Mold J W, Mehr D R, Kvale J N, Reed R L
Department of Family Medicine, University of Oklahoma, Oklahoma City, USA.
Fam Med. 1995 Apr;27(4):234-41.
The role of geriatrics and geriatricians in family medicine remains unsettled. Despite a rapidly aging population, a tremendous shortage now exists of faculty with interest and expertise in geriatrics. Relatively few family practice residents choose to enter geriatric fellowship programs, and federal funding for such programs has been reduced. Despite accreditation requirements, residency programs are not always able to provide the range of geriatric experiences needed to properly prepare graduates to provide care for the broad range of older patients. Medical students' exposure to geriatrics remains limited. The Group on Geriatric Education of the Society of Teachers of Family Medicine believes that family medicine faculty must recognize and be committed to the notion that geriatrics is integral to family medicine. Both undergraduate and residency training programs should emphasize experience with geriatric patients in multiple settings. In particular, the nursing home should not be the main focus of geriatric training. The small number of certified geriatric faculty will be able to provide leadership, but a broad range of faculty must become involved in teaching geriatrics. Faculty development activities and continuing education programs to foster the necessary expertise will be essential to the accomplishment of this task.
老年医学及老年病医生在家庭医学中的角色仍未明确。尽管人口迅速老龄化，但目前对老年医学有兴趣且具备专业知识的教员严重短缺。相对较少的家庭医学住院医师选择参加老年医学进修项目，而且此类项目的联邦资金也已减少。尽管有认证要求，但住院医师培训项目并不总能提供足够的老年医学经历，以使毕业生做好充分准备，为广大老年患者提供护理。医学生接触老年医学的机会仍然有限。家庭医学教师协会老年医学教育小组认为，家庭医学教员必须认识到并致力于这样一种观念，即老年医学是家庭医学不可或缺的一部分。本科和住院医师培训项目都应强调在多种环境中与老年患者接触的经历。特别是，疗养院不应成为老年医学培训的主要重点。少数获得认证的老年医学教员将能够发挥领导作用，但必须有广泛的教员参与到老年医学教学中来。开展教员发展活动和继续教育项目以培养必要的专业知识，对于完成这项任务至关重要。
