Literature DB >> 24958744

Equipping tomorrow's doctors for the patients of today.

Rachel Oakley1, Joanne Pattinson1, Sarah Goldberg2, Laura Daunt1, Rajvinder Samra3, Tahir Masud4, John R F Gladman2, Adrian G Blundell4, Adam L Gordon4.   

Abstract

As the proportion of older patients with frailty presenting to health services increases, so does the need for doctors to be adequately trained to meet their needs. The presentations seen in such patients, the evidence-based models of care and skillsets required to deliver them are different than for younger patient groups-so specific training is required. Several research programmes have used detailed and explicit methods to establish evidence-based expert-validated curricula outlining learning outcomes for undergraduates in geriatric medicine-there is now broad-consensus on what newly qualified doctors need to know. There are, despite this, shortcomings in the teaching of undergraduates about geriatric medicine. National and international surveys from the UK, EU, USA, Canada, Austria and the Netherlands have all shown shortcomings in the content and amount of undergraduate teaching. Mechanisms to improve this situation, aside from specifying curricula, include developing academic departments and professorships in geriatric medicine, providing grants to develop teaching in geriatric medicine and developing novel teaching interventions to make the best of existing resources. Under the last of these headings, innovations have been shown to improve outcomes by: using technology to ensure the most effective allocation of teaching time and resources; using inter-professional education as a means of improving attitudes towards care of older patients; focusing teaching specifically on attitudes towards older patients and those who work with them; and trying to engage patients in teaching. Research areas going forward include how to incentivise medical schools to deliver specified curricula, how to choose from an ever-expanding array of teaching technologies, how to implement interprofessional education in a sustainable way and how to design teaching interventions using a qualitative understanding of attitudes towards older patients and the teams that care for them.
© The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@ oup.com.

Entities:  

Keywords:  computer assisted instruction; curricula; geriatrics; interprofessional relations; older people; undergraduate medical education

Mesh:

Year:  2014        PMID: 24958744     DOI: 10.1093/ageing/afu077

Source DB:  PubMed          Journal:  Age Ageing        ISSN: 0002-0729            Impact factor:   10.668


  6 in total

Review 1.  Factors related to medical students' and doctors' attitudes towards older patients: a systematic review.

Authors:  Rajvinder Samra; Tom Cox; Adam Lee Gordon; Simon Paul Conroy; Mathijs F G Lucassen; Amanda Griffiths
Journal:  Age Ageing       Date:  2017-11-01       Impact factor: 10.668

2.  Incorporation of an Interprofessional Palliative Care-Ethics Experience Into a Required Critical Care Acting Internship.

Authors:  Gabrielle R Goldberg; Joseph Weiner; Alice Fornari; R Ellen Pearlman; Gino A Farina
Journal:  MedEdPORTAL       Date:  2018-10-09

Review 3.  Geriatric medicine learning objectives and entrustable professional activities in undergraduate medical curricula: a scoping review.

Authors:  Tasslem von Streng Paats; Tahir Masud; Sören Huwendiek; Adrian Blundell; Michael Vassallo; Andreas E Stuck
Journal:  Age Ageing       Date:  2022-05-01       Impact factor: 12.782

4.  Mortality in Relation to Frailty in Patients Admitted to a Specialized Geriatric Intensive Care Unit.

Authors:  An Zeng; Xiaowei Song; Jiahui Dong; Arnold Mitnitski; Jian Liu; Zhenhui Guo; Kenneth Rockwood
Journal:  J Gerontol A Biol Sci Med Sci       Date:  2015-09-22       Impact factor: 6.053

5.  Encountering aged care: a mixed methods investigation of medical students' clinical placement experiences.

Authors:  Michael J Annear; Emma Lea; Amanda Lo; Laura Tierney; Andrew Robinson
Journal:  BMC Geriatr       Date:  2016-02-04       Impact factor: 3.921

6.  Preferences of nursing and medical students for working with older adults and people with dementia: a systematic review.

Authors:  Molly Hebditch; Stephanie Daley; Juliet Wright; Gina Sherlock; James Scott; Sube Banerjee
Journal:  BMC Med Educ       Date:  2020-03-30       Impact factor: 2.463

  6 in total

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