Harris I B, Rich E C, Crowson T
Eval Health Prof. 1985 Sep;8(3):366-76. doi: 10.1177/016327878500800308.
This study assesses the attitudes of internal medicine residents both before and one year after they began their residency, and of staff internists based at the hospitals where these residents rotate. Attitudes toward a broad range of patients' physical, psychological, social, and health-state characteristics were assessed. Results are compared with those obtained by Johnson and Hoffman in their study of medical students' attitudes toward these same characteristics. The results suggest that attitudes towards patient characteristics viewed as hindering communication in the doctor-patient relationship may become more positive as physicians obtain experience and enhance their clinical skills. The results also suggest that much of the research pertaining to medical students' and physicians' attitudes toward geriatric care and chronic illness may not generalize to the population of physicians who specialize in internal medicine.
本研究评估了内科住院医师在开始住院医师培训前及培训一年后的态度,以及这些住院医师轮转实习所在医院的内科 staff internists 的态度。评估了对广泛的患者身体、心理、社会和健康状况特征的态度。将结果与约翰逊和霍夫曼在他们对医学生对这些相同特征的态度研究中获得的结果进行了比较。结果表明,随着医生获得经验并提高临床技能,对被视为阻碍医患沟通的患者特征的态度可能会变得更加积极。结果还表明,许多与医学生和医生对老年护理和慢性病态度相关的研究可能不适用于内科专科医生群体。