期刊论文详细信息
BMC Medical Education
Medical student education program in Alzheimer’s disease: The PAIRS Program
Darby Morhardt2  Laura K Byerly3  Nicole G Cantwell1  Angela L Jefferson1 
[1] Alzheimer’s Disease Center & Department of Neurology, Boston University School of Medicine, Boston, MA, USA;Cognitive Neurology and Alzheimer’s Disease Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA;Oregon Health & Science University School of Medicine, Portland, OR, USA
关键词: Service learning;    Medical education;    Alzheimer's disease;    Dementia;    Communication;    Qualitative methods;    Experiential learning;   
Others  :  1153380
DOI  :  10.1186/1472-6920-12-80
 received in 2012-02-10, accepted in 2012-07-31,  发布年份 2012
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【 摘 要 】

Background

As life expectancy increases, dementia incidence will also increase, creating a greater need for physicians well-trained to provide integrated geriatric care. However, research suggests medical students have limited knowledge or interest in pursuing geriatric or dementia care. The purpose of this study is to evaluate the PAIRS Program and its effectiveness in enhancing medical education as a service-learning activity and replication model for the Buddy ProgramTM.

Methods

Between 2007 and 2011, four consecutive classes of first year Boston University School of Medicine students (n = 45; 24 ± 3 years, 58% female, 53% White) participated in a year-long program in which they were paired with a patient with early-stage Alzheimer’s disease (AD). Assessments included pre- and post-program dementia knowledge tests and a post-program reflective essay.

Results

Program completion was 100% (n = 45). A paired-sample t-test revealed a modest improvement in dementia knowledge post-program (p < 0.001). Using qualitative coding methods, 12 overarching themes emerged from the students’ reflective essays, such as observing care partner burden, reporting a human side to AD, reporting experiences from the program that will impact future clinical practice, and obtaining a greater understanding of AD.

Conclusions

Quantitative and qualitative findings suggest that the PAIRS Program can enhance the acquisition of knowledge, skills, and positive attitudes regarding geriatric healthcare in future generations of physicians, a skill set that is becoming increasingly relevant in light of the rapidly aging population. Furthermore, results suggest that The Buddy ProgramTM model can be successfully replicated.

【 授权许可】

   
2012 Jefferson et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Association A's: Alzheimer's disease facts and figures. Alzheimers Dement 2010, 2010(6):158-194.
  • [2]Farlow MR, Miller ML, Pejovic V: Treatment options in Alzheimer's disease: maximizing benefit, managing expectations. Dement Geriatr Cogn Disord 2008, 25:408-422.
  • [3]Hogan DB: Progress update: Pharmacological treatment of Alzheimer's disease. Neuropsychiatr Dis Treat 2007, 3:569-578.
  • [4]Lavretsky H, Nguyen LH: Innovations: geriatric psychiatry: diagnosis and treatment of neuropsychiatric symptoms in Alzheimer's disease. Psychiatr Serv 2006, 57:617-619.
  • [5]Leifer BP: Alzheimer's disease: Seeing the signs early. J Am Acad Nurse Pract 2009, 21:588-595.
  • [6]Turner S, Iliffe S, Downs M, Wilcock J, Bryans M, Levin E, Keady J, O'Carroll R: General practitioners' knowledge, confidence and attitudes in the diagnosis and management of dementia. Age Ageing 2004, 33:461-467.
  • [7]Gazewood JD, Vanderhoff B, Ackermann R, Cefalu C: Geriatrics in family practice residency education: an unmet challenge. Fam Med 2003, 35:30-34.
  • [8]Harris DP, Chodosh J, Vassar SD, Vickrey BG, Shapiro MF: Primary care providers' views of challenges and rewards of dementia care relative to other conditions. J Am Geriatr Soc 2009, 57:2209-2216.
  • [9]Cody M, Beck C, Shue VM, Pope S: Reported practices of primary care physicians in the diagnosis and management of dementia. Aging Ment Health 2002, 6:72-76.
  • [10]Hinton L, Franz CE, Reddy G, Flores Y, Kravitz RL, Barker JC: Practice constraints, behavioral problems, and dementia care: primary care physicians' perspectives. J Gen Intern Med 2007, 22:1487-1492.
  • [11]Fitzgerald JT, Wray LA, Halter JB, Williams BC, Supiano MA: Relating medical students' knowledge, attitudes, and experience to an interest in geriatric medicine. Gerontologist 2003, 43:849-855.
  • [12]Hughes NJ, Soiza RL, Chua M, Hoyle GE, MacDonald A, Primrose WR, Seymour DG: Medical student attitudes toward older people and willingness to consider a career in geriatric medicine. J Am Geriatr Soc 2008, 56:334-338.
  • [13]Voogt SJ, Mickus M, Santiago O, Herman SE: Attitudes, experiences, and interest in geriatrics of first-year allopathic and osteopathic medical students. J Am Geriatr Soc 2008, 56:339-344.
  • [14]Chua MP, Tan CH, Merchant R, Soiza RL: Attitudes of first-year medical students in Singapore towards older people and willingness to consider a career in geriatric medicine. Ann Acad Med Singapore 2008, 37:947-951.
  • [15]Alford CL, Miles T, Palmer R, Espino D: An introduction to geriatrics for first-year medical students. J Am Geriatr Soc 2001, 49:782-787.
  • [16]Cankurtaran M, Halil M, Ulger Z, Dagli N, Yavuz BB, Karaca B, Ariogul S: Influence of medical education on students' attitudes towards the elderly. J Natl Med Assoc 2006, 98:1518-1522.
  • [17]Morhardt D: Educating medical students on Alzheimer's disease and related disorders: An overview of the Northwestern University Buddy Program. Dementia 2006, 5:448-456.
  • [18]Hill C, Knox S, Thompson B, Williams E, Hess S, Ladany N: Consensual Qualitative Research: An update. J Couns Psychol 2005, 52:196-205.
  • [19]Creswell J: Qualitative inquiry and research design: Choosing among five approaches. 2nd edition. Thousand Oaks: Sage Publications; 2007.
  • [20]Stewart T, Alford C: Introduction: Older adults in medical education–senior mentor programs in U.S. medical schools. Gerontology & Geriatrics Education 2006, 27:3-10.
  • [21]Besdine R, Boult C, Brangman S, Coleman EA, Fried LP, Gerety M, Johnson JC, Katz PR, Potter JF, Reuben DB, et al.: Caring for older Americans: the future of geriatric medicine. J Am Geriatr Soc 2005, 53:S245-S256.
  • [22]Anderson MB: A thematic summary of the geriatrics curricula at 40 U S Medical schools. Acad Med 2004, 79(S2):13-26.
  • [23]Bates T, Cohan M, Bragg DS, Bedinghaus J: The Medical College of Wisconsin Senior Mentor Program: experience of a lifetime. Gerontol Geriatr Educ 2006, 27:93-103.
  • [24]Roberts E, Richeson N, Thornhill JT, Corwin SJ, Eleazer GP: The Senior Mentor Program at the University of South Carolina School of Medicine. Gerontol Geriatr Educ 2006, 27:11-23.
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