Northside Clinical Unit, The Medical School, The University of Queensland, Brisbane, Qld, Australia.
The Prince Charles Hospital, Metro North Mental Health, Brisbane, Qld, Australia.
Age Ageing. 2024 May 1;53(5). doi: 10.1093/ageing/afae050.
Current projections show that between 2000 and 2050, increasing proportions of older individuals will be cared for by a smaller number of healthcare workers, which will exacerbate the existing challenges faced by those who support this patient demographic. This review of a collection of Age and Ageing papers on the topic in the past 10 years explores (1) what best practice geriatrics education is and (2) how careers in geriatrics could be made more appealing to improve recruitment and retention. Based on these deeper understandings, we consider, as clinician educators, how to close the gap both pragmatically and theoretically. We point out paradigm shifting solutions that include innovations at the Undergraduate level, use of simulation, incorporation of learner and patient perspectives, upskilling professionals outside of Geriatrics and integration of practice across disciplines through Interprofessional Learning. We also identify an education research methodological gap. Specifically, there is an abundance of simple descriptive or justification studies but few clarification education studies; the latter are essential to develop fresh insights into how Undergraduate students can learn more effectively to meet the needs of the global ageing challenge. A case of improving understanding in delirium education is presented as an illustrative example of a new approach to exploring at greater depth education and outlines suggested directions for the future.
目前的预测显示,在 2000 年至 2050 年间,越来越多的老年人将由数量更少的医护人员照顾,这将加剧那些支持这一患者群体的人所面临的现有挑战。这篇对过去 10 年中《Age and Ageing》杂志上关于这一主题的一系列论文的综述探讨了以下两个问题:(1)最佳的老年医学教育实践是什么;(2)如何使老年医学领域的职业更具吸引力,以改善招聘和留用情况。基于这些更深入的理解,作为临床教育工作者,我们考虑如何从实际和理论上缩小差距。我们指出了范式转变的解决方案,包括本科阶段的创新、模拟的使用、学习者和患者观点的纳入、老年医学以外专业人员的技能提升以及通过跨专业学习实现实践的整合。我们还发现了教育研究方法上的差距。具体来说,有大量简单的描述性或论证性研究,但澄清性教育研究很少;后者对于深入了解本科学生如何更有效地学习以满足全球老龄化挑战的需求至关重要。以改善对谵妄教育的理解为例,提出了一种新的方法来更深入地探索教育,并概述了未来的建议方向。