在老年科医生短缺的情况下，护士接听电话 | UCSF Nursing School

Yoonmee Joo (left), assistant clinical professor in the Adult Gerontology Primary Care Nurse Practitioner specialty, precepts master's student Ellen Park Chang as she provides care to patient Lini Xu at the Center for Elders Independence in Oakland, California. (Photo credit: Elisabeth Fall)

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Baby boomers will again cause a shift in America’s demographics when the year 2030 arrives.

That generation will be age 65 or older by then, and the number of older people is projected to increase 55%. One in five people will be hitting an age when health problems may begin emerging.

America isn’t fully prepared to meet the challenge.

About 7,000 certified geriatricians are practicing today, but the American Geriatrics Society estimates needing as many as 30,000 by 2030 to meet the upcoming health care demands.

Geriatric care encompasses health conditions that are complex and unique to older adults, ranging from chronic diseases to cognitive issues, and different approaches are needed to manage their health.

The UCSF School of Nursing is working to boost the workforce of trained health care professionals by preparing advanced practice nurses to diagnose, treat and advocate for the complex health needs of older adults. Through its Master of Science program, the School provides specialized training in adult gerontology with a rigorous two-year curriculum that combines extensive didactic courses and clinical residencies.

Adult Gerontology Primary Care Nurse Practitioner Specialty

The Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) specialty prepares nurse practitioners to deliver comprehensive care for diverse, high-risk populations in community and hospital-based primary care clinics, skilled nursing facilities, and patients’ homes.

Students in this specialty learn to diagnose, treat and manage the long-term health care of adults and older adults who have multiple comorbidities, a common experience for this population, said Helen Horvath, an associate clinical professor in AGPCNP. As part of the curriculum, the students learn the importance of individualized decision-making in preventive care for older adults, receive in-depth training in palliative care, and master the skills to be able to promote good health practices and maintenance. In addition, many students take additional coursework in geriatric psychiatric care.

In conjunction with the didactic coursework and clinical rotations, second-year students can also participate in the NP Geri Scholars (NPGS) program where they train alongside physicians in UCSF’s geriatric medicine fellowship, psychiatry fellows and others in an interprofessional setting at the San Francisco VA Medical Center. The year-long series includes lectures and interactive discussions on topics, such as geriatric eye diseases, hearing loss and nursing home care, from renowned clinicians and researchers in the field.

“All of our AGPCNP students learn about these important topics, but our NP Geri Scholars take a deeper dive into these issues and build a deeper understanding that helps them provide quality patient care,” said Horvath, who oversees the NPGS program.

Adult-Gerontology Clinical Nurse Specialist Specialty

The School also trains clinical nurse specialists to become experts in geriatric care through its Adult Gerontology Clinical Nurse Specialist (AGCNS) specialty.

The specialty prepares graduate nursing students to manage the health of vulnerable adult and older adult populations from wellness through acute care. They emerge as valuable resources and consultants to fellow health care professionals, and take on roles which may include managing large programs and incorporating evidence into practice. Subspecialty options are offered in oncology, and in critical care and trauma.

全文翻译（仅供参考）

当 2030 年到来时，婴儿潮一代将再次引起美国人口结构的转变。

届时，这一代人将达到 65 岁或以上，预计老年人数将增加 55%。五分之一的人将达到健康问题可能开始出现的年龄。

美国还没有完全准备好迎接挑战。

今天大约有 7,000 名经过认证的老年病学家在执业，但美国老年病学会估计，到 2030 年需要多达 30,000 名才能满足即将到来的医疗保健需求。

老年护理包括复杂且老年人独有的健康状况，从慢性病到认知问题，需要不同的方法来管理他们的健康。

加州大学旧金山分校护理学院正在努力通过培养高级执业护士来诊断、治疗和倡导老年人复杂的健康需求，从而增加训练有素的医疗保健专业人员的劳动力。通过其理学硕士课程，学院提供成人老年学专业培训，提供严格的两年课程，结合广泛的教学课程和临床住院医师。

成人老年学初级保健护士执业专业

成人老年 学初级保健护士从业者 (AGPCNP) 专业帮助 护士从业人员为社区和医院初级保健诊所、专业护理机构和患者家中的各种高危人群提供全面护理。

AGPCNP 临床副教授 Helen Horvath 说，该专业的学生学习诊断、治疗和管理患有多种合并症的成年人和老年人的长期医疗保健，这是这一人群的共同经历。作为课程的一部分，学生将了解个体化决策在老年人预防保健中的重要性，接受姑息治疗的深入培训，并掌握能够促进良好健康实践和维护的技能。此外，许多学生还参加了老年精神科护理方面的额外课程。

结合教学课程和临床轮换，二年级学生还可以参加 NP Geri 学者 (NPGS) 计划，在那里他们与加州大学旧金山分校老年医学奖学金的医生、精神病学研究员和其他人一起在旧金山弗吉尼亚州的跨专业环境中进行培训医疗中心。为期一年的系列包括来自该领域的知名临床医生和研究人员的讲座和互动讨论，例如老年眼病、听力损失和疗养院护理。

“我们所有的 AGPCNP 学生都了解这些重要主题，但我们的 NP Geri 学者更深入地研究这些问题并建立更深入的理解，帮助他们提供优质的患者护理，”负责 NPGS 项目的 Horvath 说。

成人老年学临床护士专科专业

学院还通过其成人老年学临床护士专家 (AGCNS) 专业培训临床护士专家，使其成为老年护理 专家。

该专业为研究生护理专业的学生做好准备，以管理从健康到急性护理的弱势成人和老年人群的健康。他们成为医疗保健专业人员的宝贵资源和顾问，并承担可能包括管理大型项目和将证据纳入实践的角色。在肿瘤学、重症监护和创伤方面提供亚专科选择。

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