A perspective of Geriatrics: The Foundation Years

Daniel Sommer is a Foundation Year 2 Doctor at Charing Cross Hospital in London. He is an aspiring Geriatrician.

Geriatrics was a difficult placement for me as a student. The way we learn in medical school makes cardiology and gastroenterology rotations an easy place to learn what we need to learn. The problems are fairly logical and the solutions are also fairly logical. My simple medical student brain could comprehend it. I didn’t quite cut it in Elderly Medicine. The patients and their issues (both medical and non-medical) are often complex, with multiple interactions and facets, requiring “illogical” treatments and strategies that don’t always follow rules or make sense. Without a pretty astounding understanding of physiology, pathology, ageing, sociology and public policy, it will all go over your head. What I saw was a bunch of crumbly, demented old people who didn’t seem to get better. Shame on me.

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