Papillon-Ferland Louise, Ben Abdelkader Lilia, Maurice Noémie, Choinière Andréa, Awwad Yara, Aredjian Razmig, Huon Jean-François, Sadowski Cheryl A
Faculty of Pharmacy, University of Montreal, Montreal, Quebec, Canada.
Research Center, Institut Universitaire de Gériatrie de Montréal, Montreal, Quebec, Canada.
J Am Geriatr Soc. 2025 Mar;73(3):930-946. doi: 10.1111/jgs.19215. Epub 2024 Oct 31.
Comprehensive medication management for older adults requires specific knowledge and skills. Therefore, pharmacy curricula should include appropriate strategies to prepare students for care of this population. This scoping review aimed to identify how geriatric concepts, such as geriatric topics and competencies, are included in pharmacy curricula, and to map current literature on preferred teaching and assessment methods related to geriatric pharmacy education.
Four databases were searched to identify papers involving pharmacy learners, education, and geriatrics. Selection process was a two-step approach, involving independent title/abstract screening by two reviewers, then full-text retrieval for eligibility assessment. All types of articles were considered except opinion papers. Data extraction included details on methodology, participants, setting, educational activity, teaching method, and outcomes assessed.
A total of 2537 articles were identified from which 189 met the inclusion criteria: 221 documents after citation and gray literature searching. Articles were grouped for analysis as education-related intervention articles (studies, n = 100 or descriptive articles/case reports, n = 49), studies not including an education-related intervention (n = 49), and others (e.g., reviews, position papers/statements, n = 23). Various teaching methods were reported including experiential, didactic, interprofessional, or simulation. Most articles reported positive outcomes on skills, knowledge, or attitudes, but few articles used a validated assessment tool. Curricula and student's surveys were consistent with suboptimal geriatric education, with few programs offering mandatory dedicated geriatric courses or rotations.
Gaps remain regarding geriatric inclusion in pharmacy curricula despite decades of evidence, advocacy, and frameworks to guide its development. A wide diversity of teaching methods has been described and their combination may be considered for skills and competency development. There is a need for the scholarship of teaching and learning to be applied to pharmacy programs in order to prepare future pharmacists for an aging society.
老年人的综合药物管理需要特定的知识和技能。因此，药学课程应包括适当的策略，以使学生为照顾这一人群做好准备。本范围综述旨在确定老年医学概念，如老年医学主题和能力，是如何纳入药学课程的，并梳理当前关于老年药学教育的首选教学和评估方法的文献。
检索了四个数据库，以识别涉及药学学习者、教育和老年医学的论文。选择过程采用两步法，包括两名评审员独立进行标题/摘要筛选，然后进行全文检索以进行资格评估。除观点论文外，所有类型的文章均被考虑。数据提取包括方法、参与者、环境、教育活动、教学方法和评估结果的详细信息。
共识别出2537篇文章，其中189篇符合纳入标准：在进行引文和灰色文献检索后为221篇文献。文章被分组进行分析，分为与教育相关的干预文章（研究，n = 100或描述性文章/病例报告，n = 49）、不包括与教育相关干预的研究（n = 49）以及其他（如综述、立场文件/声明，n = 23）。报告了各种教学方法，包括体验式、讲授式、跨专业或模拟教学。大多数文章报告了在技能、知识或态度方面的积极结果，但很少有文章使用经过验证的评估工具。课程和学生调查与老年医学教育不理想的情况一致，很少有项目提供强制性的专门老年医学课程或轮转。
尽管有几十年的证据、倡导和指导其发展的框架，但在药学课程中纳入老年医学方面仍存在差距。已经描述了各种各样的教学方法，可以考虑将它们结合起来以促进技能和能力的发展。需要将教学学术应用于药学项目，以便为老龄化社会培养未来的药剂师。
