An exploration of medical student attitudes towards older persons and frailty during undergraduate training

McCarthy, Fergus; Winter, R.; Levett, Tom

doi:10.1007/s41999-020-00430-y

Cited by 5 publications

(6 citation statements)

References 28 publications

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“…McCarthy (22) menciona que los estudiantes de medicina cambiaron la percepción de positiva a negativa cuando hacían rotaciones prácticas en el departamento de geriatría. Dada la población de estudio, que ejercerá una profesión en constante contacto con individuos en todas las etapas de la vida, este hallazgo es algo que debe considerarse para realizar acciones en donde se modifique dicha actitud ya que ésta puede reflejarse en la atención y el trato inadecuado (3)(4) .…”

Section: Discussionunclassified

Análisis de actitudes y percepciones hacia el envejecimiento en estudiantes de enfermería en Zacatecas, México

Enriquez¹,

Aguirre

Torre³

et al. 2022

SANUS

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Introducción: La actitud es un predictor de la conducta, por tanto, poseer actitudes y percepciones negativas sobre la vejez puede influir en la atención que los jóvenes universitarios brinden al dar un servicio de salud. Objetivo: Analizar por sexo las actitudes y las percepciones hacia el envejecimiento femenino y masculino en estudiantes de un programa de licenciatura en enfermería en Zacatecas, México. Metodología: Diseño descriptivo con comparación según sexo en 262 estudiantes de licenciatura en enfermería de una universidad pública, se consideró a estudiantes adscritos a una asignatura relacionada a la atención del adulto mayor y que dieran su consentimiento para la participación de forma voluntaria. Se aplicó la escala de actitudes hacia el adulto mayor de Kogan y el Cuestionario diferencial semántico de Osgood. Resultados: Los participantes fueron en su mayoría del género femenino con 70.6%, promedio de 21.4 años, DE=2.87. Un 93.9% tenía actitud positiva hacia el adulto mayor. En envejecimiento femenino, las mujeres reflejaron percepciones más negativas que los hombres en las categorías productiva-improductiva, saludable-enfermiza, tolerante-intolerante, eficiente-ineficiente, tratable-intratable, ciudadano activo-no activo, integrado-marginado, confiado-desconfiado y valorado-desvalorado. La convivencia habitual y la capacitación previa representaron diferencia estadística significativa al respecto de la percepción de tolerancia-intolerancia, integración-marginación y resistencia-fragilidad con p<.05. Conclusiones: La mayoría de los estudiantes de enfermería presentaron una actitud positiva hacia el adulto mayor. Al comparar por sexo el tipo de envejecimiento masculino y femenino, algunas percepciones denotaron una apreciación más negativa de parte de las mujeres con respecto a los hombres.

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Section: Discussionunclassified

Análisis de actitudes y percepciones hacia el envejecimiento en estudiantes de enfermería en Zacatecas, México

Enriquez¹,

Aguirre

Torre³

et al. 2022

SANUS

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“…A qualitative study found that fourth year medical students did not recognise frailty as a medical entity or demonstrate an understanding of management principles [8]. Another study of UK medical students found that students consider ageing and frailty as different concepts, with frailty attracting more negative associations [9].…”

Section: Discussionmentioning

confidence: 99%

“…We acknowledge this survey focusses on the UK picture only. The literature surrounding frailty-specific teaching and learning is currently restricted to the UK and Australia [8,9,12]. Owing to the presence of frailty-related learning outcomes in the European Medical Undergraduate Curriculum [23], replicating the survey within Europe would provide a broader picture and share areas of good practice.…”

Section: Discussionmentioning

confidence: 99%

“…There is minimal evidence around medical students' perception and understanding of frailty. Nimmons et al found that medical students do not recognise the concept of frailty [8], whilst Mccarthy et al found that students consider ageing and frailty differently, with frailty attracting more negative associations [9]. A systematic review in postgraduate education found no relevant publications addressed the evidence of educational programmes for frailty prevention and/or frailty management [10].…”

Section: Introductionmentioning

confidence: 99%

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What is meant by “frailty” in undergraduate medical education? A national survey of UK medical schools

et al. 2021

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Purpose All UK medical schools are required to include frailty in their curriculum. The term is open to interpretation and associated with negative perceptions. Understanding and recognising frailty is a prerequisite for consideration of frailty in the treatment decision-making process across clinical specialities. The aim of this survey was to describe how frailty has been interpreted and approached in UK undergraduate medical education and provide examples of educational strategies employed. Methods All UK medical schools were invited to complete an electronic survey. Schools described educational strategies used to teach and assess frailty and provided frailty-related learning outcomes. Learning Outcomes were grouped into categories and mapped to the domains of Outcomes for Graduates (knowledge, skills and values). Results 25/34 Medical schools (74%) participated. The interpretation of what frailty is vary widely and the diversity of teaching strategies reflect this. The most common Learning outcomes included as “Frailty” are about the concept of frailty, Comprehensive Geriatric Assessments and Roles of the MDT. Frailty teaching is predominantly opportunistic and occurred within geriatric medicine rotations in all medical schools. Assessments focus on frailty syndromes such as falls and delirium. Conclusion There is variation regarding how frailty has been interpreted and approached by medical schools. Frailty is represented in an array of teaching and assessment methods, with a lack of constructive alignment to related learning outcomes. Consensus should be agreed as to what frailty means in medical education. Further research is required to explore which frailty-specific educational strategies in undergraduate medical education enhance learning.

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“…Arguably, learning cannot be achieved in this environment where optimal care cannot be modelled, and patient care is frequently compromised. Indeed, student attitudes towards older patients have been shown to deteriorate during clinical placement years [6], but can be improved with positive rolemodelling [7].…”

Section: Lettermentioning

confidence: 99%

How can medical schools help in this crisis of care?

Pearson

Winter

Henderson

2023

BMJ

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An exploration of medical student attitudes towards older persons and frailty during undergraduate training

Cited by 5 publications

References 28 publications

Análisis de actitudes y percepciones hacia el envejecimiento en estudiantes de enfermería en Zacatecas, México

Análisis de actitudes y percepciones hacia el envejecimiento en estudiantes de enfermería en Zacatecas, México

What is meant by “frailty” in undergraduate medical education? A national survey of UK medical schools

How can medical schools help in this crisis of care?

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