A Model for Osteoporosis Education of Students and Health Professionals
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Drug Information Journal. Vol. 31, pp. 287-291. 1997 Printed in the USA. All rights reserved.
A MODEL FOR OSTEOPOROSIS EDUCATION OF STUDENTS AND HEALTH PROFESSIONALS ALEXANDRA PAPAIOANNOU, MD, FRCP (C), JONATHAN D. ADACHI,MD, FRCP (C), MICHELLE GAGNON,MD, FRCRP (C), IRENETURPIE,MD, FRCP (C), ALFREDCIVIDINO, MD, FRCP (C), ANNEC. BECKINGHAM, RN, PHD, AND TISHBUTSON,BScN, MHSc McMaster University, Hamilton, Ontario, Canada
The “graying” of North America has created an increased awareness of the medical problems that face the aging population. Osteoporosis with its increased risk of fractures will impact on health care costs and the quality of life of the growing aging population. All members of health care teams that are involved in the care of these patients need to develop an awareness and understanding of the disease. The spectrum of the disease spans all parts of the life cycle, from childhood and primary prevention with the focus on exercise and dietav intake to the elderly and tertiary prevention with the rehabilitation of the patient with a hipfracture. Thispaper describes an innovative approach to educating health professionals about osteoporosis. This model can be adapted to all levels of learners, from the undergraduate programs to the professionals involved in ongoing learning. McMaster University has incorporated the principles of problem based learning in a small group setting to educate its learners. The students gain insight on the impact of osteoporosis by exploring issues centered on paper problems and standardized patients through the health care system. Key Words: Osteoporosis; Education; Students; Physicians; McMaster University
INTRODUCTION OSTEOPOROSIS WILL HAVE a major impact on the lives of aging baby boomers and the health care system. The disease is characterized by low bone mass and deterioration of bone tissue leading to increased bone fragility and fracture risk (1). The most common
Presented at the DIA Workshop “Curriculum Develop ment in Osteoporosis,” March 11-12, 1996, San Francisco, California. Reprint address: Dr. Alexandra Papaioannou, Chedoke-McMaster Hospitals, Chedoke Division-Geriatric Medicine, Box 2000 Hamilton, Ont. L8N 325. CANADA.
clinical manifestations of osteoporosis are hip, vertebral, and wrist fractures. The number of hip fractures occurring in the world is estimated to rise from 1.66 million in 1990 to 6.26 million by the year 2050. In the United States the incidence of hip fractures has been estimated at 250,000 events per year (2), and in Canada approximately 25,000 events per year (3). The total cost of osteoporosis in the United States was estimated at $10 billion (4), and in Canada as high as $1.3 billion in 1993 (5). The spectrum of the disease spans all parts of the life cycle, from childhood with the focus on exercise and dietary calcium intake, to the postmenopausal women considering treatment options, to the
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elderly with the prevention of fall
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