Short Communication - Allied Journal of Medical Research (2022) Volume 6, Issue 11
Medical advancements in Geriatrics present-day issues and opportunities
Sarah Matthew *
Department of General Dentistry, Boston University Henry M. Goldman School of Dental Medicine, Boston, United States
- *Corresponding Author:
- Sarah Matthew
Department of General Dentistry,
Boston University Henry M,
Boston, United States
Received: 24-Oct-2022, Manuscript No. AAAJMR-22-82493; Editor assigned: 26-Oct-2022, PreQC No. AAAJMR-22-82493(PQ); Reviewed: 09-Nov-2022, QC No. AAAJMR-22-82493; Revised: 11-Nov-2022, Manuscript No. AAAJMR-22-82493(R); Published: 18-Nov-2022, DOI: 10.35841/aaajmr-6.11.152
Citation: Matthew S. Medical advancements in Geriatrics present-day issues and opportunities. Allied J Med Res. 2022;6(11):152
Geriatric revaluation clinic, General internal medicine.
The attitudes, knowledge, and abilities necessary to deliver outstanding geriatric care will need to be imparted to GIM residents through specialized training. Geriatrics training in GIM has been the subject of reports, but they are either out-of-date or they only covered one area of geriatric education. By presenting the findings of an extensive review of current initiatives and trends in geriatric education for GIM residencies, this paper fills this gap . We found 2503 records, reviewed the entire texts of 393 of those for eligibility, and included 367 of those in the theme analysis. Curriculum, topics, teaching strategies, learning environments, medical students' abilities and attitudes were the six main issues that came to light. Vertical integration of geriatric medicine into the curriculum has been urged; new curricula focused on minimal geriatrics competencies, geriatric psychiatry, and comprehensive geriatric assessment. Delirium, pharmacotherapies, healthy ageing and health promotion, and telemedicine were among the areas that were new or emerging .
Interprofessional education, senior mentor programmes, intergenerational engagement, journaling and reflective writing by students, simulation, clinical placements, and online learning were highlighted as effective teaching strategies. Among the new instructional environments were nursing homes. Three qualities were emphasized as being crucial for connecting with older adults: communication skills, empathy, and professionalism. Adults 65 and over made up 39% of ambulatory visits in general internists' offices in 1999. 4 Less than 10,000 of the 120,000 general internists and family doctors in the United States who are now in practise have obtained a Certification Of Additional Qualifications (CAQ) in geriatric medicine, nevertheless. The care needs of elderly patients will require the services of all general internists, both those with and without geriatric accreditation .
The survey instrument was created with collaboration from geriatrics-trained members of the Society of General Internal Medicine (SGIM). Five directors of internal medicine residency programmes pretested it. General programme information required geriatric medicine experiences for primary care track residents, required geriatric medicine experiences for categorical/combined programme residents, other geriatric medicine experiences, and one open-ended question about best practices made up the eight sections of the self-administered survey. Geriatric experience was described as "a curriculum specifically structured to teach geriatric care principles and not merely an environment in which certain older folks are observed" in the instructions given to the residency directors .
Lack of faculty was the main problem in implementing a geriatrics programme that was most frequently mentioned. According to our research, the biggest barrier limiting programme directors from increasing geriatrics training is now a packed curriculum rather than a shortage of staff. Given the depth of internal medicine training and the rise in RRC requirements, this concern is not surprising. Program directors continue to play a crucial role in determining how much geriatric medicine instruction GIM residents receive. Longitudinal geriatric medicine experiences do appear to be underutilised in GIM training programmes, nevertheless .
We advise that current research discussed in this publication be incorporated into undergraduate medical courses in geriatric medicine. Different educational environments and methodologies should also be taken into consideration, in addition to newly emerging topics and advancements in already existing themes. The use of vertical integration throughout the undergraduate course might be a helpful addition to the knowledge gained in a specific undergraduate Geriatric Medicine course. Interprofessional education can enhance teamwork abilities and comprehension of other professions' roles. With an emphasis on communication and empathy, it should be possible to communicate with older patients more effectively. Medical students should have the abilities required to treat elderly patients successfully if predicted levels of geriatric competencies are embedded.
- Granero Lucchetti AL, Ezequiel OD, Oliveira IN, et al. Using traditional or flipped classrooms to teach “Geriatrics and Gerontology”? Investigating the impact of active learning on medical students’ competences. Med Teach. 2018;40(12):1248-56.
- Laks J, Wilson LA, Khandelwal C, et al. Service-learning in communities of elders (SLICE): development and evaluation of an introductory geriatrics course for medical students. Teach Learn Med. 2016;28(2):210-8.
- Gubner J, Smith AK, Allison TA. Transforming undergraduate student perceptions of dementia through music and filmmaking. JAGS. 2020;68(5):1083-9.
- Ferguson CC, Figy SC, Manley NA. Nursing home education during the COVID-19 pandemic. J med educ curric dev 2021;8(23):82-96.
- Jeste DV, Avanzino J, Depp CA, et al. Effect of short-term research training programs on medical students’ attitudes toward aging. Gerontol Geriatr. 2018;39(2):214-22.