Fifth-year medical students' perceptions of the importance of frailty and competence in assessing, diagnosing and managing frailty before and after a geriatric medicine course

Australas J Ageing. 2020 Sep;39(3):e472-e477. doi: 10.1111/ajag.12788. Epub 2020 Mar 2.

Abstract

Objective: To assess the changes in fifth-year medical students' perceptions of the importance of frailty and competence in assessing, diagnosing and managing frailty after a 4.5-week geriatric medicine course.

Methods: Students' perceived importance and competence was assessed before and after the course using a 26-item Likert scale questionnaire with scores ranging from 1 to 6.

Results: Students' perceptions of the importance of defining frailty (P = .01), explaining what frailty is (P = .03), advising on nutritional needs (P = .001) and exercise (P = .001) and prescribing an exercise program (P < .001) significantly improved after the course. Medical students' perceived competence in assessing, diagnosing and managing frailty was low to moderate precourse and increased significantly postcourse (2.3 [1.2] 4.9 [2.9], mean [IQR], P < .001) across all items.

Conclusion: An appropriate curriculum focusing on geriatric health conditions such as frailty can improve senior medical students' perceived importance and competence in assessing, diagnosing and managing frailty.

Keywords: aged; competence; frailty; geriatrics; undergraduate medical education.

MeSH terms

  • Aged
  • Clinical Competence
  • Curriculum
  • Education, Medical, Undergraduate*
  • Frailty* / diagnosis
  • Frailty* / therapy
  • Geriatrics* / education
  • Humans
  • Perception
  • Students, Medical*
  • Surveys and Questionnaires