A longitudinal evaluation of medical student knowledge, skills and attitudes to alcohol and drugs

Cape, Gavin; Hannah, Annette; Sellman, Doug

doi:10.1111/j.1360-0443.2006.01476.x

Cited by 66 publications

(67 citation statements)

References 52 publications

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“…The low level of knowledge is supported by the finding that the majority of students perceive their medical training to be inadequate and less than half report being effective in helping patients in this area. Although greater knowledge was noted in the 4th year students compared with the 2nd year (57.4% vs 48.5%), final year students still had a score lower than 70%; this compares with the findings of Cape et al (17), who reported a significant increase in scores from 23.4% in the 2nd year to 71.8% in the final year of medical education. In our study, the greatest gaps in knowledge related to alcohol, classification, the upper limit for drinking, alcohol-drug interaction and the effects of heavy drinking, similar to findings by other researchers (17,28).…”

Section: Discussionsupporting

confidence: 49%

“…Although greater knowledge was noted in the 4th year students compared with the 2nd year (57.4% vs 48.5%), final year students still had a score lower than 70%; this compares with the findings of Cape et al (17), who reported a significant increase in scores from 23.4% in the 2nd year to 71.8% in the final year of medical education. In our study, the greatest gaps in knowledge related to alcohol, classification, the upper limit for drinking, alcohol-drug interaction and the effects of heavy drinking, similar to findings by other researchers (17,28). Medical curricula were not examined in this study, nevertheless these findings raise concern about the adequacy of preparation of medical students in managing alcohol abuse.…”

Section: Discussionsupporting

confidence: 49%

“…Alcohol use was significant, with 16% reporting excessive drinking (≥ 5 drinks), which is more frequent than the prevalence among Turkish (7%) (5) and Iranian medical students (9%) (6), but lower than that in the United Kingdom (UK) and the United States of America (USA) (7,8). These differences could be attributed to the effect of religion since the population in Turkey and the Islamic Republic of Iran is mostly Muslim, where drinking is forbidden (17). The multivariate analysis showed intrinsic religiosity to predict lower alcohol intake, supporting this assumption.…”

Section: Discussionmentioning

confidence: 69%

“…Summative scores were calculated for the knowledge, AUDIT, DAST, DUKE-AD and DUREL scales. A cut-off score of 70% was used to determine whether knowledge was adequate or not (17).…”

Section: Methodsmentioning

confidence: 99%

“…Studies have shown lack of knowledge among medical students and attitudes that could interfere with their care for patients with abuse problems as well as their own wellbeing (16,17). Factors found to contribute to the students' knowledge and attitudes include previous experience with substance use, family history, social and cultural context and exposure to drug education programmes (18).…”

Section: Introductionmentioning

confidence: 99%

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Medical students' knowledge, attitudes and behaviours related to substance use in Lebanon: a cross-sectional study

Assaf¹,

Noureddine²,

Kouyoumdjian³

et al. 2017

East Mediterr Health J

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Connaissances, attitudes et comportements des étudiants en médecine en matière de consommation de substances psychoactives au Liban : étude transversaleRÉSUMÉ La présente étude vise à explorer les connaissances, les attitudes et les comportements des étudiants en médecine libanais en matière de consommation de substances psychoactives, ainsi qu'à déterminer leur prévalence et les prédicteurs psychosociaux. Une étude transversale auprès de 231 étudiants en médecine (48,6 % de sexe masculin ; 53,1 % en études précliniques, 46,9 % en études cliniques) a été conduite de juin 2012 à juillet 2013. Le questionnaire abordait les connaissances et les attitudes en matière de consommation de substances, la religiosité, la dépression, l'anxiété et les caractéristiques démographiques. Le score des connaissances était de 52,7 % (ET = 14,4 %), et était significativement moins élevé en deuxième qu'en troisième et quatrième années (48,53 % contre 57,51 % et 57,4 %, p < 0,05 ABSTRACT The study aims were to explore the knowledge, attitudes and behaviours of Lebanese medical students related to substance use and to determine prevalence and psychosocial predictors. A cross-sectional survey of 231 medical students (48.6% male; 53.1% preclinical, 46.9% clinical) was conducted during June 2012-July 2013. The questionnaire addressed knowledge and attitudes about substance use, religiosity, depression, anxiety and demographic characteristics. The knowledge score was 52.7% (standard deviation 14.4%), and was significantly lower in 2nd year students (48.53%) than in 3rd and 4th year students (57.5% and 57.4%) (P < 0.05). Students reported more training in drug abuse than alcohol abuse (38.2% vs. 34.4%). One-fourth reported smoking, 57.7% using alcohol and 46.8% using drugs. Significant predictors of lower substance use included intrinsic religiosity and interest in working in the field. The findings reveal inadequate knowledge and considerable substance use in Lebanese medical students. Therefore, training in substance use and counseling of students are necessary.

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Section: Discussionsupporting

confidence: 49%

Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 69%

“…Summative scores were calculated for the knowledge, AUDIT, DAST, DUKE-AD and DUREL scales. A cut-off score of 70% was used to determine whether knowledge was adequate or not (17).…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Medical students' knowledge, attitudes and behaviours related to substance use in Lebanon: a cross-sectional study

Assaf¹,

Noureddine²,

Kouyoumdjian³

et al. 2017

East Mediterr Health J

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Making Naloxone Rescue Part of Basic Life Support Training for Medical Students

Jack

Warren

Sundaram

et al. 2018

AEM Education and Training

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As opioid overdose deaths in the United States continue to climb, medical students must be prepared to prevent and treat opioid use disorder and opioid overdose. The administration of naloxone is an evidence-based way to reverse overdoses and save lives. At our medical school, a coalition of medical students, emergency medicine educators, and administrators worked together to permanently integrate naloxone rescue training into the Basic Life Support (BLS) curriculum required of all first-year medical students. This article outlines an argument for the integration of naloxone rescue into BLS training and an introduction to emergency medical care for medical students. The authors then describe the steps that students took to transform this program from an original pilot to a formally integrated curriculum offered to all first-year medical students. The article highlights the role of medical student advocacy in curriculum design and its potential to align medical training with community health needs, such as the ongoing opioid epidemic.

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From distress to detachment: exploring how providing care for stigmatized patients influences the moral development of medical trainees

Liu

Goldszmidt

Calvert

et al. 2022

Adv in Health Sci Educ

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In acute hospital settings, medical trainees are often confronted with moral challenges and negative emotions when caring for complex and structurally vulnerable patients. These challenges may influence the long term moral development of medical trainees and have significant implications for future clinical practice. Despite the importance of moral development to medical education, the topic is still relatively under-explored. To gain a deeper understanding of moral development in trainees, we conducted a qualitative exploration of how caring for a stigmatized population influences their moral development. Data were collected from 48 medical trainees, including observational field notes, supplemental interviews, and medical documentation from inpatient units of two urban teaching hospitals in a Canadian context. Utilizing a practice-based approach which draws on constructivist grounded theory, we conducted constant comparative coding and analysis. We found that caring for stigmatized populations appeared to trigger frustration in medical trainees, which often perpetuated feelings of futility as well as avoidance behaviours. Additionally, hospital policies, the physical learning environment, variability in supervisory practices, and perceptions of judgment and mistrust all negatively influenced moral development and contributed to apathy and moral detachment which has implications for the future. Recognizing the dynamic and uncertain nature of care for stigmatized patients, and addressing the influence of structural and material factors provide an opportunity to support moral experiences within clinical training, and to improve inequities.

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A longitudinal evaluation of medical student knowledge, skills and attitudes to alcohol and drugs

Cited by 66 publications

References 52 publications

Medical students' knowledge, attitudes and behaviours related to substance use in Lebanon: a cross-sectional study

Medical students' knowledge, attitudes and behaviours related to substance use in Lebanon: a cross-sectional study

Making Naloxone Rescue Part of Basic Life Support Training for Medical Students

From distress to detachment: exploring how providing care for stigmatized patients influences the moral development of medical trainees

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