Hakamata Y, Wakatsuki Y, Kita T, Ozawa T, Hayashi J, Nariyoshi K, Matsuse T, Murakawa K, Iriki M
Department of Geriatric Medicine, Faculty of Medicine, Kyoto University.
Nihon Ronen Igakkai Zasshi. 1996 Jun;33(6):452-9. doi: 10.3143/geriatrics.33.452.
With the aging of Japan's population, physicians need to be aware of advances in geriatric medicine. To assess the status of geriatric medicine in undergraduate education, we surveyed of medical student's opinions on gerontology and geriatric medicine. A questionnaire was sent to six-year medical students at a total of 20 schools that did not include geriatric medicine in their curriculum. Responses were obtained from 950 students (47.6%) at 16 schools (80%). Almost half of the students (42%) had experiences in health care facilities for the elderly. Ten percent were content with their education in geriatric medicine education and 59% were not. A total of 41.4% felt that geriatric medicine is difficult because it involves many different subjects. Some students had experience as volunteers working with elderly people; they were aware of the aging of Japan's population, and felt that their training in basic geriatrics and in geriatric diseases was insufficient. A total of 56% agreed that all medical schools should have classes in geriatric medicine and 14% did not. Medical students in the schools without classes in geriatric medicine identified dementia (73%), cerebral vascular accidents (51%), cancer (24%) and osteoporosis (19%) as common in elderly people, with no differences between schools. The corresponding data for medical students in schools with classes in geriatric medicine were dementia (77%), cerebral vascular accidents (44%), osteoporosis (29%), and cancer (16%). Undergraduate medical students seem to be exposed to widely differing curricula with regard to geriatric medicine. We found a lack of uniformity in the teaching of gerontology and geriatric medicine to undergraduate medical students in Japan.
随着日本人口老龄化，医生需要了解老年医学的进展。为评估本科教育中老年医学的现状，我们调查了医学生对老年学和老年医学的看法。向总共20所课程中未包含老年医学的学校的六年制医学生发放了问卷。16所学校（80%）的950名学生（47.6%）给出了回复。几乎一半的学生（42%）有在老年保健机构的经历。10%的学生对他们接受的老年医学教育感到满意，59%的学生不满意。共有41.4%的学生认为老年医学很难，因为它涉及许多不同学科。一些学生有作为照顾老年人志愿者的经历；他们意识到日本人口老龄化，并且觉得他们在基础老年医学和老年疾病方面的培训不足。共有56%的学生同意所有医学院校都应该开设老年医学课程，14%的学生不同意。在没有老年医学课程的学校中，医学生认为老年人常见的疾病依次为痴呆（73%）、脑血管意外（51%）、癌症（24%）和骨质疏松症（19%），各学校之间无差异。在有老年医学课程的学校中，医学生的相应数据依次为痴呆（77%）、脑血管意外（44%）、骨质疏松症（29%）和癌症（16%）。本科医学生在老年医学方面似乎接触到差异很大的课程。我们发现日本本科医学生的老年学和老年医学教学缺乏统一性。
