Introduction Despite the UK’s increasing life expectancy, and increase in the elderly population, there is an overwhelming lack of Geriatricians in the UK; as of 2022, there is only 1 consultant Geriatrician per 8031 individuals over the age of 65 (BGS, 2023). To meet the complex care needs of this population, there must be a focus on increasing the interest that doctors have towards Geriatric Medicine, with the overall aim being to recruit more doctors into the speciality. Method The aim of this review was to investigate what factors medical students perceive as barriers to pursuing a career in Geriatric Medicine and then, from identifying these, generate a set of comprehensive suggestions as to how to tackle these barriers at a medical school level to increase the interest and ultimately uptake of Geriatric Medicine. The qualitative review contains literature published between 2003 and 2023 accessed using MedLine. Results Six themes were identified in answering our question: (a) high emotional burden, (b) caring for patients with complex needs, (c) negative preconceptions of non-clinical factors (prestige, salary, career progression), (d) negative influence of clinical educators, (e) lack of intellectual stimulation and (f) lack of exposure to the speciality and the elderly. Conclusion The barriers perceived by medical students when considering Geriatrics as a speciality are complex and multifaceted; these barriers must be tackled promptly in order to secure the next generation of Geriatricians. We suggest that this work can be used as a foundation for further qualitative studies with UK medical students to investigate barriers that are specific to UK students. From this, interventional courses designed to increase Geriatric Medicine uptake could be developed to strengthen the UK Geriatric Medicine workforce.

中文翻译：

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2165 医学生在考虑从事老年医学职业时认为的障碍。


简介 尽管英国的预期寿命不断延长，老年人口也有所增加，但英国老年病学家的绝对缺乏;截至 2022 年，每 1 名 65 岁以上的人中只有 8031 名老年病学顾问（BGS，2023 年）。为了满足这一人群的复杂护理需求，必须专注于提高医生对老年医学的兴趣，总体目标是招募更多的医生进入该专业。方法 本综述的目的是调查医学生认为哪些因素是从事老年医学事业的障碍，然后从识别这些因素中，得出一套关于如何在医学院层面解决这些障碍以提高对老年医学的兴趣并最终采用的综合建议。定性评价包含 2003 年至 2023 年间发表的文献，可通过 MedLine 访问。结果在回答我们的问题时确定了六个主题：（a） 高情绪负担，（b） 照顾有复杂需求的患者，（c） 对非临床因素（声望、薪水、职业发展）的负面成见，（d） 临床教育者的负面影响，（e） 缺乏智力刺激和 （f） 缺乏接触专业和老年人。结论医学生在将老年病学视为一门专业时认为的障碍是复杂和多方面的;必须及时解决这些障碍，以确保下一代老年病学家的安全。我们建议这项工作可以作为对英国医学生进行进一步定性研究的基础，以调查英国学生特有的障碍。 由此，可以开发旨在提高老年医学普及率的介入课程，以加强英国老年医学的劳动力。