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培养医生照顾老年人:使你的教育项目更具“年龄友好型”的策略。

Preparing Physicians to Care for Older Adults: Strategies for Making Your Educational Program More "Age-Friendly".

作者信息

Loewenthal Julia V, Pingali Hema, Pulukuri Surya, Schwartz Andrea W

机构信息

Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115 USA.

Harvard Medical School, Boston, MA USA.

出版信息

Med Sci Educ. 2025 Jan 17;35(2):1063-1070. doi: 10.1007/s40670-025-02279-x. eCollection 2025 Apr.

DOI:10.1007/s40670-025-02279-x
PMID:40353013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12058640/
Abstract

Our population is aging, yet there is limited geriatrics training in medical education. Based on the 4Ms of an Age-Friendly Health System (What Matters, Medication, Mentation, Mobility), we describe strategies for creating age-friendly educational programs. Intended for use by clinician educators and educational leaders designing medical education programs, we discuss strategies in three major areas: (1) intentional geriatric educational design, (2) opportunities for integration and collaboration, and (3) improving the culture of geriatrics within medical education.

摘要

我们的人口正在老龄化,但医学教育中的老年医学培训却很有限。基于老年友好型卫生系统的4M原则(重要事项、药物治疗、认知、行动能力),我们描述了创建老年友好型教育项目的策略。这些策略供设计医学教育项目的临床教育工作者和教育领导者使用,我们在三个主要领域进行了讨论:(1)有针对性的老年医学教育设计;(2)整合与合作的机会;(3)改善医学教育中的老年医学文化。

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本文引用的文献

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Updated Geriatrics Competencies for Graduating Medical Students: Training Physicians to Provide Age-Friendly Care.医学专业毕业生的老年医学能力更新:培养医生提供关爱老年人的医疗服务。
Acad Med. 2025 May 1;100(5):592-599. doi: 10.1097/ACM.0000000000005958. Epub 2024 Dec 23.
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Early clinical and quality impacts of the Age-Friendly Health System in a Veterans Affairs skilled nursing facility.老年友好型医疗系统对一家退伍军人事务部熟练护理机构的早期临床和质量影响。
J Am Geriatr Soc. 2024 Dec;72(12):3865-3874. doi: 10.1111/jgs.19083. Epub 2024 Jul 15.
3
Preparing for the Needs of Our Aging Population.为我们老龄化人口的需求做准备。
Acad Med. 2024 Feb 1;99(2):123-125. doi: 10.1097/ACM.0000000000005576. Epub 2023 Nov 17.
4
Health Care Contact Days Among Older Adults in Traditional Medicare : A Cross-Sectional Study.传统医疗保险覆盖的老年人的医疗保健接触天数:一项横断面研究。
Ann Intern Med. 2024 Feb;177(2):125-133. doi: 10.7326/M23-2331. Epub 2024 Jan 23.
5
Combating ageism in medical education with narrative medicine.用叙事医学对抗医学教育中的年龄歧视。
Gerontol Geriatr Educ. 2025 Jan-Mar;46(1):5-16. doi: 10.1080/02701960.2024.2302594. Epub 2024 Jan 13.
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Using the Geriatric 5Ms to teach structural and social determinants of health.运用老年医学5M法来教授健康的结构和社会决定因素。
J Am Geriatr Soc. 2023 Dec;71(12):3967-3972. doi: 10.1111/jgs.18518. Epub 2023 Aug 18.
7
The Paradoxical Decline of Geriatric Medicine as a Profession.老年医学作为一门专业的矛盾性衰落
JAMA. 2023 Aug 22;330(8):693-694. doi: 10.1001/jama.2023.11110.
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Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Systemic Cancer Therapy: ASCO Guideline Update.老年癌症系统治疗患者脆弱性的实用评估与管理:ASCO 指南更新。
J Clin Oncol. 2023 Sep 10;41(26):4293-4312. doi: 10.1200/JCO.23.00933. Epub 2023 Jul 17.
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An age-friendly residency: Geriatrician and internist perspectives on geriatric education in an internal medicine residency.老年友善住培:内科医生和老年科医生对内科学住院医师规范化培训中老年医学教育的观点。
J Am Geriatr Soc. 2023 Jul;71(7):2279-2289. doi: 10.1111/jgs.18315. Epub 2023 Mar 22.
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You can't be what you can't see: A systematic website review of Geriatrics Online-Visibility at US medical schools.你无法成为你看不见的人:美国医学院老年医学在线可见性的系统网站回顾。
J Am Geriatr Soc. 2022 Oct;70(10):2996-3005. doi: 10.1111/jgs.17997. Epub 2022 Sep 9.