Changes in studentsʼ attitudes toward HIV-infected patients as the students progress through medical school

Weyant, RJ; Simon, Mariana; Bennett, Marcia

doi:10.1097/00001888-199305000-00023

Cited by 19 publications

(14 citation statements)

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“…The findings in our study are consistent with previous reports of suboptimal compliance with SP and attitude of HCP towards HIV positivity. [10][11][12] The attitude and practice of being extra careful when a patient is a known HIV positive need to be changed as this makes the HCP less vigilant in handling other patients. CDC recommends that every patient should be treated as potentially infectious and all SP must be taken since many of these patients might be having a hidden infection with these BBP.…”

Section: Discussionmentioning

confidence: 99%

Infection control practices among doctors and nurses in a tertiary care hospital

Jain¹,

Dogra²,

Mishra³

et al. 2012

Ann Trop Med Public Health

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Background: Basic infection control measures in any healthcare setup can reduce the rates of healthcareassociated infections. A study to assess the knowledge and practice of 400 healthcare personnel regarding hospital infection control practices was performed. Materials and Methods: A structured questionnaire was distributed to the study group and collected the same day. Knowledge and practices of 329 nurses and 71 doctors regarding hand hygiene, SPs, hospital environmental cleaning and needle stick injury were collected and analyzed. Results: The study group had suboptimal knowledge regarding the SPs (55.3%) and risks associated with NSI (31.8%). The implementation of SPs was biased towards the HIV positive status of the patient. Only 57% of the doctors and nurses followed the maximal barrier precautions before a CVC insertion. Discussion: The lack of knowledge and practices regarding basic infection control protocols should be improved by way of educational intervention, in the form of formal training of the doctors and nurses and reinforcement of the same.

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Section: Discussionmentioning

confidence: 99%

Infection control practices among doctors and nurses in a tertiary care hospital

Jain¹,

Dogra²,

Mishra³

et al. 2012

Ann Trop Med Public Health

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“…Compared to first-year students, second-year students were more willing to treat HIV-infected patients, felt a stronger sense of professional obligation, and scored lower on homophobia scales ( p 5 0.05). This is cause for optimism as previous studies showed no changes in attitudes or a declining willingness to treat HIV patients as students advanced through their training (Weyant et al 1993) Medical school provides a unique opportunity to educate future physicians about vulnerable populations such as HIVinfected patients who continue to face social stigma and challenges in access to healthcare. While medical trainees are now more willing to treat patients with HIV than their successors, fear of infection and homophobia remain barriers to patient care that should be addressed in medical curricula.…”

Section: Dear Sirmentioning

confidence: 99%

Medical students’ attitudes towards treating patients with HIV: A 12-year follow-up study

et al. 2012

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“…Although questionnaires have been widely used to explore students' attitudes to a range of specific medical issues, such as HIV 56 and drug misuse 57 , those that examine generic attitudes may be of more general applicability. These include the doctor-patient scale 58 , which attempts to discriminate between attitudes that are considered to be doctor-centred and those that are patient-centred.…”

Section: Questionnairesmentioning

confidence: 99%

Professional attitudes: can they be taught and assessed in medical education?

2002

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-The medical profession is under increasing scrutiny with regard to the undesirable attitudes and behaviours of some of its members. Despite the setting of objectives for professional attitudes, it remains unclear how these can be taught and assessed. Having defined 'attitudes' , we consider some of the influences upon the development of professional attitudes within medicine. We then review possible ways of encouraging desirable attitudes and behaviours. Finally, we review and critique the main types of attitude assessment. We conclude that attitudes are complex, that the influence of medical culture is crucial, and that feasible assessment tools have yet to be developed. Key words: assessment, CPD, General MedicalCouncil, medical education, professional attitudes.The performance of doctors has come under increasing scrutiny in both the USA and the UK. This reflects the public's concern over what are perceived to be the inappropriate attitudes and behaviours of some members of the profession, together with an apparent lack of accountability. Sir Donald Irvine, President of the UK's General Medical Council (GMC), has called for a 'new professionalism' and has highlighted the fact that 'the public's unfulfilled expectations of doctors are crucially about attitudes' 1 . Similarly, in the USA, the definition of a profession (attributed to Supreme Court Justice Louis Brandels) stresses altruistic attitudes: 'A profession … cherishes performance … above personal rewards' 2 .How can medical students and doctors be encouraged to develop desirable attitudes? In the UK, medical schools have been revising their curricula in response to the recommendations published by the GMC in Tomorrow's doctors 3 . For the first time, the GMC has presented UK medical schools with a list of 'attitudinal objectives' that students are expected to have acquired and demonstrated by the time they graduate (Table 1). At postgraduate level, the GMC has published Good medical practice 4 , which contains a list of 14 'duties of a doctor' which are similar to, but not exactly the same as, the undergraduate attitudinal objectives ( Table 2). The GMC's approach to attitudes is not new. It mirrors aspects of 'the ideal internist' , a concept first put forward by the American Board of Internal Medicine (ABIM) in the 1970s 5 . More recently, the importance of attitudes has been reiterated in the USA in the form of learning objectives for medical student education. These have been proposed both by the Association of American Medical Colleges (AAMC) 6 and by a collaboration of the Society of General Internal Medicine (SGIM), the Clerkship Directors in Internal Medicine (CDIM) and the Division of Medicine at the US Department of Health and Human Services 7 . How are these objectives to be taught and assessed? At a conference organised by the GMC in 1997 it was acknowledged that 'the teaching and assessment of professional attitudes was proving to be the most difficult element of the new guidance' 8 , and the AAMC concluded that 'universally agre...

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Changes in studentsʼ attitudes toward HIV-infected patients as the students progress through medical school

Cited by 19 publications

References 0 publications

Infection control practices among doctors and nurses in a tertiary care hospital

Infection control practices among doctors and nurses in a tertiary care hospital

Medical students’ attitudes towards treating patients with HIV: A 12-year follow-up study

Professional attitudes: can they be taught and assessed in medical education?

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