ObjectivesTo evaluate medical trainees’ attitudes toward refugee
patients in a refugee host country, and to identify educational needs.
MethodsA 54-question cross-sectional questionnaire was
administered to a convenience sample of 81 post-graduate medical trainees at
Mbarara Regional Referral Hospital, Uganda, in 2016. Descriptive statistics on
medical trainees’ attitudes and educational needs regarding care for refugees
were calculated. One-way ANOVA was used to assess relationships between an
attitude scale and respondent characteristics. Reliability and validity of the
survey items and attitude scale were assessed using Cronbach’s alpha,
item-to-scale correlation, and factor analysis.
ResultsThe mean score on the attitude scale of 2.8 (SD=1.7)
indicated positive attitudes toward refugees. All respondents had contact with
refugees, and 89% (n=72) reported a need for further training. Many
specifically indicated the need for training in use of translators, support
personnel, and behavioral health.
Cronbach’s alpha values of greater than 0.7 indicated good internal
consistency. Item-to-scale correlation and factor analysis validate the use of
an attitude scale. ANOVA showed no significant difference between mean attitude
scores in gender (F(1,77)=0.11, p=0.7367), country of origin (F(1.78)
=0.53, p=0.8723), or year of study (F(4,74) =0.31, p=0.8273).
ConclusionsMedical trainees in Uganda report positive attitudes
toward refugees and a need for additional education in refugee care in multiple
specific areas. This study piloted the use of an attitude scale for refugee
healthcare providers with promising validity and reliability. Use of these
questions could inform curriculum development in refugee host countries.