Upskilling in Healthy Longevity Medicine and Its Association With Physicians' Implementation Intent and Self-Reported Clinical Confidence: Cross-Sectional Observational Study.
Bischof E, Wilczok D, et al. • JMIR medical education • 2026
Accredited education in healthy longevity medicine is associated with enhanced confidence in HLM knowledge, increased clinical engagement with HLM practices, and a shift in aging-related care paradigms among physicians.
Key Findings
Results
The vast majority of physician respondents reported increased confidence in healthy longevity medicine-related knowledge following completion of accredited HLM courses.
96.5% (n=99) of respondents reported increased confidence in HLM-related knowledge
47.8% (n=55) indicated 'substantial improvement' in confidence
Survey was conducted between March and April 2024 among physicians who completed accredited HLM courses between January 2023 and February 2024
113 out of 590 eligible physicians completed the survey, yielding a response rate of 19.2%
Results
More than half of respondents reported integrating HLM principles into routine patient assessments after completing the curriculum.
55.8% (n=63) reported integrating HLM principles into routine patient assessments
80.5% (n=91) reported more frequent discussions related to health span-focused care
52.2% (n=59) reported a shift in their perspective on aging
Results
A substantial proportion of respondents increased or initiated aging biomarker testing following HLM education.
23% (n=26) of respondents initiated aging biomarker testing
48.7% (n=55) increased the frequency of aging biomarker testing
These changes were self-reported following course completion
Results
Physicians in specialized care demonstrated significantly higher odds of reporting increased confidence in HLM knowledge compared to those in primary and preventive care.
Odds ratio of 4.46 (95% CI 1.55-12.79; P=.005) for specialized care physicians vs. primary and preventive care physicians
Analysis performed using logistic regression with P<.05 significance threshold
Respondents were primarily trained in family medicine (n=31, 27.4%) and internal medicine (n=18, 15.9%)
Results
The majority of respondents anticipated full integration of healthy longevity medicine into mainstream medicine.
73.5% (n=83) anticipated full integration of HLM into mainstream medicine
Respondents represented 42 nationalities, indicating broad global representation
The survey assessed professional attitudes following course completion
Discussion
The study identified systemic healthcare barriers as impediments to widespread implementation of HLM practices.
Authors noted that systemic health care barriers impede widespread implementation
The findings warrant 'policy-level strategies to support health span-oriented education and care models'
The study highlighted a 'translational gap between geroscience and everyday medical practice'
Methods
The study population consisted of a globally diverse group of physicians who completed an American Council for Continuing Medical Education-certified HLM curriculum.
590 eligible physicians were invited; trainees and students were excluded
113 respondents (19.2%) completed the survey and were included in the analysis
Respondents represented 42 nationalities
The curriculum was certified by the American Council for Continuing Medical Education
Cross-sectional online survey design was used; descriptive statistics and logistic regression analyses were performed
Bischof E, Wilczok D, Kirkland J, Wilaksono B, Huang C, Suwannaphong S, et al.. (2026). Upskilling in Healthy Longevity Medicine and Its Association With Physicians' Implementation Intent and Self-Reported Clinical Confidence: Cross-Sectional Observational Study.. JMIR medical education. https://doi.org/10.2196/83779