New horizons in geriatric medicine education and training: The need for pan-European education and training standards - 08/12/17

Doi : 10.1016/j.eurger.2017.07.022

J.M. Fisher ^a,^⁎ , T. Masud ^b , E.A. Holm ^c , R.E. Roller-Wirnsberger ^d , A.E. Stuck ^e , A. Gordon ^f , H. Blain ^g , P. Knight ^h , T. Frühwald ⁱ , J. Petermans ^j , M.S. Nuotio ^k , H.B. Ihle-Hansen ^l , A. Blundell ^b,^ab , G. Bakó ^m , E. Burns ⁿ , M.M. Davidovic ^o , A.B. Jónsdóttir ^p , H. Kolk ^q , J.W.M. Krulder ^r , M. Lambert ^s , S. Maggi ^t , N. Martinez-Velilla ^u , G.F. Pinter ^v , K. Singler ^w , S. Thompson ^x , N.J. Van Den Noortgate ^y , M.A. Vassallo ^z , G. Veninšek ^aa
^a Northumbria Healthcare NHS Foundation Trust, North Shields, UK
^b Nottingham University Hospitals NHS trust, Nottingham, UK
^c Department of Internal Medicine, Nykobing Falster Hospital, Copenhagen, Denmark
^d Medical University of Graz, Department of Internal Medicine, Auenbruggerplatz 15, 8036 Graz, Austria
^e Department of Geriatrics, Inselspital, University of Bern, Bern, Switzerland
^f Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Nottingham, UK
^g Department of Internal Medicine and Geriatrics, University Hospital of Montpellier, EUROMOV, MACVIA France, Montpellier University, France
^h Royal Infirmary, St. Mungo Building, 84 Castle Street, Glasgow, Scotland
ⁱ The Austrian Society of Geriatrics and Gerontology. Laudongasse 21, 1080 Wien, Austria
^j Geriatric department, CHU Liège, 600, route de Gaillarmont, 4032 Chènée Liege, Belgium
^k Department of Geriatric Medicine, Seinäjoki Central Hospital, City of Seinäjoki, Finland
^l Department of Internal Medicine, Oslo University Hospital, Ullevål, Norway
^m Department of Internal Medicine, Division of Geriatric Medicine, University of Debrecen, Faculty of Medicine, Debrecen, Hungary
ⁿ Leeds Teaching Hospitals NHS Trust, Leeds, UK
^o Serbian Association of Geriatricians and Gerontologists, Belgrade, Serbia
^p Department of Geriatric Medicine, The National University Hospital of Iceland, Iceland
^q Department of Traumatology and Orthopaedics, Tartu University Hospital, Tartu, Estonia
^r Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands
^s Department of Geriatrics, St Jan's Hospital, Ruddershove 10, 8000 Bruges, Belgium
^t Aging Section, Institute of Neurosciences, Italian Research council, Padova, Italy
^u Department of Geriatrics, Complejo Hospitalario de Navarra, Pamplona, Spain
^v Klinikum Klagenfurt am WS, Abteilung für Akutgeriatrie/Remobilisation, Abteilung für chronisch Kranke, Feschnigstr. 11, 9020 Klagenfurt, Austria
^w Institute of Biomedicine of Ageing, Friedrich-Alexander University, Evlangen-Numberg, Numberg, Germany
^x Department of Clinical Geratology, University of Oxford, Oxford, UK
^y Ghent University Hospital, Ghent, Belgium
^z Rehabilitation Services-Health, Telghet G’Mangia, Pieta’, PTA 1312, Malta
^aa Center za geriatrično medicine, Univerzitetni klinični center Ljubljana, Slovenia
^ab Healthcare for Older Persons Department, Nottingham University Hospitals NHS Trust, Nottingham, UK

^⁎Corresponding author.

Abstract

The ageing population ought to be celebrated as evidence for the efficacy of modern medicine, but the challenge that this demographic shift presents for 21st century healthcare systems, with increasing numbers of people living with multi-morbidity and frailty, cannot be ignored. There is therefore a need to ensure that all healthcare professionals grasp the basic principles of care of older people. In this paper, we make a case for the development of pan-European education and training standards for the field of geriatric medicine. Firstly, the challenges which face the implementation and delivery of geriatric medicine in a systematic way across Europe are described – these include, but are not limited to; variance in geriatric medicine practice across Europe, insecurity of the specialty in some countries and significant heterogeneity in geriatric medicine training programs across Europe. The opportunities for geriatric medicine are then presented and we consider how engendering core geriatric medicine competencies amongst nongeriatricians has potential to bridge existing gaps in service provision across Europe. Finally, we consider how work can proceed to teach sufficient numbers of doctors and health professionals in the core knowledge, skills and attitudes required to do this. To safeguard the future of the specialty across Europe, we contend that there is a need to strive towards harmonisation of post-graduate geriatric medicine training across Europe, through the establishment of pan-European education and training standards in the specialty.

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Keywords : Education, Post-graduate training, Geriatric medicine, Training standards, European

Plan

Introduction

Postgraduate geriatric medicine training across Europe

The scope of geriatric medicine practice across Europe

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The need for pan-European geriatric medicine education and training standards

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Vol 8 - N° 5-6

P. 467-473 - novembre 2017 Retour au numéro

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New horizons in geriatric medicine education and training: The need for pan-European education and training standards - 08/12/17

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