Improving the care of older people by family physicians in Poland
Journal Title: New Medicine - Year 2013, Vol 17, Issue 1
Abstract
<b>Introduction. </b>Polish society has been aging rapidly. The percentage of citizens aged ≥ 65 years will increase to 17.2% in 2025. The current undergraduate and postgraduate training in geriatrics is not sufficient. The project objectives were to provide general practitioners (GPs) with the necessary knowledge.<br><b>Material and methods.</b> A group of GPs was trained in important geriatric problems management during a one-year course funded by a grant from the Merck Institute of Aging & Health; The course covered: data concerning community-dwelling and institutionalized elderly, morbidity, mortality, the most important elements of comprehensive geriatric assessment. The program included 5lecture (general knowledge)-, 8seminar (problem-based approach to the topic)- and 16workshop days (case studies). At the beginning and at the end of the course trainees completed tests regarding geriatrics knowledge.<br><b>Results. </b>Evaluation of the educational modules was performed (0-5 scale). Assessment included scientific value (SV), practical value (PV), presentation techniques (PT), global evaluation (GE). SV was highest for seminars (4.98 ± 0.02) (mean ± standard error), lower for workshops (4.62 ± 0.05), the lowest for lectures (4.47 ± 0.04). PV was better for seminars (4.88 ± 0.05) and workshops(4.60 ± 0.06) than for lectures (4.39 ± 0.04). PT were higher for seminars (4.84 ± 0.09) and workshops (4.57 ± 0.05) than lectures (4.25 ± 0.04). GE was highest for seminars (4.92 ± 0.04), the lowest for lectures (4.42 ± 0.04). Mean result of the follow-up test (12.54 ± 0.48 correct answers) was significantly higher (P < 0.001) in comparison with the baseline test (11.0 ± 0.37).<br><b>Conclusions.</b> The program was effective in improving the GPs knowledge on essential issues of geriatrics. Providing interactive methods is crucial for an efficacious GPs education in geriatrics.
Authors and Affiliations
Małgorzata Koziarska-Rościszewska, Tomasz Kostka
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