Introduction An ageing population globally has created an escalating demand for age-attuned healthcare services. Most older adults will continue to receive their medical care from doctors without specialised geriatric medicine training. It is important therefore that all doctors possess fundamental gerontological competencies. Which specific competencies and how they might best be integrated into medical education remain unclear. Our aim was to summarise the literature on the geriatric medical competencies required by all doctors caring for older adults. Methods We undertook a scoping review following Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews (PRISMA-ScR). We systematically searched the electronic databases PubMed, Cochrane, Cinahl, PsycInfo, ERIC and Embase for eligible records from January 2012 to December 2022. Studies related to physician or doctor or resident and competencies or curriculum or education and geriatric medicine or gerontology were included. We also searched the websites of included countries’ medical specialty professional bodies for relevant competency frameworks. Results Eighty-seven sources were included in the review. The most common competencies identified were medication management, recognition and management of cognitive impairment and management of chronic disease and co-morbidities. Considerable heterogeneity existed among the remaining competencies identified including interprofessional communication skills, advanced care planning and discharge planning. Competencies addressing subspecialty areas including stroke, orthogeriatrics, movement disorders were less prominent. Conclusion Multiple attempts to create and implement competency frameworks on local, national, and international levels in addition to educational interventions to address competency gaps locally reflect the wide-ranging challenges faced by healthcare systems in caring for an ageing population. Significant variation in competencies exists among the sources included in this scoping review. An overarching competency framework is now necessary to define the required competencies for all hospital doctors caring for older adults.

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2251 照顾老年人的所有医院医生都需要的老年医学能力：范围审查


引言 全球人口老龄化导致对适龄医疗保健服务的需求不断增长。大多数老年人将继续从没有接受过专业老年医学培训的医生那里接受医疗护理。因此，所有医生都具备基本的老年学能力是很重要的。哪些具体能力以及如何最好地将它们整合到医学教育中仍不清楚。我们的目的是总结有关所有照顾老年人的医生所需的老年医学能力的文献。方法 我们按照 Arksey 和 O'Malley 以及系统评价的首选报告项目和范围综述的荟萃分析扩展 （PRISMA-ScR） 进行了范围综述。我们系统检索了 2012 年 1 月至 2022 年 12 月的电子数据库 PubMed、Cochrane、Cinahl、PsycInfo、ERIC 和 Embase 以查找符合条件的记录。纳入了与医生或医生或住院医师和能力、课程或教育以及老年医学或老年学相关的研究。我们还检索了所纳入国家的医学专业专业机构的网站，以获取相关的能力框架。结果 本综述纳入了 87 个来源。确定的最常见能力是药物管理、认知障碍的识别和管理以及慢性病和合并症的管理。其余确定的能力之间存在相当大的异质性，包括跨专业沟通技巧、高级护理计划和出院计划。涉及中风、老年矫形学、运动障碍等亚专科领域的能力不太突出。 结论除了解决当地能力差距的教育干预外，还多次尝试在地方、国家和国际层面创建和实施能力框架，这反映了医疗保健系统在照顾老龄化人口方面面临的广泛挑战。本范围界定审查中包含的来源在能力上存在显着差异。现在需要一个总体能力框架来定义所有照顾老年人的医院医生所需的能力。