Introduction BGS reports in its ‘Case for more Geriatricians’ that the number of people age over 85 is set to double by 2045. As well as Geriatric specific policies in the Ageing Well programme of the NHS Longterm Workforce Plan there are plans to expand the number of allied health professionals including Physician Associates (PA). We set out to improve PA students’ knowledge of and confidence in managing geriatric patients with a bespoke teaching programme culminating in a novel bleep simulation. Methods We identified the students’ needs with a preliminary survey and then created a teaching programme on medical topics and issues common to geriatric wards with weekly lectures and small group work. The programme culminated in a bleep simulation where students were contacted via bleep to come to different parts of the medical education centre and respond to scenarios which would be common on geriatric wards. These included reviewing unwell patients and issues such as aspiration, constipation and urinary retention. The students were required to amend or create prescriptions and interpret test results with access to the BNF and relevant local guidelines. Results Students were asked how useful the simulation was and how much it had improved their confidence in working on geriatric wards. The average score for both statements was greater than 9/10. The students were asked before and after the simulation how confident they were responding to bleeps and managing clinical scenarios in geriatric patients. Both scores doubled following the simulation to 6.7/10 (from 2.5 and 3.3 respectively). Conclusion The Faculty of Physician Associates curriculum does not necessitate placements in geriatrics and its matrix of core clinical conditions does not include any specific to geriatrics. Through a bespoke teaching programme and a novel bleep simulation we increased PA students’ confidence in managing geriatric patients.

中文翻译：

---

2144 通过定制的教学计划和新颖的哔哔声模拟提高 PA 学生管理老年患者的信心


引言 BGS 在其“更多老年病学家案例”中报告说，到 2045 年，85 岁以上的人数将翻一番。除了 NHS 长期劳动力计划的 Ageing Well 计划中针对老年病学的政策外，还计划扩大包括医师协会 （PA） 在内的专职医疗专业人员的数量。我们着手通过定制的教学计划来提高 PA 学生对管理老年患者的知识和信心，最终形成了一种新颖的哔哔声模拟。方法 我们通过初步调查确定了学生的需求，然后制定了一个关于老年病房常见医学主题和问题的教学计划，每周讲座和小组工作。该计划以哔哔声模拟告终，通过哔哔声联系学生来到医学教育中心的不同部分，并对老年病房中常见的场景做出反应。这些研究包括审查身体不适的患者以及误吸、便秘和尿潴留等问题。学生需要修改或创建处方，并在访问 BNF 和相关当地指南的情况下解释测试结果。结果 学生被问及模拟的用处如何，以及它在多大程度上提高了他们在老年病房工作的信心。两种陈述的平均分均大于 9/10。在模拟之前和之后，学生们被问及他们对老年患者对哔哔声的反应和管理临床场景的信心如何。模拟后，两个分数都翻了一番，达到 6.7/10（分别为 2.5 和 3.3）。结论 医师助理学院课程不需要在老年病学中实习，其核心临床病症矩阵不包括任何特定于老年病学的内容。 通过定制的教学计划和新颖的哔哔声模拟，我们增强了 PA 学生管理老年患者的信心。