| Attitude change during medical school: a cohort study. | |
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MedLine Citation:
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PMID: 15107086 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Attitudes influence behaviour. Developing and maintaining proper attitudes by medical students can impact on the quality of health care delivered to their patients as they assume the role of doctors. There is a paucity of longitudinal research reports on the extent to which students' attitude scores shift as they progress through medical school. OBJECTIVE: This study examined the change in attitude scores of a large student cohort as they progressed through medical school. Whether student gender is related to attitude change was also investigated. METHOD: Medical students from 3 consecutive classes (1999-2001) participated in this study. Students completed 2 instruments that included the Attitudes Toward Social Issues in Medicine and an in-house tool referred to as the Medical Skills Questionnaire. The instruments were administered at 3 milestones during the course of medical school training (entry, end of preclinical training and end of clerkship). RESULTS: Reliability estimates for total (0.82-0.91) and subscale (0.41-0.81) attitudinal scores were in the acceptable range. Multivariate analyses of variance of mean attitudinal scores indicated a persistent decline in several attitude scores as students progressed through the medical educational programme. Females demonstrated higher attitude scores than males. CONCLUSIONS: As students progress through medical school their attitude scores decline. The reasons for the shift in attitude scores are not clear but they may relate to a ceiling of high attitude scores at entry, loss of idealism and the impact of the unintended curriculum. Further study of the impact of medical education on student attitudes is warranted. |
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Authors:
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Wayne Woloschuk; Peter H Harasym; Walley Temple |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Medical education Volume: 38 ISSN: 0308-0110 ISO Abbreviation: Med Educ Publication Date: 2004 May |
Date Detail:
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Created Date: 2004-04-26 Completed Date: 2004-05-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7605655 Medline TA: Med Educ Country: England |
Other Details:
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Languages: eng Pagination: 522-34 Citation Subset: IM |
Affiliation:
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Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada. woloschu@ucalgary.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Analysis of Variance Attitude of Health Personnel* Clinical Competence / standards Cohort Studies Curriculum Education, Medical, Undergraduate* Female Humans Male Questionnaires Reproducibility of Results Sex Factors Students, Medical / psychology* |
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