论文部分内容阅读
背景和目的美国老年人的医疗面临着前所未有的挑战,即缺乏能提供老年医疗和教学的老年病学专家,此问题在非大都市的社区中非常突出。密西根州东南部开展了老年病学家和老年病科联谊(GF)项目,提出培训场所的人口特征可以影响人们职业生涯的定向选择。密西根大学开展的项目将确定建立家庭医学住院医生网络能否推进非大都市社区GF项目的完成、新成员的添补及吸引毕业生在附近地区开业和教学。方法小组成员(科室主管、GF项目网络主任、培训基地项目主任和教育专家)完成了参试单位必要的预评估,推动GF项目间的合作,协助完成新项目的实施、利用分享指导性资源及评估工具指导课程的开展。为成员提供职业生涯咨询。结果共有2个GF项目合格且被认同。经持续合作完成了GF课程的编写,组织观察结构临床评估委员会及项目主管每月通过电话会议共享信息。培训后,已有毕业生选择在密西根或其他缺乏老年病专家服务的地区从业。结论所研发的GF项目早期经验表明,社区住院医生新联谊会的创建,有利于竞争招募和培训同行选择在最需要的地区从业。创建更多的非大都市GF项目是稳定和重新分布老年病学家的有效措施。
Background and Objectives The health care of the elderly in the United States is facing unprecedented challenges, namely, the lack of geriatricians who provide geriatrics and teaching, a problem that is prominent in non-metropolitan communities. The Gerontologist and Geriatric Association (GF) project was conducted in southeastern Michigan and proposed that demographic traits of training venues may influence the choice of career path. The University of Michigan project will determine whether the establishment of a network of family medicine resident doctors will facilitate the completion of GF projects in non-metropolitan communities, the addition of new members and attract graduates to open and teach in nearby areas. Method team members (department heads, GF project network director, training base project director and education experts) completed the necessary pre-assessment of the participating units, promoted cooperation among GF projects, assisted in the implementation of new projects, utilized the sharing of guidance resources and Assessment tools guide the course. Provide career counseling to members. Results A total of 2 GF projects qualified and accepted. The GF program was completed through ongoing collaboration and the organization’s clinical evaluation committee and project manager shared the information monthly via teleconference. After the training, graduates have opted to practice in Michigan or other areas lacking the services of geriatricians. Conclusions The early experience with the GF program developed shows that the creation of a new fraternity for community resident physicians is conducive to competitive recruitment and training of fellow practitioners in the areas most in need. Creating more non-metropolitan GF projects is an effective measure to stabilize and redistribute geriatricians.