Griffith C H, Wilson J F
University of Kentucky College of Medicine, USA.
Eval Health Prof. 2001 Mar;24(1):61-71. doi: 10.1177/01632780122034795.
The purpose of this study was to specify how student attitudes toward different types of patients and the profession change during clinical rotations. A questionnaire was given to all medical students prior to 3rd-year rotations regarding their attitudes toward the medical profession and patient types. It was given again after students completed their 16-week medicine-surgery clerkship. Eighty-eight of 96 students responded to pre- and posttests. Students became less idealistic toward two patient groups: the elderly and people with chronic pain. After clerkship, students believed a greater percentage of the elderly were demented (26% increasing to 35%, p = .09 and that a greater percentage of patients with chronic pain are drug seekers (15% increasing to 24%, p = .004). The authors conclude that in the 3rd year of medical school students become less idealistic toward elderly patients, those with chronic pain, and the profession.
本研究的目的是明确医学生在临床轮转期间对不同类型患者的态度以及对医学职业的态度是如何变化的。在三年级轮转之前，向所有医学生发放了一份关于他们对医学职业和患者类型态度的问卷。在学生完成为期16周的内科-外科实习后，再次发放该问卷。96名学生中有88名对前后测试做出了回应。学生们对两类患者群体的态度变得不那么理想化了：老年人和慢性疼痛患者。实习后，学生们认为老年痴呆患者的比例更高（从26%增至35%，p = 0.09），并且认为寻求药物的慢性疼痛患者比例更高（从15%增至24%，p = 0.004）。作者得出结论，在医学院三年级时，学生们对老年患者、慢性疼痛患者以及医学职业的态度变得不那么理想化了。
