Why do residents choose to specialize in geriatric medicine?
摘要
To examine the most common factors influencing the selection of Geriatric Medicine as a specialty among medical residents, and to assess whether receiving specific exposure to Geriatric Medicine during training influences these factors.
MethodsA qualitative descriptive study was carried out using intentional sampling, involving anonymous completion of a questionnaire distributed to accredited Spanish Geriatric Medicine teaching units during the 2023/2024 academic year.
ResultsA total of 129 medical residents participated in the survey. Eighty-nine per cent were already familiar with the specialty and 46% had received theoretical and practical Geriatric Medicine training during medical school. The most frequently reported factors were affinity with older persons (95%), communication with patients and families (90%), multidisciplinary work (86%), clinical complexity of older adult patients (84%), multimorbidity (82%), and relationships with older relatives (76%). Participants who had received complete training in Geriatric Medicine (46%) were more likely to have considered Geriatrics as a potential specialty (75% vs. 54%, p = 0.02). The clinical complexity of the older adult patients was significantly more relevant among those with complete Geriatric training (92% vs. 77%, p = 0.027).
ConclusionInterest in Geriatric Medicine is shaped by a combination of personal motivations and factors directly related to the specialty and the characteristics of the older adult population. Comprehensive training in Geriatric Medicine has the potential to transform commonly perceived barriers into rewarding aspects of the field.