New horizons in geriatric medicine education and training: The need for pan-European education and training standards

Fisher, James; Masud, Tahir; Holm, Ellen; Roller‐Wirnsberger, Regina; Stuck, Andreas E.; Gordon, Adam L; Blain, Hubert; Knight, Paul; Frühwald, Thomas; Pétermans, Jean; Nuotio, Maria; Ihle‐Hansen, Hege; Blundell, Adrian; Bakó, G; Burns, Eileen; Davidović, Mladen; Jónsdóttir, Anna Björg; Kolk, Helgi; Krulder, J.W.M.; Lambert, Margareta; Maggi, Stefania; Martínez‐Velilla, Nicolás; Pinter, Georg; Singler, Katrin; Thompson, Sanja; Noortgate, Nele Van Den; Vassallo, Michael; Veninšek, Gregor

doi:10.1016/j.eurger.2017.07.022

Cited by 23 publications

(13 citation statements)

References 52 publications

(57 reference statements)

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“…This observation is also in context with a publication recently launched by an expert group of geriatricians [ 23 ]. In this paper, geriatricians from across Europe outline the role and competences needed from medical doctors in older care in different care settings.…”

Section: Discussionsupporting

confidence: 73%

Educational strategies to train health care professionals across the education continuum on the process of frailty prevention and frailty management: a systematic review

Windhaber

Koula²,

Ntzani

et al. 2018

Aging Clin Exp Res

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BackgroundIn addition to the normal process of ageing, frailty, defined as a geriatric syndrome, is becoming more prevalent. Around 10% of people over 65 years and 25–50% of those aged over 85 years are frail. Frail elderly are more vulnerable to external stressors and have an increased risk of adverse health outcomes. To tackle these challenges, European Union (EU) member states need to develop a health work force capable of the right skills mix. A goal-centred education and training of professionals is crucial for effective and efficient health care delivery for Europe’s greying population.AimsThe aim of this study was to systematically collect, review and critically appraise studies carried out to investigate the efficacy and effectiveness of comprehensive educational programmes for health professionals related to frailty prevention and/or frailty management.MethodsA systematic review was carried out searching the databases PubMed, CINAHL, Cochrane CENTRAL, Medline, Up to date and Embase. Additionally, a manual search of the reference lists and searches via Google Scholar and greylit.org was done.ResultsNo relevant publications addressing the evidence and sustainability of educational/training programmes for frailty prevention and/or frailty management were identified.DiscussionThe result of an empty review is surprising because several educational programmes in different countries are currently run.ConclusionsA significant knowledge gap exists in the scientific literature regarding education and training of health care workers regarding prevention and management of frailty. Further research is needed to identify effective educational strategies for health professionals to prevent and manage frailty.

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Section: Discussionsupporting

confidence: 73%

Educational strategies to train health care professionals across the education continuum on the process of frailty prevention and frailty management: a systematic review

Windhaber

Koula²,

Ntzani

et al. 2018

Aging Clin Exp Res

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“…The non-existence of a formal medical speciality in Geriatrics, like in Portugal, is a common scenario across many countries [ 26 ], making it difficult to widely apply CGA routinely, due to the lack of awareness and training to this kind of evaluation. There are only three medical centres in Portugal where CGA is performed by a multidisciplinary team (nutritionist, medical doctor and pharmacist).…”

Section: Introductionmentioning

confidence: 99%

Geriatric Helper: An mHealth Application to Support Comprehensive Geriatric Assessment

Silva

Felgueiras

Oliveira

2018

Sensors

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The Comprehensive Geriatric Assessment (CGA) is a multidisciplinary diagnosis approach that considers several dimensions of fragility in older adults to develop an individualized plan to improve their overall health. Despite the evidence of its positive impact, CGA is still applied by a reduced number of professionals in geriatric care in many countries, mostly using a paper-based approach. In this context, we collaborate with clinicians to bring CGA to the attention of more healthcare professionals and to enable its easier application in clinical settings by proposing a mobile application, Geriatric Helper, to act as a pocket guide that is easy to update remotely with up-to-date information, and that acts as a tool for conducting CGA. This approach reduces the time spent on retrieving the scales documentation, the overhead of calculating the results, and works as a source of information for non-specialists. Geriatric Helper is a tool for the health professionals developed considering an iterative, User-Centred Design approach, with extensive contributions from a broad set of users including domain experts, resulting in a highly usable and accepted system. Geriatric Helper is currently being tested in Portuguese healthcare units allowing for any clinician to apply the otherwise experts-limited geriatric assessment.

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“…Due to the high heterogeneity of the answers about both amount and content of (mal)nutrition education in the current survey, it is of high importance to develop European standards in the field of nutrition education. There are ongoing efforts to standardize education and training in geriatric medicine [29]. To include education about malnutrition in older adults as part of geriatric education can be one possibility to increase the quality of nutrition education.…”

Section: Discussionmentioning

confidence: 99%

Nutrition education on malnutrition in older adults in European medical schools: need for improvement?

et al. 2019

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Purpose Malnutrition is a condition which is highly prevalent, especially in older persons. Physicians play an important role in multidisciplinary nutritional management, but often feel inadequately prepared to provide nutritional information/therapy to their patients. The aim of this study was to gather information on curricular content on malnutrition in older persons in basic study programs for medical doctors. Methods We selected a cross-sectional study design and used a Web-based online survey. We emailed the Web link to those persons responsible for curriculum development at 310 medical schools in 31 European countries. Results A total of 26 (8.4%) medical schools in 12 European countries completed the questionnaire. The topic of malnutrition in older adults was included as part of the medical students' curricula at 50.0% (13 out of 26) of the participating institutions. Most commonly topics taught in the institutions were causes of malnutrition (13, 50%), assessment of malnutrition (13, 50%) and consequences of malnutrition (12, 46.2%). The topic of malnutrition screening was addressed in nine (35%) of the institutions. Conclusions Based on our results, we strongly recommend including the topic of malnutrition in older adults in the undergraduate curricula of medical students in Europe. A special focus should be placed on multidisciplinary cooperation. Integrative teaching that targets all professional groups could be one option. Initiatives need to be carried out to create a higher level of awareness and promote improvements in nutrition education for medical doctors.

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New horizons in geriatric medicine education and training: The need for pan-European education and training standards

Cited by 23 publications

References 52 publications

Educational strategies to train health care professionals across the education continuum on the process of frailty prevention and frailty management: a systematic review

Educational strategies to train health care professionals across the education continuum on the process of frailty prevention and frailty management: a systematic review

Geriatric Helper: An mHealth Application to Support Comprehensive Geriatric Assessment

Nutrition education on malnutrition in older adults in European medical schools: need for improvement?

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