Robinson K M, Friedman R H, Kazis L E, Moskowitz M A, Steel R K
Department of Rehabilitation Medicine, University of Pennsylvania Medical Center, Philadelphia 19104.
Am J Phys Med Rehabil. 1993 Apr;72(2):67-74. doi: 10.1097/00002060-199304000-00003.
A survey was conducted to determine the level of training in geriatrics in physical medicine and rehabilitation (PM&R) residency training programs. Questionnaires were sent to 76 accredited programs in 1989 with a 63% (48/76) response rate. Results show that 49% of patients cared for by PM&R residents in inpatient settings are 65 years of age or older, and 42% of patients cared for in ambulatory settings are in the same age group. Of PM&R programs, 30% have physician faculty who are geriatric "specialists." PM&R residents have a significant exposure to elderly patients in the consultation role. Less exposure to elderly patients occurs in distinct geriatric rehabilitation and geriatric medicine programs or units. Among 10 medical specialties, PM&R programs compare well in terms of teaching about the topics and the personnel that are important in geriatrics. This is due in part to an obvious overlap between the content of rehabilitation medicine and that of geriatrics. Furthermore, there is moderate interest in PM&R in developing fellowship training in geriatric rehabilitation. The need for more academic faculty who are geriatric "specialists," as well as the need for increasing PM&R exposure to distinctly geriatric settings as a part of training, is apparent.
开展了一项调查，以确定物理医学与康复（PM&R）住院医师培训项目中的老年医学培训水平。1989年，向76个经认可的项目发放了调查问卷，回复率为63%（48/76）。结果显示，在住院环境中接受PM&R住院医师治疗的患者中有49%年龄在65岁及以上，在门诊环境中接受治疗的患者中有42%属于同一年龄组。在PM&R项目中，30%有老年医学“专家”作为医师教员。PM&R住院医师在会诊角色中大量接触老年患者。在专门的老年康复和老年医学项目或科室中，接触老年患者的机会较少。在10个医学专科中，PM&R项目在老年医学重要主题和人员的教学方面表现良好。这部分归因于康复医学内容与老年医学内容之间明显的重叠。此外，PM&R对开展老年康复专科培训有一定兴趣。显然需要更多老年医学“专家”担任学术教员，以及在培训中增加PM&R在专门老年环境中的接触机会。
