Video Experimental Relacionado
Updated: Jul 9, 2026
07:50
Establishment of a Clinic-based Biorepository
Published on: May 29, 2017
Programas académicos geriátricos en las escuelas de medicina alopática y osteopática de los Estados Unidos
Gregg A Warshaw1, Elizabeth J Bragg, Ruth W Shaull
1Office of Geriatric Medicine and Department of Family Medicine, University of Cincinnati, PO Box 670504, Cincinnati, OH 45267-0504, USA. warshaga@fammed.uc.edu
JAMA
|November 13, 2002
Resumen
La mayoría de las escuelas de medicina de EE.UU. tienen programas académicos de geriatría, pero necesitan más recursos para la formación de profesores e investigación. Esto es crucial para prepararse para la creciente población anciana.
Área de la Ciencia:
- Medicina Geriátrica La medicina geriátrica es una especialidad de la medicina geriátrica.
- Educación médica y educación médica.
- Centros Académicos de Salud Centros Académicos de Salud
Sus antecedentes:
- La población estadounidense mayor de 65 años aumentará significativamente para 2030.
- El desarrollo de programas de investigación y capacitación en medicina geriátrica es vital.
- Los programas académicos de medicina geriátrica en las escuelas de medicina son esenciales para este desarrollo.
Objetivo del estudio:
- Evaluar la estructura, los recursos y las actividades de los programas académicos de medicina geriátrica.
- Para evaluar los programas en las escuelas de medicina alopática y osteopática de los Estados Unidos.
Principales métodos:
- Una encuesta fue distribuida a los líderes de 144 escuelas de medicina de EE.UU. en marzo de 2001.
- Los datos recopilados sobre la estructura organizativa, la información del programa, el plan de estudios, el presupuesto y las características del líder.
Principales resultados:
- El 84% de los directores de programas respondieron, con el 87% de las escuelas que tienen un programa académico geriátrico identificable.
- El tiempo de la facultad se dedicó principalmente a la práctica clínica (40%), seguido de la investigación (12%) y la educación (10% cada uno).
- Los principales obstáculos incluyen la falta de facultad / becarios de investigación y el mal reembolso clínico.
Conclusiones:
- La mayoría de las escuelas de medicina de los Estados Unidos han establecido programas académicos de medicina geriátrica.
- Se necesitan mayores recursos para la capacitación de la facultad (enseñanza e investigación).
- El desarrollo es necesario para que los programas coincidan con otras disciplinas académicas en alcance y tamaño.
Videos de Conceptos Relacionados
01:15Drug Dosing: Geriatric Patients
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
01:22Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption
As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
01:00Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are not...
01:18Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism
Geriatric patients show significant variation in how their bodies process medications, which can change how effective and safe treatments are. The liver is the primary organ where drug metabolism occurs, involving two main types of chemical reactions: phase I and II. Phase I metabolism is driven by the cytochrome P450 enzyme system, which includes key types such as CYP3A, CYP2D6, and CYP2C9. Research indicates that while aging doesn't notably alter the levels or activity of these enzymes, it...
01:18Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion
In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
01:27Pharmacodynamics in Geriatric Patients: Effects of Age
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...