Feigenbaum L Z, Allen C L, Brownstein H
West J Med. 1981 Dec;135(6):492-6.
Geriatric education and training are most successful when taught in a setting that provides the medical and social services that elderly persons often require. At Mount Zion Hospital and Medical Center, medical students and trainees participate in several geriatric services that introduce them to the special health needs of the elderly, including the ambulant and the homebound. In the Mount Zion/University of California, San Francisco, geriatric education and training program, we have defined three principles of geriatric medicine that are unique to the field and are best applied directly within the service setting. This setting emphasizes (1) the special body of knowledge regarding aging and health care of the elderly, (2) the importance of assessing functional capacity and (3) the role of the health team. Our experience indicates that when students and trainees observe the application of these principles in a range of geriatric services they begin to understand the complex health problems with which geriatric medicine is concerned.
老年医学教育与培训若在能提供老年人常需的医疗和社会服务的环境中开展，最为成功。在锡安山医院及医疗中心，医学生和实习生参与多项老年医学服务，这些服务让他们了解老年人的特殊健康需求，包括能走动的老人和居家老人的需求。在锡安山/加利福尼亚大学旧金山分校的老年医学教育与培训项目中，我们界定了老年医学的三条原则，这些原则是该领域所独有的，且最适合直接在服务环境中应用。此环境强调：（1）关于衰老及老年人医疗保健的特殊知识体系；（2）评估功能能力的重要性；（3）医疗团队的作用。我们的经验表明，当学生和实习生在一系列老年医学服务中观察到这些原则的应用时，他们就开始理解老年医学所关注的复杂健康问题。
