An Interdisciplinary Approach to Educating Medical Students About Dementia Assessment and Treatment Planning.
An Interdisciplinary Approach to Educating Medical Students About Dementia Assessment and Treatment Planning.
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DOI：
10.12788/fp.0052
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发表时间：
2020-10-01
期刊：
影响因子：
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通讯作者：
Padala, Prasad R
中科院分区：
文献类型：
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作者：
Padala, Kalpana P;Mendiratta, Priya;Padala, Prasad R
背景技术背景：许多全科医生认为痴呆症护理超出了他们的临床领域，并认为痴呆症的评估和治疗应该由专家，如老年病学家，老年精神病学家或神经学家来解决。迫切需要存在教育所有的医学实习生在痴呆症护理，无论他们的专业化interests.OBSERVATIONS：我们开发了一个多成分的，体验式的，简短的课程，使用团队为基础的学习暴露高级医学生谁通过美国退伍军人事务部记忆障碍诊所在中央阿肯色州退伍军人医疗保健系统在小石城到痴呆症的跨学科评估。课程包括教学法、临床经验和团队学习。在评估前和评估后，学生评价他们的看法的跨学科团队成员的作用，在评估和管理痴呆症，他们的个人能力，评估认知，行为问题，照顾者的负担，以及他们的看法的影响行为问题对痴呆症care.Conclusions：痴呆症的知识差距普遍存在于这一队列的高年级医学生。提供跨学科的老年教育经验，提高了学生对他们评估痴呆症的能力的认识，以及对跨学科团队成员角色的认识。计划已经到位，以继续和扩大该计划，以其他复杂的老年综合征。
BACKGROUND: Many general practitioners consider dementia care beyond their clinical domain and feel that dementia assessment and treatment should be addressed by specialists, such as geriatricians, geriatric psychiatrists, or neurologists. An urgent need exists to educate all medical trainees in dementia care, regardless of their specialization interests.OBSERVATIONS: We developed a multicomponent, experiential, brief curriculum using team-based learning to expose senior medical students who rotated through the US Department of Veterans Affairs Memory Disorders Clinic at the Central Arkansas Veterans Healthcare System in Little Rock to an interdisciplinary assessment of dementia. The curriculum included didactics, clinical experience, and team-based learning. In pre- and postevaluation, students rated their perception of the role of interdisciplinary team members in assessing and managing dementia, their personal abilities to assess cognition, behavioral problems, caregiver burden, and their perception of the impact of behavioral problems on dementia care.CONCLUSIONS: Dementia knowledge gaps were prevalent in this cohort of senior medical students. Providing interdisciplinary geriatric educational experience improved students perception of their ability to assess for dementia and their recognition of the roles of interdisciplinary team members. Plans are in place to continue and expand the program to other complex geriatric syndromes.