Abstract
Objective
With a growing geriatric population and limited geriatric psychiatrists in Canada, it is crucial to provide sufficient training in geriatric psychiatry during medical school. The authors examined how geriatric psychiatry education is delivered in Canadian medical schools during clerkship. Factors that could be associated with increased geriatric psychiatry teaching in medical schools were examined. The authors were also interested in comparing Canadian to US findings.
Methods
A cross-sectional survey was distributed to the psychiatry medical education representatives attending the Canadian Organization of Undergraduate Psychiatry Educators (COUPE) semi-annual meeting in September 2017.
Results
All 17 (100%) medical schools completed the survey. Fifteen of the 17 schools (88%) have geriatric psychiatry-specific learning objectives. Five schools (29%) offer a clinical component in geriatric psychiatry. One school has an award for clerks (6%), and no awards exist for faculty. The number of lecture hours in geriatric psychiatry is moderately correlated with the presence of a geriatric component to psychiatry clerkship (Spearman’s rho = 0.67, p = 0.003) and the length of the geriatric portion of clerkship (Spearman’s rho = 0.64, p value = 0.006). Lecture hours are also moderately correlated with the presence of a geriatric fellowship (Spearman’s rho = 0.68, p value = 0.003).
Conclusions
Geriatric psychiatry clerkship education is inconsistent in Canada. There is virtually no recognition of excellence in teaching or undergraduate performance in this area in clerkship. Geriatric psychiatry may receive more frequent attention in Canadian medical schools than in US medical schools.
References
Wertheimer J. Psychiatry of the elderly: a consensus statement. Int J Geriatr Psychiatry. 1997;12(4):432–5.
Canada, S. Canada’s population estimates: age and sex, July 1, 2015. 2015 cited 2018; Available from: https://www150.statcan.gc.ca/n1/daily-quotidien/150929/dq150929b-eng.htm. Accessed 23 January 2019.
Camus V, Katona C, de Mendonça Lima CA, Abdel-Hakam AM, Graham N, Baldwin R, et al. Teaching and training in old age psychiatry: a general survey of the world psychiatric association member societies. Int J Geriatr Psychiatry. 2003;18(8):694–9.
Andrew MH, Shea C. Geriatric psychiatry education in Canada: the pathway to subspecialty recognition. Int Psychogeriatr. 2010;22(6):919–26.
Alexopoulos GS, et al. Reducing suicidal ideation and depression in older primary care patients: 24-month outcomes of the PROSPECT study. Am J Psychiatry. 2009;166(8):882–90.
Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, et al. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. 2016;3(7):646–59.
Lehmann SW, Blazek MC, Popeo DM. Geriatric psychiatry in the psychiatry clerkship: a survey of current education practices. Acad Psychiatry. 2015;39(3):312–5.
Ostbye T, et al. Prevalence and predictors of depression in elderly Canadians: the Canadian study of health and aging. Chronic Dis Can. 2005;26(4):93–9.
Lehmann SW, Brooks WB, Popeo D, Wilkins KM, Blazek MC. Development of geriatric mental health learning objectives for medical students: a response to the Institute of Medicine 2012 report. Am J Geriatr Psychiatry. 2017;25(10):1041–7.
Acknowledgements
The authors would like to acknowledge the members of the Canadian Organization of Undergraduate Psychiatry Educators (COUPE) for graciously completing the survey providing data for this manuscript.
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This work was reviewed by the Institute for Mental Health Research (IMHR) Research Ethics Board (REB) who voiced no objection to this work.
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Chun, S., Douglass, A.B., Lehmann, S.W. et al. Geriatric Psychiatry Teaching in Canadian Medical Schools: a Cross-Sectional Study. Acad Psychiatry 43, 407–410 (2019). https://doi.org/10.1007/s40596-019-01032-y
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DOI: https://doi.org/10.1007/s40596-019-01032-y