Impact of participation in a community-based intimate partner violence prevention program on medical students: a multi-center study.

BACKGROUND

Physicians are generally poorly trained to recognize, treat or refer adolescents at risk for intimate partner violence (IPV). Participation in community programs may improve medical students' knowledge, skills, and attitudes about IPV prevention.

OBJECTIVE

To determine whether the experience of serving as educators in a community-based adolescent IPV prevention program improves medical students' knowledge, skills, and attitudes toward victims of IPV, beyond that of didactic training.

PARTICIPANTS

One hundred and seventeen students attending 4 medical schools.

DESIGN

Students were randomly assigned to didactic training in adolescent IPV prevention with or without participation as educators in a community-based adolescent IPV prevention program. Students assigned to didactic training alone served as community educators after the study was completed.

MEASUREMENT

Knowledge, self-assessment of skills and attitudes about intimate partner violence and future plans to pursue outreach work.

RESULTS

The baseline mean knowledge score of 10.25 improved to 21.64 after didactic training (p </= .001). Medical students in the "didactic plus outreach" group demonstrated higher levels of confidence in their ability to address issues of intimate partner violence, (mean = 41.91) than did students in the "didactic only" group (mean = 38.94) after controlling for initial levels of confidence (p </= .002).

CONCLUSIONS

Experience as educators in a community-based program to prevent adolescent IPV improved medical students' confidence and attitudes in recognizing and taking action in situations of adolescent IPV, whereas participation in didactic training alone significantly improved students' knowledge.