working with older adults. Qualitative responses were coded and analyzed for themes.  Results: A total of 34 out of 83 surveyed graduates of GSCPs indicated a higher interest in geriatrics as a career as well as increased comfort and self-perceived skill in caring for older adults after completing the GSCP. The components of the GSCP that most strongly improved the participants' ability to care for older adults included the curriculum (n=31, 91%) and mentoring (n=28, 82%). An overwhelming majority of survey participants felt GSCPs should be offered as part of medical school programming (n=33, 97%).  Conclusion: This study suggests that GSCPs increase interest and competence in caring for older adults and increase interest in a career in geriatrics. GSCPs should be implemented across medical schools.

摘要

需要更多的老年病医生来照顾老年人群体。老年医学学术集中项目(GSCPs)可能会提高医学生对这个服务不足领域或与老年人相关职业的兴趣。此外,GSCPs的毕业生在为老年人提供护理时可能会更得心应手且更有能力。对GSCPs的毕业生进行了调查,以确定这些项目在塑造医学生职业以及他们对照顾老年人的看法方面所起的作用。方法:本研究的目的是了解GSCPs对医学毕业生职业选择以及他们在照顾老年人方面的自我认知技能和舒适度的影响。开发了一项Qualtrics调查(Qualtrics国际公司,美国华盛顿州西雅图)并分发给美国四个GSCPs项目的83名毕业生。所有测试的数据均使用p>0.05的显著性水平进行分析。计算描述性统计量以总结数据。使用Wilcoxon符号秩检验来检验在从事老年医学职业或与老年人一起工作方面兴趣的显著差异。对定性回答进行编码并分析主题。结果:在83名接受调查的GSCPs毕业生中,共有34人表示在完成GSCPs后对老年医学作为职业的兴趣更高,并且在照顾老年人方面的舒适度和自我认知技能有所提高。GSCPs中最能显著提高参与者照顾老年人能力的组成部分包括课程(n = 31,91%)和指导(n = 28,82%)。绝大多数调查参与者认为GSCPs应该作为医学院课程的一部分提供(n = 33,97%)。结论:本研究表明,GSCPs提高了对照顾老年人的兴趣和能力,并增加了对老年医学职业的兴趣。GSCPs应在各医学院校实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84fb/10838523/40d1da9546fe/cureus-0016-00000051697-i01.jpg

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