ABSTRACT

Background

Older adults with functional impairment are cared for by physiatrists in rehabilitation, but physiatrist training in geriatric-related competencies remains suboptimal. To develop a geriatric rehabilitation (GR) curriculum and explore opportunities for improvement, a needs assessment of stakeholders was conducted to understand physical medicine and rehabilitation (PMR) residents’ comfort levels and learning needs in geriatrics.

Methods

A mixed-methods design was employed. PMR residents (n = 18) and practicing physiatrists (n = 40) completed a questionnaire; and PMR residents, physiatrists and key informants (n = 9; n = 4; n = 6) participated in focus groups and semi-structured interviews to explore geriatric experiences of trainees and educational needs in geriatrics and rehabilitation. Data were qualitatively analyzed using constructivist-grounded theory.

Results

Residents and physiatrists highlighted similar topics as areas of low comfort in knowledge. Interviews prioritized critical geriatric topics (gait assessment, falls, cognitive impairment, movement disorders, and polypharmacy) and highlighted disposition planning and end-of-life care as areas needing further curriculum support. Challenges in delivering geriatric education were also identified.

Conclusion

What emerged from the needs assessment was a series of critical geriatric educational priorities for the development of a GR curriculum for physiatry trainees – arising at an opportune time given the shift toward competency-based residency education.

中文翻译：

---

评估物理医学和康复住院医师的学习需求，制定老年医学和康复课程

摘要

背景

有功能障碍的老年人在康复过程中由理疗师照顾，但理疗师在老年相关能力方面的培训仍然不够理想。为了开发老年康复 (GR) 课程并探索改进机会，对利益相关者进行了需求评估，以了解物理医学和康复 (PMR) 居民的舒适度和老年医学学习需求。

方法

采用了混合方法设计。PMR 住院医师 (n = 18) 和执业理疗师 (n = 40) 完成了问卷调查；和 PMR 住院医师、理疗师和关键知情人（n = 9；n = 4；n = 6）参加了焦点小组和半结构化访谈，以探索受训者的老年病经验以及老年病学和康复方面的教育需求。使用基于建构主义的理论对数据进行定性分析。

结果

居民和理疗师强调了类似的主题，即知识舒适度较低的领域。访谈优先考虑了关键的老年病学主题（步态评估、跌倒、认知障碍、运动障碍和多药治疗），并强调处置规划和临终关怀是需要进一步课程支持的领域。还确定了提供老年教育的挑战。

结论

从需求评估中得出了一系列关键的老年教育优先事项，用于为物理学学员开发 GR 课程——鉴于向基于能力的住院医师教育的转变，这是在适当的时候出现的。