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Geriatric medicine and old age psychiatry joint training pre-feasibility pilot study: an innovative approach to collaborative postgraduate training

机译:老年医学和老年精神病学联合培训预可行性试验研究:协作式研究生培训的创新方法

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Physical and psychological health problems are prevalent in older adults and rarely exist in isolation. Treating these problems in isolation is resourceful and can be potentially harmful to patients due to delays in diagnosis and treatment and incomplete holistic care plans. Historically, trainees in geriatric medicine and old age psychiatry within the United Kingdom have completed very different training programmes. We undertook a pre-feasibility pilot study of collaborative postgraduate training between trainees in geriatric medicine and old age psychiatry within the West Midlands training region, United Kingdom. Trainees in each specialty were paired with each other and advised to arrange appropriate training opportunities for their counterpart; these included shadowing each other in their workplace and arranging opportunities to attend training opportunities with their consultants. Pre- and post-pilot surveys were completed by all trainees and reflections from trainees were collated. Five trainee pairs were formed and arranged shadowing and training opportunities between October 2017 and May 2018. This included a combination of inpatient, outpatient, and community work. For both specialties, trainees’ confidence in topics relating to their counterparts’ specialty increased between the pre- and post-pilot surveys. Recurrent themes included within reflections included the benefits of collaborative training. Our pilot has demonstrated that it is feasible to implement a programme of joint training into postgraduate medical training, and that this can have a positive impact upon the confidence of both specialties. An extended pilot is planned for the training year 2018–2019.
机译:身体和心理健康问题普遍存在于老年人中,很少单独存在。孤立地解决这些问题是足智多谋的,并且可能由于诊断和治疗的延迟以及不完整的整体护理计划而对患者造成潜在的危害。从历史上看,英国的老年医学和老年精神病学的学员完成了非常不同的培训课程。我们对联合王国西米德兰兹训练地区的老年医学和老年精神病学的受训者之间进行的合作式研究生培训进行了预可行性研究。每个专业的受训人员都配对在一起,并建议为他们的对口安排适当的培训机会;其中包括在工作场所互相遮蔽,并安排机会与顾问一起参加培训机会。所有受训人员均完成了试点前后的调查,并整理了受训人员的意见。在2017年10月至2018年5月期间,形成了五对受训人员,并安排了阴影和培训机会。这包括住院,门诊和社区工作的结合。对于这两个专业,在试点之前和之后的调查之间,受训人员对与对方专业相关的主题的信心都得到了提高。反思中包含的经常性主题包括协作培训的好处。我们的飞行员已经证明将联合培训计划纳入研究生医学培训是可行的,并且这可以对两个专业的信心产生积极影响。计划在2018-2019培训年度扩展飞行员。

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