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Aile Hekimliği Uzmanlık Öğrencilerinin Yaşlı Sağlığı Rotasyonu İle İlgili Düşünceleri: Niteliksel Çalışma

Year 2023, Volume: 6 Issue: 1, 108 - 116, 30.04.2023
https://doi.org/10.36516/jocass.1260126

Abstract

Giriş: Yaşlı nüfusun artmasıyla birlikte, yaşlı bakımı; aile hekimlerinin günlük pratiğinde daha da önem kazanmaktadır. İleri yaşa sahip bireylerin ihtiyaçları iyi bilinmeli, uygun şekilde değerlendirilmeli ve yönetilmelidir. Aile hekimliği asistanlığı sırasında “yaşlı sağlığı” eğitimi Türkiye'de gelişen bir konudur ve bir X Hastanesinde asistanlar için bir rotasyon planlanmaktadır. Çalışmamızda, asistanların yaşlı sağlığı rotasyonu ile ilgili görüşleri ortaya çıkarılarak konu ile ilgili geliştirilebilecek yönlerin belirlenmesini amaçlamıştır.
Yöntemler: Niteliksel çalışmaya rotasyonu olan ilk 12 asistan dahil edildi. Yarı yapılandırılmış derinlemesine görüşmeler ve betimsel analiz yapılmıştır.
Bulgular : Aile hekimliği asistanlarının büyüyen ve genellikle karmaşık bir yaşlı yetişkin grubuna sağlık yaklaşımı, uzmanlık eğitimi sırasında edinilmesi gereken bir beceridir. Aile hekimliği asistanlarının bu rotasyona ilişkin görüşleri ortaya konuldu. Ana temalar şunlardır: 1) yaşlı sağlığı rotasyonunda eğitim sürecindeki fırsatlar, 2) eğitim sürecinde yaşanan zorluklar ve kısıtlamalar, 3) eğitim sürecine ilişkin öneriler, 4) öğretici özellikleri ve 5) eğitimin içeriği ve yapılanması.
Sonuç: Aile hekimliği asistanlığında disiplinler arası işbirliği ile ileri yaş bireylerin sağlık gereksinimleri konusunda asistanlara yönelik etkin eğitim programları, yaşam kalitelerinin artırılmasına büyük katkı sağlayacaktır.

References

  • 1. Miller KE, Zylstra RG, Standridge JB. The geriatric patient: a systematic approach to maintaining health. Am Fam Physician. 2000;61(4):1089-104.
  • 2. Williams BC, Warshaw G, Fabiny AR, et al. Medicine in the 21st century: recommended essential geriatrics competencies for internal medicine and family medicine residents. J Grad Med Educ. 2010;2(3):373-83. https://doi.org/10.4300/JGME-D-10-00065.1
  • 3. Training general practitioners in geriatric medicine. From the British Geriatrics Society and the Royal College of General Practitioners. J R Coll Gen Pract. 1978;28(191):355-9. Accessed July 18, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2158845/
  • 4. Samra R, Cox T, Gordon AL, et al. Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review. Age Ageing. 2017;46(6):911-9. https://doi.org/10.1093/ageing/afx058
  • 5. Steinweg KK. Embracing the ecology of geriatrics to improve family medicine education. Fam Med. 2008;40(10):715-20.
  • 6. Warshaw GA, Murphy JB, Kahn NB, et al. Geriatric medicine curriculum consultations for family practice residency programs: american academy of family physicians residency assistance program/hartford geriatrics initiative. J Am Geriatr Soc. 2003;51(6):858-62. https://doi.org/10.1046/j.1365-2389.2003.51270.x
  • 7. Gazewood JD, Vanderhoff B, Ackermann R, et al. Geriatrics in family practice residency education: an unmet challenge. Fam Med. 2003;35(1):30-4.
  • 8. Bragg EJ, Warshaw GA, Arenson C, et al. A national survey of family medicine residency education in geriatric medicine: comparing findings in 2004 to 2001. Fam Med. 2006;38(4):258-64.
  • 9. Blackwelder RS, Hortman M, Leberknight D, Bragg S. Creating a Geriatrics Curriculum in a Continuing Care Retirement Community. PRiMER. 2018;2:6. https://doi.org/10.22454/PRiMER.2018.788040
  • 10. T.C. Sağlık Bakanlığı 2021 Yılı Faaliyet Raporu Accessed July 12, 2022. https://sgb.saglik.gov.tr/TR-87502/tc-saglik-bakanligi-2021-yili-faaliyet-raporu-yayinlanmistir.html
  • 11. ailehekimligi mufredatı Accessed July 12, 2022. https://tuk.saglik.gov.tr/Eklenti/34104/0/ailehekimligimufredatv24pdf.pdf
  • 12. Weiss BD. Geriatrics: in our residents’ future whether they know it and like it or not. Fam Med. 2008;40(10):741-3.
  • 13. Bucholtz J. AAFP Reprint No 264 Recommended Curriculum Guidelines for Family Medicine Residents Care of Older Adults. 2011:9. https://www.aafp.org/dam/AAFP/documents/medical_education_residency/program_directors/Reprint264_Older.pdf
  • 14. Raji MA. Geriatrics in primary care residency training. Virtual Mentor. 2008;10(6):375-8. https://doi.org/10.1001/virtualmentor.2008.10.6.medu1-0806

Thoughts of Family Medicine Residents in Elderly Health Rotation: A Qualitative Research

Year 2023, Volume: 6 Issue: 1, 108 - 116, 30.04.2023
https://doi.org/10.36516/jocass.1260126

Abstract

Aim: The care of the elderly becomes more important in the daily practice of family physicians as the elderly population increases. Their needs should be well known, properly assessed, and managed. “Elderly health” training during residency is a rising issue in Turkey, and a rotation is planned for residents in a Dokuz Eylül University Hospital.
By revealing the residents' opinions regarding the elderly health rotation, our study aimed to identify the areas that could be improved.
Methods: The qualitative study included the first 12 residents who had the elderly health rotation. Semi-structured in-depth interviews and descriptive analysis were performed.
Results: The healthcare approach of family medicine residents to a growing and often complex group of older adults is a skill that must be acquired during residency training. The views of family medicine residents about this rotation were revealed. Main themes include the following: 1) opportunities in the educational process in the elderly health rotation, 2) challenges and constraints experienced in the educational process, 3) recommendations regarding the educational process, 4) tutorial characteristics, and 5) content and structuring of education.
Conclusions: Efficient training programs for residents about the elderly’s health needs in family medicine residency with interdisciplinary collaboration will make great contributions to improve their quality of life. Further studies are necessary for residents’ perceptions and demands.

References

  • 1. Miller KE, Zylstra RG, Standridge JB. The geriatric patient: a systematic approach to maintaining health. Am Fam Physician. 2000;61(4):1089-104.
  • 2. Williams BC, Warshaw G, Fabiny AR, et al. Medicine in the 21st century: recommended essential geriatrics competencies for internal medicine and family medicine residents. J Grad Med Educ. 2010;2(3):373-83. https://doi.org/10.4300/JGME-D-10-00065.1
  • 3. Training general practitioners in geriatric medicine. From the British Geriatrics Society and the Royal College of General Practitioners. J R Coll Gen Pract. 1978;28(191):355-9. Accessed July 18, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2158845/
  • 4. Samra R, Cox T, Gordon AL, et al. Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review. Age Ageing. 2017;46(6):911-9. https://doi.org/10.1093/ageing/afx058
  • 5. Steinweg KK. Embracing the ecology of geriatrics to improve family medicine education. Fam Med. 2008;40(10):715-20.
  • 6. Warshaw GA, Murphy JB, Kahn NB, et al. Geriatric medicine curriculum consultations for family practice residency programs: american academy of family physicians residency assistance program/hartford geriatrics initiative. J Am Geriatr Soc. 2003;51(6):858-62. https://doi.org/10.1046/j.1365-2389.2003.51270.x
  • 7. Gazewood JD, Vanderhoff B, Ackermann R, et al. Geriatrics in family practice residency education: an unmet challenge. Fam Med. 2003;35(1):30-4.
  • 8. Bragg EJ, Warshaw GA, Arenson C, et al. A national survey of family medicine residency education in geriatric medicine: comparing findings in 2004 to 2001. Fam Med. 2006;38(4):258-64.
  • 9. Blackwelder RS, Hortman M, Leberknight D, Bragg S. Creating a Geriatrics Curriculum in a Continuing Care Retirement Community. PRiMER. 2018;2:6. https://doi.org/10.22454/PRiMER.2018.788040
  • 10. T.C. Sağlık Bakanlığı 2021 Yılı Faaliyet Raporu Accessed July 12, 2022. https://sgb.saglik.gov.tr/TR-87502/tc-saglik-bakanligi-2021-yili-faaliyet-raporu-yayinlanmistir.html
  • 11. ailehekimligi mufredatı Accessed July 12, 2022. https://tuk.saglik.gov.tr/Eklenti/34104/0/ailehekimligimufredatv24pdf.pdf
  • 12. Weiss BD. Geriatrics: in our residents’ future whether they know it and like it or not. Fam Med. 2008;40(10):741-3.
  • 13. Bucholtz J. AAFP Reprint No 264 Recommended Curriculum Guidelines for Family Medicine Residents Care of Older Adults. 2011:9. https://www.aafp.org/dam/AAFP/documents/medical_education_residency/program_directors/Reprint264_Older.pdf
  • 14. Raji MA. Geriatrics in primary care residency training. Virtual Mentor. 2008;10(6):375-8. https://doi.org/10.1001/virtualmentor.2008.10.6.medu1-0806
There are 14 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Articles
Authors

Olgu Aygün 0000-0002-9767-011X

Nilgün Özçakar 0000-0003-0434-214X

Publication Date April 30, 2023
Acceptance Date March 17, 2023
Published in Issue Year 2023 Volume: 6 Issue: 1

Cite

APA Aygün, O., & Özçakar, N. (2023). Thoughts of Family Medicine Residents in Elderly Health Rotation: A Qualitative Research. Journal of Cukurova Anesthesia and Surgical Sciences, 6(1), 108-116. https://doi.org/10.36516/jocass.1260126

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