諸外国における卒前老年医学教育
目的：超高齢社会を迎えた我が国において，高齢者医療の果たす役割はこれまで以上に重要になっている．より良い高齢者医療を国民に提供するには医学部生ならびに若い医師への老年医学の教育は必須である．方法：本論文においては，日本老年医学会教育委員会が，インターネットにて諸外国の医学部における老年医学の卒前教育について情報を収集，解析し，日本の状況と比較検討を行った．結果：老年医学教育を医学部の必修科目としているの国は調査した国々の65%であり，英国，ドイツ，オーストリア，デンマーク，フィンランド，スウェーデン，オランダ，スペイン，カナダ，ニュージーランド等のこれまで福祉先進国と言われる国々で充実した卒前...
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| Published in | 日本老年医学会雑誌 Vol. 58; no. 4; pp. 570 - 578 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本老年医学会
25.10.2021
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0300-9173 |
| DOI | 10.3143/geriatrics.58.570 |
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| Abstract | 目的：超高齢社会を迎えた我が国において，高齢者医療の果たす役割はこれまで以上に重要になっている．より良い高齢者医療を国民に提供するには医学部生ならびに若い医師への老年医学の教育は必須である．方法：本論文においては，日本老年医学会教育委員会が，インターネットにて諸外国の医学部における老年医学の卒前教育について情報を収集，解析し，日本の状況と比較検討を行った．結果：老年医学教育を医学部の必修科目としているの国は調査した国々の65%であり，英国，ドイツ，オーストリア，デンマーク，フィンランド，スウェーデン，オランダ，スペイン，カナダ，ニュージーランド等のこれまで福祉先進国と言われる国々で充実した卒前老年医学教育が行われていた．また多くの国々において，教育にあたるスタッフ数や時間の少なさが問題点として挙げられていた．結論：老年医学の教育は多くの国々においてその重要性が叫ばれているが，満足の得られる状況にある国は少なく，現在より良いものにしていこうとする“奮闘”が世界各国で続いていると思われる． |
|---|---|
| AbstractList | 目的：超高齢社会を迎えた我が国において，高齢者医療の果たす役割はこれまで以上に重要になっている．より良い高齢者医療を国民に提供するには医学部生ならびに若い医師への老年医学の教育は必須である．方法：本論文においては，日本老年医学会教育委員会が，インターネットにて諸外国の医学部における老年医学の卒前教育について情報を収集，解析し，日本の状況と比較検討を行った．結果：老年医学教育を医学部の必修科目としているの国は調査した国々の65%であり，英国，ドイツ，オーストリア，デンマーク，フィンランド，スウェーデン，オランダ，スペイン，カナダ，ニュージーランド等のこれまで福祉先進国と言われる国々で充実した卒前老年医学教育が行われていた．また多くの国々において，教育にあたるスタッフ数や時間の少なさが問題点として挙げられていた．結論：老年医学の教育は多くの国々においてその重要性が叫ばれているが，満足の得られる状況にある国は少なく，現在より良いものにしていこうとする“奮闘”が世界各国で続いていると思われる． |
| Author | 古川, 勝敏 葛谷, 雅文 荒井, 啓行 石川, 崇広 金子, 英司 石木, 愛子 大西, 丈二 宮澤, イザベル |
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| References | 23) Masud T, Blundell A, Gordon AL, Mulpeter K, Roller R, Singler K, et al.: European undergraduate curriculum in geriatric medicine developed using an international modified Delphi technique. Age Ageing 2014; 43: 695-702. 11) Hastie IR, Duursma SA: Geriatric medicine in the European Union: unification of diversity. Aging Clin Exp Res 2003; 15: 347-351. 29) Woo J: Geriatrics in Asia, In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology, Fillit HM, Rockwood K (eds), Elsevier, Amsterdam, 2016, p1011-1016. 26) Michel JP, Cha HB: Filling the Geriatric Education Gap Around the World. J Am Med Dir Assoc 2015; 16: 1010-1013. 10) Warshaw GA, Bragg EJ, Shaull RW, Lindsell CJ: Academic geriatric programs in US allopathic and osteopathic medical schools. JAMA 2002; 288: 2313-2319. 28) Hogan DB: Geriatric medicine in North America, In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology, Fillit HM, Rockwood K (eds), Elsevier, Amsterdam, 2016, p1005-1010. 7) Griner PF, Danoff D: Sustaining change in medical education. JAMA 2000; 10: 2429-2431. 12) Eleazer GP, Doshi R, Wieland D, Boland R, Hirth VA: Geriatric content in medical school curricula: results of a national survey. J Am Geriatr Soc 2005; 53: 136-140. 20) Singler K, Sieber CC, Biber R, Roller RE: Considerations for the development of an undergraduate curriculum in geriatric medicine. Gerontology 2013; 59: 385-391. 17) Kolb G, Andersen-Ranberg K, Cruz-Jentoft A, O'neill D, Topinkova E, Michel JP: Geriatric care in Europe - the EUGMS survey part I: Belgium, Czech Republic, Denmark, Germany, Ireland, Spain, Switzherland, United Kingdom. Eur Geriatr Med 2011; 2: 290-295. 6) The Education Committee Writing Group of the American Geriatrics Society: Core competencies for the care of older patients: recommendations of the American Geriatrics Society. Acad Med 2000; 75: 252-255. 25) Roller RE: Education and training in geriatrics in the 21st century - where do we come from - where do we go? Eur Geriatr Med 2015; 6: 205-207. 2) Kaneko E, Abe Y, Kawakami A, Shimokado E: The importance of geriatric departments for the education of geriatrics at medical schools in Japan. J Am Geriatr Soc 2010; 58: S38-39. 4) Moher D, Liberati A, Tetzlaff J, Altman DG: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PRISMA Group. BMJ 2009; 339: b2535. 27) Crome P, Pleming J: Geriatric medicine in Europe, In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology, Fillit HM, Rockwood K (eds), Elsevier, Amsterdam, 2016, p994-1004. 3) Kaneko E, Abe Y, Shimokado K, Nara N: Education of geriatrics at medical schools in Japan. The association for Medical Education in Europe 2015. 13) Bartram L, Crome P, McGrath A, Oliver J, Corrado OJ, Allen SC, et al.: Survey of training in geriatric medicine in UK undergraduate medical schools. Age Ageing 2006; 35: 533-535. 8) Hasan M: Undergraduate education in geriatric medicine. Rev Clin Gerontol 2001; 11: 195-298. 9) Keller I, Kalache A, Makipaa A, Kalenscher T, Schneider N, Monaco T, et al.: Global Survey on Geriatrics in the Medical Curriculum, World Health Organization, Geneva, 2002. 22) Gordon AL, Blundell A, Dhesi JK, Forrester-Paton C, Forrester-Paton J, Mitchell JH: UK medical teaching about ageing is improving but there is still work to be done: the Second National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine. Age Ageing 2014; 43: 293-297. 1) 大内尉義: 老年医学教育の過去・現在・未来. 日本老年医学会雑誌 2000; 47: 571-572. 5) Matsuse T, Ozawa T, Orimo H, Fukuchi Y, Ouchi Y, Iriki M: The difference between Japan and other countries, in particular the United Kingdom, in views regarding the teaching of geriatrics to undergraduate medical students. Med Educ 1999; 33: 140-144. 30) Gomez F, Curcio C-L: Geriatrics in Laten America, In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology, Fillit HM, Rockwood K (eds), Elsevier, Amsterdam, 2016, p1017-1022. 19) Sletvold O, Boelarts L, Mulpeter K, Masud T, Singler K, Stuck A: Revision of undergraduate curriculum in geriatric medicine (EUMS-GMS). Eur Geriatr Med 2012; 3 (Suppl. 1): 94. 14) Michel JP, Huber P, Cruz-Jentoft AJ: Europe-wide survey of teaching in geriatric medicine. J Am Geriatr Soc 2008; 56: 1536-1542. 21) Tersmette W, van Bodegom D, van Heemst D, Stott D, Westendorp R: Gerontology and geriatrics in Dutch medical education. Neth J Med 2013; 71: 331-337. 16) Gordon JE: Updated survey of the geriatrics content of canadian undergraduate and postgraduate medical curricula. Can Geriatr J 2011; 14: 34-39. 15) Leipzig RM, Granville L, Simpson D, Anderson MB, Sauvigné K, Soriano RP: Keeping granny safe on July 1: a consensus on minimum geriatrics competencies for graduating medical students. Acad Med 2009; 84: 604-610. 18) Mateos-Nozal J, Beard J: Global approaches to geriatrics in medical education. Eur Geriatr Med 2011; 2: 87-92. 31) Gordon AM, Hubbard R: Education in geriatric medicine, In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology, Fillit HM, Rockwood K (eds), Elsevier, Amsterdam, 2016, p1034-1039. 24) Mateos-Nozal J, Cruz-Jentoft AJ, Ribera Casado JM: A systematic review of surveys on undergraduate teaching of Geriatrics in medical schools in the XXI century. Eur Geriatr Med 2014; 5: 119-124. |
| References_xml | – reference: 23) Masud T, Blundell A, Gordon AL, Mulpeter K, Roller R, Singler K, et al.: European undergraduate curriculum in geriatric medicine developed using an international modified Delphi technique. Age Ageing 2014; 43: 695-702. – reference: 28) Hogan DB: Geriatric medicine in North America, In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology, Fillit HM, Rockwood K (eds), Elsevier, Amsterdam, 2016, p1005-1010. – reference: 31) Gordon AM, Hubbard R: Education in geriatric medicine, In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology, Fillit HM, Rockwood K (eds), Elsevier, Amsterdam, 2016, p1034-1039. – reference: 25) Roller RE: Education and training in geriatrics in the 21st century - where do we come from - where do we go? Eur Geriatr Med 2015; 6: 205-207. – reference: 15) Leipzig RM, Granville L, Simpson D, Anderson MB, Sauvigné K, Soriano RP: Keeping granny safe on July 1: a consensus on minimum geriatrics competencies for graduating medical students. Acad Med 2009; 84: 604-610. – reference: 13) Bartram L, Crome P, McGrath A, Oliver J, Corrado OJ, Allen SC, et al.: Survey of training in geriatric medicine in UK undergraduate medical schools. Age Ageing 2006; 35: 533-535. – reference: 5) Matsuse T, Ozawa T, Orimo H, Fukuchi Y, Ouchi Y, Iriki M: The difference between Japan and other countries, in particular the United Kingdom, in views regarding the teaching of geriatrics to undergraduate medical students. Med Educ 1999; 33: 140-144. – reference: 27) Crome P, Pleming J: Geriatric medicine in Europe, In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology, Fillit HM, Rockwood K (eds), Elsevier, Amsterdam, 2016, p994-1004. – reference: 30) Gomez F, Curcio C-L: Geriatrics in Laten America, In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology, Fillit HM, Rockwood K (eds), Elsevier, Amsterdam, 2016, p1017-1022. – reference: 10) Warshaw GA, Bragg EJ, Shaull RW, Lindsell CJ: Academic geriatric programs in US allopathic and osteopathic medical schools. JAMA 2002; 288: 2313-2319. – reference: 29) Woo J: Geriatrics in Asia, In: Brocklehurst's Textbook of Geriatric Medicine and Gerontology, Fillit HM, Rockwood K (eds), Elsevier, Amsterdam, 2016, p1011-1016. – reference: 8) Hasan M: Undergraduate education in geriatric medicine. Rev Clin Gerontol 2001; 11: 195-298. – reference: 2) Kaneko E, Abe Y, Kawakami A, Shimokado E: The importance of geriatric departments for the education of geriatrics at medical schools in Japan. J Am Geriatr Soc 2010; 58: S38-39. – reference: 7) Griner PF, Danoff D: Sustaining change in medical education. JAMA 2000; 10: 2429-2431. – reference: 6) The Education Committee Writing Group of the American Geriatrics Society: Core competencies for the care of older patients: recommendations of the American Geriatrics Society. Acad Med 2000; 75: 252-255. – reference: 18) Mateos-Nozal J, Beard J: Global approaches to geriatrics in medical education. Eur Geriatr Med 2011; 2: 87-92. – reference: 20) Singler K, Sieber CC, Biber R, Roller RE: Considerations for the development of an undergraduate curriculum in geriatric medicine. Gerontology 2013; 59: 385-391. – reference: 16) Gordon JE: Updated survey of the geriatrics content of canadian undergraduate and postgraduate medical curricula. Can Geriatr J 2011; 14: 34-39. – reference: 11) Hastie IR, Duursma SA: Geriatric medicine in the European Union: unification of diversity. Aging Clin Exp Res 2003; 15: 347-351. – reference: 21) Tersmette W, van Bodegom D, van Heemst D, Stott D, Westendorp R: Gerontology and geriatrics in Dutch medical education. Neth J Med 2013; 71: 331-337. – reference: 19) Sletvold O, Boelarts L, Mulpeter K, Masud T, Singler K, Stuck A: Revision of undergraduate curriculum in geriatric medicine (EUMS-GMS). Eur Geriatr Med 2012; 3 (Suppl. 1): 94. – reference: 14) Michel JP, Huber P, Cruz-Jentoft AJ: Europe-wide survey of teaching in geriatric medicine. J Am Geriatr Soc 2008; 56: 1536-1542. – reference: 24) Mateos-Nozal J, Cruz-Jentoft AJ, Ribera Casado JM: A systematic review of surveys on undergraduate teaching of Geriatrics in medical schools in the XXI century. Eur Geriatr Med 2014; 5: 119-124. – reference: 4) Moher D, Liberati A, Tetzlaff J, Altman DG: Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PRISMA Group. BMJ 2009; 339: b2535. – reference: 3) Kaneko E, Abe Y, Shimokado K, Nara N: Education of geriatrics at medical schools in Japan. The association for Medical Education in Europe 2015. – reference: 9) Keller I, Kalache A, Makipaa A, Kalenscher T, Schneider N, Monaco T, et al.: Global Survey on Geriatrics in the Medical Curriculum, World Health Organization, Geneva, 2002. – reference: 1) 大内尉義: 老年医学教育の過去・現在・未来. 日本老年医学会雑誌 2000; 47: 571-572. – reference: 26) Michel JP, Cha HB: Filling the Geriatric Education Gap Around the World. J Am Med Dir Assoc 2015; 16: 1010-1013. – reference: 22) Gordon AL, Blundell A, Dhesi JK, Forrester-Paton C, Forrester-Paton J, Mitchell JH: UK medical teaching about ageing is improving but there is still work to be done: the Second National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine. Age Ageing 2014; 43: 293-297. – reference: 17) Kolb G, Andersen-Ranberg K, Cruz-Jentoft A, O'neill D, Topinkova E, Michel JP: Geriatric care in Europe - the EUGMS survey part I: Belgium, Czech Republic, Denmark, Germany, Ireland, Spain, Switzherland, United Kingdom. Eur Geriatr Med 2011; 2: 290-295. – reference: 12) Eleazer GP, Doshi R, Wieland D, Boland R, Hirth VA: Geriatric content in medical school curricula: results of a national survey. J Am Geriatr Soc 2005; 53: 136-140. |
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| Title | 諸外国における卒前老年医学教育 |
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