Educational needs of junior doctors caring for hospitalised older adults.

Background Junior doctors provide much of the day-to-day medical care for hospitalised older patients. However, there is little formal training after medical school to prepare them for the complex assessment and management required. This gap in postgraduate education raises concerns about preparedne...

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Publicado en:Age & Ageing Vol. 55; no. 1; pp. 1 - 10
Autores principales: Yumol, Minna, Wilkinson, Tim J, Shahab, Rihan, Naganathan, Vasi, Thillainadesan, Janani
Formato: Artículo
Publicado: Oxford University Press / USA Jan2026
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Acceso en línea:Ver este registro en EBSCOhost
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          Yumol, Minna
          Wilkinson, Tim J
          Shahab, Rihan
          Naganathan, Vasi
          Thillainadesan, Janani
        affil:
          Geriatric Medicine, Concord Repatriation General Hospital, Concord, New South Wales, AustraliaCentre for Education and Research on Ageing, Department of Geriatric Medicine, Concord Repatriation General Hospital, Concord, New South Wales, Australia
          Department of Medicine, University of Otago, Christchurch, New Zealand
          Aged Care and Rehabilitation, Royal Prince Alfred Hospital, Level 7 KGV Missenden Road, Camperdown 2050, Australia
          Geriatric Medicine, Concord Repatriation General Hospital, Concord, New South Wales, AustraliaCentre for Education and Research on Ageing, Department of Geriatric Medicine, Concord Repatriation General Hospital, Concord, New South Wales, AustraliaConcord Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia
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        Australia
        Families & psychology
        Cross-sectional method
        Curriculum
        Qualitative research
        Geriatrics
        Interviewing
        Teaching methods
        Learning
        Age distribution
        Sound recordings
        Communication
        Hospital care of older people
        Needs assessment
        Psychosocial factors
        Experiential learning
        Treatment of dementia
        Medical education
        Academic medical centers
        Research funding
        Polypharmacy
        Deprescribing
        Thematic analysis
        Hospital medical staff
        Medical students
        Attitudes of medical personnel
        Research
        Clinical competence
        Geriatric assessment
        Delirium
        Research methodology
        Learning strategies
        Data analysis software
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          Families & psychology
          Cross-sectional method
          Curriculum
          Qualitative research
          Geriatrics
          Interviewing
          Teaching methods
          Learning
          Age distribution
          Sound recordings
          Communication
          Hospital care of older people
          Needs assessment
          Psychosocial factors
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          Treatment of dementia
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          Academic medical centers
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          Polypharmacy
          Deprescribing
          Thematic analysis
          Hospital medical staff
          Medical students
          Attitudes of medical personnel
          Research
          Clinical competence
          Geriatric assessment
          Delirium
          Research methodology
          Learning strategies
          Data analysis software
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        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        delirium
        dementia
        geriatric medicine
        geriatrics
        https://dx.doi.org/10.1093/ageing/afag004
        inLanguage:en
        junior doctors
        knowledge acquisition
        medical
        medical education
        microlearning
        older adult
        older people
        patients' rooms
        polypharmacy
        publisher:Oxford University Press
        qualitative research
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41581116/
        schools
        workplace
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        delirium
        dementia
        geriatric medicine
        geriatrics
        https://dx.doi.org/10.1093/ageing/afag004
        inLanguage:en
        junior doctors
        knowledge acquisition
        medical
        medical education
        microlearning
        older adult
        older people
        patients' rooms
        polypharmacy
        publisher:Oxford University Press
        qualitative research
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41581116/
        schools
        workplace
      ab: Background Junior doctors provide much of the day-to-day medical care for hospitalised older patients. However, there is little formal training after medical school to prepare them for the complex assessment and management required. This gap in postgraduate education raises concerns about preparedness and confidence, yet little research has examined junior doctors' views on their learning needs, teaching preferences and factors affecting their education. Understanding these perspectives can inform targeted educational strategies to enhance care of older patients. Objective To explore junior doctors' perspectives on learning needs in assessing and managing hospitalised older patients, preferred teaching methods and barriers and facilitators to learning. Methods A qualitative study was undertaken at two major teaching hospitals in Sydney, Australia. Data were collected through semistructured interviews. Interviews were transcribed verbatim, and data were thematically analysed. Results Sixteen participants were recruited, which included 10 (63%) postgraduate Year 1 doctors, five (31%) Postgraduate Year 2 doctors and one final-year medical student. Five key themes on learning needs were identified: (i) assessment and management of delirium and dementia, (ii) polypharmacy and deprescribing, (iii) complexity of geriatric medicine, (iv) communication with older patients and their families and (v) Ward craft. Regarding learning methods, experiential learning and microlearning were preferred due to their practicality and immediate applicability. Barriers and facilitators included personal, workplace-specific and situational factors. Conclusion Junior doctors value ongoing education in geriatric medicine. Harnessing their learning needs and preferences offers an important opportunity to improve care for older patients.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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