Robbins A S, Vivell S, Beck J C
J Med Educ. 1982 Feb;57(2):79-86. doi: 10.1097/00001888-198202000-00001.
Training physicians in geriatrics is essential to improving health care for the elderly. The study reported here provides a detailed analysis of geriatric education at the undergraduate, graduate, and fellowship levels. The number of programs for medical students and residents has increased but is still relatively few; most are elective, and they are of variable quality. Both the number of fellowship programs (36) and positions (87) and the current number of yearly graduates (40) are quite small. Few of these programs have been thoroughly evaluated. Data are presented on the type of training sites, educational activities, and clinical interaction at different levels of training. Overall, the nursing home is most frequently used as a training site, and trainees have contact with many care providers. Information of this kind may be of value to those planning or conducting geriatric programs. The results suggest that there is a persistent need for high quality programs at all levels of educational continuum and that such efforts should be evaluated to ensure and improve quality.
对医生进行老年医学培训对于改善老年人的医疗保健至关重要。本文报道的研究对本科、研究生和专科培训阶段的老年医学教育进行了详细分析。面向医学生和住院医师的培训项目数量有所增加，但仍然相对较少；大多数是选修课程，质量参差不齐。专科培训项目的数量（36个）和职位（87个）以及目前每年的毕业生人数（40人）都相当少。这些项目中很少有经过全面评估的。文中呈现了不同培训阶段的培训地点类型、教育活动以及临床互动的数据。总体而言，养老院是最常被用作培训地点的地方，学员会与许多护理人员接触。这类信息可能对那些规划或开展老年医学项目的人有价值。结果表明，在教育连续统一体的各个层面都持续需要高质量的项目，并且应该对这些努力进行评估以确保和提高质量。
