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探索医学生对物质使用的观念:一项后续评估。

Exploring medical students' conceptions of substance use: A follow-up evaluation.

机构信息

a Institute for Research, Education and Training in Addictions , Pittsburgh , Pennsylvania , USA.

出版信息

Subst Abus. 2017 Oct-Dec;38(4):464-467. doi: 10.1080/08897077.2017.1342735. Epub 2017 Jun 16.

DOI:10.1080/08897077.2017.1342735
PMID:28622136
Abstract

BACKGROUND

Despite the devastating impact of alcohol and other drug involvement and misuse within society, medical students still receive very limited exposure to these issues. The Scaife Advanced Medical Student Fellowship in Alcohol and Other Drug Dependency, offered by the Institute for Research, Education and Training in Addictions for over 10 years, offers a unique, 3-week intensive educational experience, including didactic, observation, and experiential learning in these topics to first-year medical students. The goal of this project was to evaluate the impact of the Scaife Fellowship on medical students' attitudes toward patients with alcohol and other drug involvement 1 to 5 years after completion of the experience.

METHODS

Past Scaife students and individuals who applied but did not attend were located and recruited to participate in an online attitude survey.

RESULTS

Results indicated that Scaife Fellowship students largely retain their sense of role security around working with patients with alcohol and other drug involvement at the follow-up time point. Although therapeutic commitment or the motivation to work with these patients decreased for drug use, the decrease was smaller than that typically noted in the literature. The group of comparison students showed lower scores on both subscales at the evaluation time point compared with Scaife students.

CONCLUSIONS

A three-week experiential program significantly improved medical students' Role Security and Therapeutic Commitment toward working with patients with substance use disorders. Moreover, the positive effects gained from the program were sustained over time.

摘要

背景

尽管酒精和其他药物的使用和滥用对社会造成了毁灭性的影响,但医学生仍然很少接触这些问题。成瘾研究所的斯凯夫高级医学生酒精和其他药物依赖研究金项目已经提供了超过 10 年的服务,为医学生提供了独特的为期 3 周的强化教育体验,包括这些主题的理论、观察和实践学习。该项目的目标是评估斯凯夫奖学金对医学生在完成体验后 1 至 5 年内对有酒精和其他药物使用问题的患者的态度的影响。

方法

找到过去的斯凯夫学生和申请但未参加的人,并招募他们参加在线态度调查。

结果

结果表明,斯凯夫奖学金学生在随访时间点,在与有酒精和其他药物使用问题的患者合作方面,很大程度上保持了他们的角色安全感。尽管对药物使用的治疗承诺或与这些患者合作的动机有所下降,但降幅小于文献中通常报道的降幅。在评估时间点,对照组学生在这两个子量表上的得分均低于斯凯夫学生。

结论

为期 3 周的体验式项目显著提高了医学生对治疗有物质使用障碍患者的角色安全感和治疗承诺。此外,该项目获得的积极影响随着时间的推移而持续。

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