Improvements in Self-perceived Geriatric Knowledge in Non-geriatric Physicians and Medical Students a Month of Training in the Geriatric Ward of a Medical Center in Central Taiwan: A Preliminary Study

中台灣某醫學中心老年醫學病房一個月訓練，對於醫學生與非老醫專科訓練醫師之老年醫學知識自我評估分數影響－一前驅研究

郭馥瑄(Fu-Hsuan Kuo) ； 翁碩駿(Shuo-Chun Weng) ； 李毓珊(Yu-Shan Lee) ； 周吟怡(Yin-Yi Chou) ； 林鉅勝(Chu-Sheng Lin) ； 林時逸(Shih-Yi Lin)

《台灣老年醫學暨老年學會雜誌》 16卷3期 (2021/08) Pp. 209-224

https://doi.org/10.29461/TGGa.202108_16(3).0004

摘要

In its 2010 position statement, the American Geriatrics Society (AGS) proposed essential geriatric competencies for all residents in the departments of internal medicine and family medicine. Yet, few studies have been conducted to examine the effectiveness of improving the preparedness of medical professionals in taking care of elderly patients in Taiwan. The study accordingly aimed to assess the benefits, if any, of a one-month training program in cultivating the AGS geriatric competencies as perceived by the medical students and non-geriatric physicians taking part in the program. A total of 18 medical students (5^(th)- or 6^(th)-year) and 5 non-geriatric physicians were recruited with each completing a questionnaire containing 10 items on the knowledge of core geriatric competencies, both before attending and after completing the month-long training program held in the geriatric ward of a medical center in central Taiwan. The self-perceived geriatric knowledge and skills were evaluated based on a 5-point Likert scale. Prior to the training, no inter-group difference was detected in mean total scores (2.9±0.7 vs. 2.9±0.6) and in individual self-assessed scores on the 10-item knowledge of geriatric competencies. After the one-month training, the total mean self-perceived scores improved both in medical students (2.9±0.6 vs. 2.1±0.6) and non-geriatric physicians (2.9±0.7 vs. 1.7±0.4). Medical students improved in all 10 items of AGS core geriatrics competencies, and physicians in 8 of the 10 items. Physicians scored better than medical students in the self-assessed knowledge (1.7±0.4 vs. 2.1±0.6). In summary, our preliminary results showed that a month-long training in the geriatric ward did help enhance the geriatric knowledge of medical students and physicians alike.

關鍵字

core competencies ； self-perceived geriatric knowledge ； non-geriatric physicians ； medical students

並列摘要

美國老年醫學會在2010年指出所有內科和家庭醫學住院醫師應具有全人整合照護醫學能力，而且訂出其核心技能指標。但在台灣，很少有研究評估醫師對於自身照顧老年病患能力與知識程度。所以本研究目標將探討醫師在中台灣某醫學中心老年病房受訓1個月前後，對於老年人照護關鍵能力知識，透過自我評估問卷，研究其是否有所改變。自我評估分數等級使用Likert尺度，共分五等級，由非常同意（1分）至非常不同意（5分）。由18位五或六年級醫學生與5位皆非老醫專科訓練醫師，在一個月老年病房教育訓練後，有關10項老年醫學知識問卷調查評估顯示，於訓練前非老醫專科訓練醫師與醫學生，兩組間並無自我評估分數差異存在（2.9±0.7 vs. 2.9±0.6, p=0.957）。經過一個月高齡病房學習後，不管是醫學生（2.9±0.6 vs. 2.1±0.6, p=0.003）與非老醫專科訓練醫師（2.9±0.7 vs. 1.7±0.4, p=0.043），老年醫學知識均顯著進步。醫學生10項老年醫學知識自評分數均優於訓練前，非老醫專科訓練醫師則為8項。如比較醫學生與非老醫專科訓練醫師兩組間，顯示非老醫專科訓練醫師自我評估成績略優於醫學生（1.7±0.4 vs. 2.1±0.6, p=0.145）。總體結論：透過1個月老年病房教育工作訓練後，有助於提升醫學生與非老醫專科訓練醫師之老年醫學核心技能知識自我評估分數。

並列關鍵字

核心能力 ； 老年醫學知識自我評估 ； 非老醫專科醫師醫學生