Aging & Longevity

Upskilling in Healthy Longevity Medicine and Its Association With Physicians' Implementation Intent and Self-Reported Clinical Confidence: Cross-Sectional Observational Study.

TL;DR

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

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%

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

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

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%)

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

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'

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

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Citation

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