A scoping review of the changing landscape of geriatric medicine in undergraduate medical education: curricula, topics and teaching methods: curricula, topics and teaching methods
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| Title: | A scoping review of the changing landscape of geriatric medicine in undergraduate medical education: curricula, topics and teaching methods: curricula, topics and teaching methods |
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| Authors: | Tahir Masud, Giulia Ogliari, Eleanor Lunt, Adrian Blundell, Adam Lee Gordon, Regina Roller-Wirnsberger, Michael Vassallo, Daniela Mari, Marina Kotsani, Katrin Singler, Roman Romero-Ortuno, Alfonso J. Cruz-Jentoft, Andreas E. Stuck |
| Source: | Eur Geriatr Med Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid Masud, Tahir; Ogliari, Giulia; Lunt, Eleanor; Blundell, Adrian; Lee Gordon, Adam; Roller-Wirnsberger, Regina; Vassallo, Michael; Mari, Daniela; Kotsani, Marina; Singler, Katrin; Romero-Ortuno, Roman; Cruz-Jentoft, Alfonso J.; Stuck, Andreas E. (2022). A scoping review of the changing landscape of geriatric medicine in undergraduate medical education: curricula, topics and teaching methods. European geriatric medicine, 13(3), pp. 513-528. Springer 10.1007/s41999-021-00595-0 <http://dx.doi.org/10.1007/s41999-021-00595-0> |
| Publisher Information: | Springer Science and Business Media LLC, 2022. |
| Publication Year: | 2022 |
| Subject Terms: | Geriatric medicine, Students, Medical, 610 Medicine & health, Undergraduate medical education, Education, Special Article, 03 medical and health sciences, 0302 clinical medicine, Geriatric psychiatry, Medical, Humans, Learning, Students, Aged, 4. Education, Teaching methods, Third age/ageing, 3. Good health, Ageing, Geriatrics, Curriculum, 0305 other medical science, Undergraduate/methods, Education, Medical, Undergraduate |
| Description: | Purpose The world’s population is ageing. Therefore, every doctor should receive geriatric medicine training during their undergraduate education. This review aims to summarise recent developments in geriatric medicine that will potentially inform developments and updating of undergraduate medical curricula for geriatric content. Methods We systematically searched the electronic databases Ovid Medline, Ovid Embase and Pubmed, from 1st January 2009 to 18th May 2021. We included studies related to (1) undergraduate medical students and (2) geriatric medicine or ageing or older adults and (3) curriculum or curriculum topics or learning objectives or competencies or teaching methods or students’ attitudes and (4) published in a scientific journal. No language restrictions were applied. Results We identified 2503 records and assessed the full texts of 393 records for eligibility with 367 records included in the thematic analysis. Six major themes emerged: curriculum, topics, teaching methods, teaching settings, medical students’ skills and medical students’ attitudes. New curricula focussed on minimum Geriatrics Competencies, Geriatric Psychiatry and Comprehensive Geriatric Assessment; vertical integration of Geriatric Medicine into the curriculum has been advocated. Emerging or evolving topics included delirium, pharmacotherapeutics, healthy ageing and health promotion, and Telemedicine. Teaching methods emphasised interprofessional education, senior mentor programmes and intergenerational contact, student journaling and reflective writing, simulation, clinical placements and e-learning. Nursing homes featured among new teaching settings. Communication skills, empathy and professionalism were highlighted as essential skills for interacting with older adults. Conclusion We recommend that future undergraduate medical curricula in Geriatric Medicine should take into account recent developments described in this paper. In addition to including newly emerged topics and advances in existing topics, different teaching settings and methods should also be considered. Employing vertical integration throughout the undergraduate course can usefully supplement learning achieved in a dedicated Geriatric Medicine undergraduate course. Interprofessional education can improve understanding of the roles of other professionals and improve team-working skills. A focus on improving communication skills and empathy should particularly enable better interaction with older patients. Embedding expected levels of Geriatric competencies should ensure that medical students have acquired the skills necessary to effectively treat older patients. |
| Document Type: | Article Other literature type |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 1878-7657 |
| DOI: | 10.1007/s41999-021-00595-0 |
| DOI: | 10.48350/173266 |
| Access URL: | https://link.springer.com/content/pdf/10.1007/s41999-021-00595-0.pdf https://pubmed.ncbi.nlm.nih.gov/34973151 https://hdl.handle.net/20.500.12530/102758 https://portal.findresearcher.sdu.dk/da/publications/ee382e8e-5b63-4440-9389-e9b2f65338bc https://doi.org/10.1007/s41999-021-00595-0 https://boris.unibe.ch/173266/ https://hdl.handle.net/2262/97820 http://people.tcd.ie/romeroor |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (http://creativecommons.org/licenses/by/4.0/) . |
| Accession Number: | edsair.doi.dedup.....7a568e73bf6c2eff9d4fbcd97136f570 |
| Database: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Purpose The world’s population is ageing. Therefore, every doctor should receive geriatric medicine training during their undergraduate education. This review aims to summarise recent developments in geriatric medicine that will potentially inform developments and updating of undergraduate medical curricula for geriatric content. Methods We systematically searched the electronic databases Ovid Medline, Ovid Embase and Pubmed, from 1st January 2009 to 18th May 2021. We included studies related to (1) undergraduate medical students and (2) geriatric medicine or ageing or older adults and (3) curriculum or curriculum topics or learning objectives or competencies or teaching methods or students’ attitudes and (4) published in a scientific journal. No language restrictions were applied. Results We identified 2503 records and assessed the full texts of 393 records for eligibility with 367 records included in the thematic analysis. Six major themes emerged: curriculum, topics, teaching methods, teaching settings, medical students’ skills and medical students’ attitudes. New curricula focussed on minimum Geriatrics Competencies, Geriatric Psychiatry and Comprehensive Geriatric Assessment; vertical integration of Geriatric Medicine into the curriculum has been advocated. Emerging or evolving topics included delirium, pharmacotherapeutics, healthy ageing and health promotion, and Telemedicine. Teaching methods emphasised interprofessional education, senior mentor programmes and intergenerational contact, student journaling and reflective writing, simulation, clinical placements and e-learning. Nursing homes featured among new teaching settings. Communication skills, empathy and professionalism were highlighted as essential skills for interacting with older adults. Conclusion We recommend that future undergraduate medical curricula in Geriatric Medicine should take into account recent developments described in this paper. In addition to including newly emerged topics and advances in existing topics, different teaching settings and methods should also be considered. Employing vertical integration throughout the undergraduate course can usefully supplement learning achieved in a dedicated Geriatric Medicine undergraduate course. Interprofessional education can improve understanding of the roles of other professionals and improve team-working skills. A focus on improving communication skills and empathy should particularly enable better interaction with older patients. Embedding expected levels of Geriatric competencies should ensure that medical students have acquired the skills necessary to effectively treat older patients. |
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| ISSN: | 18787657 |
| DOI: | 10.1007/s41999-021-00595-0 |