老年医学继续医学教育的需求。第2部分：医生的优先事项和社区代表的看法。
Needs for CME in geriatrics. Part 2: Physician priorities and perceptions of community representatives.
作者信息
Pereles I, Russell M L
机构信息
Department of Community Health Sciences, Faculty of Medicine, University of Calgary.
出版信息
Can Fam Physician. 1996 Apr;42:632-40.
OBJECTIVE
To explore physicians' responses to the needs for education in geriatrics identified by a community needs survey.
DESIGN
Interviews conducted during a cross-sectional survey.
SETTING
Private family practices in Calgary.
PARTICIPANTS
Randomly selected family physicians in Calgary who had previously recruited patients for a community needs survey. Thirty of 60 volunteer physicians randomly selected for phase 1 of the study were interviewed. One physician recruited patients for phase 1 but declined to be interviewed.
MAIN OUTCOME MEASURES
Demographic variables, practice characteristics, and opinions on urgency of potential topics for continuing medical education.
RESULTS
Physicians agreed with community informants that they need more education about medication for the elderly, medical management, and mental health issues. Physicians did not perceive pressing needs for education in communication skills with patients, in compassion, or in health promotion for patients. Physicians identified many barriers to meeting needs identified by the community. Among the most notable obstacles were inadequate time, inadequate remuneration, and lack of accessible community resources.
CONCLUSIONS
Continuing medical education should help physicians recognize the community's needs and design programs that will address them.
目的
探讨医生对社区需求调查所确定的老年医学教育需求的反应。
设计
在横断面调查期间进行访谈。
地点
卡尔加里的私人家庭诊所。
参与者
卡尔加里随机选择的曾为社区需求调查招募患者的家庭医生。随机选择参与研究第一阶段的60名志愿医生中有30名接受了访谈。有一名医生为第一阶段招募了患者，但拒绝接受访谈。
主要观察指标
人口统计学变量、执业特征以及对继续医学教育潜在主题紧迫性意见。
结果
医生与社区信息提供者一致认为，他们需要更多关于老年用药、医疗管理和心理健康问题的教育。医生并未察觉到在与患者沟通技巧、同情心或患者健康促进方面存在迫切的教育需求。医生们指出了满足社区所确定需求的诸多障碍。其中最显著的障碍包括时间不足、报酬不足以及缺乏可利用的社区资源。
结论
继续医学教育应帮助医生认识到社区的需求，并设计出能够满足这些需求的项目。
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