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Biomedical subjects

V Batenburg

Publications and source records attributed to V Batenburg.

3 recordsLinked to original sources

Are professional attitudes related to gender and medical specialty?

OBJECTIVES: The importance of professional attitudes in medical care has long been recognized; however, medical training has not stressed attitude development until recently. In previous studies among medical students, we found that gender and specialty preference are important factors in attitudes. In this study, patient-centredness of trainees in general practice and surgery and of final-year clerks preferring one of these specialties was assessed in one medical school in The Netherlands. The effect of gender, specialty and training level on attitude was investigated. DESIGN: In 1995, attitudes of 37 general practice trainees, 31 surgery trainees and 120 clerks were measured anonymously using questionnaires containing the Doctor-Patient Scale. This attitude scale measures patient-centredness vs. doctor-centredness. Response rates were 78%, 58% and 84%, respectively. SETTING: University of Utrecht. SUBJECTS: Medical students. RESULTS: Attitudes were related to specialty. General practice trainees showed more patient-centredness than surgery trainees. In accordance with previous findings among younger students, no differences were found between final-year clerks and vocational trainees. In contrast to previous studies, gender was not related to patient-centredness. CONCLUSIONS: Professional attitudes, in particular patient-centredness, seem to be related to specialty preference in the final year of graduate medical training and specialty as a career choice. It remains unclear whether professional socialization reinforces existing attitudes or whether existing attitudes result in specialty preference.

Attitude of Health Personnel

[The ideal physician: medical students' image of the profession].

OBJECTIVE: To investigate the view medical students have of the medical profession. DESIGN: Cross sectional study of year cohorts, Utrecht. METHOD: The attitudes of 445 medical students towards the 'ideal physician' were studied. It is often assumed that medical students' attitudes change to a less care-oriented direction as they proceed in their education. It is also assumed that female students' attitudes are more care-oriented than male students' attitudes. Traits of the ideal physician were described in a scale of 18 care-versus cure oriented items. Validity and reliability of the measuring instrument were sufficient. The scores of pre-clinical and clinical, male and female students were obtained. RESULTS: Contrary to expectation, ideals of clinical students. In were more care-oriented than ideals of beginning students. In general, students' ideals were neutral to slightly care-oriented. As was expected, female students' ideals were more care-oriented than male students' ideals. CONCLUSION: Medical students did not lose their slightly care-oriented ideals as they progressed. Female students held more care-oriented attitudes than their male colleagues.

Adult

Medical interviewing: initial student problems.

Although every lecturer in a department of medical education would endorse the importance of sound medical interviewing the position of courses on this subject is generally unstressed. In the past few years a course has been developed in the Department of Internal Medicine at the University hospital of Utrecht in which special attention is paid to the sort of problems students experience in the initial phase of medical interviewing. Use is made of simulated patients. At the same time attention is given to both the medical and communicative aspects. This approach is specially appreciated by the students. Self assessment shows that they report a considerably enhanced proficiency. Observations and questionnaires show that the students have problems mostly on the emotional level, both in coping with their own emotions and in discussing personal and emotional topics with a patient.

Curriculum