Purpose <p>Shifts in patient demographics and needs pose both challenges and opportunities for specialists across medical disciplines. The aim of this study was to evaluate the extent of geriatric medicine (GM) coverage in postgraduate specialty training curricula of physicians other than geriatricians in Poland.</p> Methods <p>We conducted a descriptive quantitative and qualitative content analysis of the official national curricula for all recognised medical specialties in Poland.</p> Results <p>Of the 76 programmes reviewed, structured GM training was present in 31 programmes (40.8%). The proportion of time spent training in GM did not exceed 1.9% (clinical pharmacology), and in most programmes was below 0.4% of the total training time. Mandatory rotations in GM were identified in only two programmes (2.6%; family medicine, clinical pharmacology), while 30 programmes included a mandatory course lasting between 8 and 40&#xa0;h. Ageing-related issues specific to particular specialties were mentioned in nine (11.8%) programmes. Falls prevention was a common objective across all programmes, including paediatrics. Five main topics were identified: (1) characteristics of older patients and common problems within each specialty; (2) specific geriatric conditions (sarcopenia, falls, frailty) and diagnostic tools; (3) differences in treatment of older patients, particularly in pharmacology; (4) systemic perspectives and care needs; and (5) prevention and harm reduction.</p> Conclusions <p>Postgraduate training in geriatric medicine for Polish physicians remains heterogeneous, limited, and insufficiently tailored across specialties. In light of the changing complex needs of an ageing society, equipping physicians with geriatric medicine competencies is a high priority to ensure appropriate care for the ageing population.</p> Graphical abstract <p></p>

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The geriatric gap: the absence of geriatric medicine in postgraduate medical training in Poland

  • Robert Kupis,
  • Agnieszka Grot-Wereda,
  • Ian Perera,
  • Karolina Piotrowicz

摘要

Purpose

Shifts in patient demographics and needs pose both challenges and opportunities for specialists across medical disciplines. The aim of this study was to evaluate the extent of geriatric medicine (GM) coverage in postgraduate specialty training curricula of physicians other than geriatricians in Poland.

Methods

We conducted a descriptive quantitative and qualitative content analysis of the official national curricula for all recognised medical specialties in Poland.

Results

Of the 76 programmes reviewed, structured GM training was present in 31 programmes (40.8%). The proportion of time spent training in GM did not exceed 1.9% (clinical pharmacology), and in most programmes was below 0.4% of the total training time. Mandatory rotations in GM were identified in only two programmes (2.6%; family medicine, clinical pharmacology), while 30 programmes included a mandatory course lasting between 8 and 40 h. Ageing-related issues specific to particular specialties were mentioned in nine (11.8%) programmes. Falls prevention was a common objective across all programmes, including paediatrics. Five main topics were identified: (1) characteristics of older patients and common problems within each specialty; (2) specific geriatric conditions (sarcopenia, falls, frailty) and diagnostic tools; (3) differences in treatment of older patients, particularly in pharmacology; (4) systemic perspectives and care needs; and (5) prevention and harm reduction.

Conclusions

Postgraduate training in geriatric medicine for Polish physicians remains heterogeneous, limited, and insufficiently tailored across specialties. In light of the changing complex needs of an ageing society, equipping physicians with geriatric medicine competencies is a high priority to ensure appropriate care for the ageing population.

Graphical abstract