Entete 3

Training doctors to manage patients with multimorbidity: a systematic review

By Cliona Lewis and Susan Smith

We have published a systematic review of the literature addressing training of doctors in the management of patients with multimorbidity [1]. Overall, 75,110 citations were screened, of which 68 full-text articles were then assessed for eligibility, and just two studies met the inclusion criteria for the review.
While much has been published about the challenges presented by patients with multimorbidity, the issue of educating doctors to manage these patients has been poorly addressed. The two studies presented in this review implemented and evaluated multimorbidity workshops, and provide a basis for further research. It remains to be determined whether there is a specific need for training of doctors to manage patients with multimorbidity, and if so, how that need can best be met. It also remains to be proven that improving knowledge, skills and confidence of doctors results in improved care of this patient group. We have identified existing literature that provides a platform for management of these patients, and for curriculum development in training doctors in the management of multimorbidity. Incorporation of emerging guidelines and research findings into multimorbidity training curricula for doctors is needed in order to optimise practice and enhance the competence and confidence of doctors in managing this challenging population of patients, with the ultimate aim of improving clinical outcomes.
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1) Lewis C, Wallace E, Kyne L, Cullen W, Smith SM. Training doctors to manage patients with multimorbidity: a systematic review. Journal of Comorbidity 2016;6(2):85–94. DOI: 10.15256/joc.2016.6.87

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