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Effects of geriatric clinical skills training on the attitudes of medical students

BACKGROUND: Physicians’ attitudes, knowledge and skills are powerful determinants of quality of care for older patients. Previous studies found that using educational interventions to improve attitude is a difficult task. No previous study sought to determine if a skills-oriented educational interve...

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Autores principales: Goeldlin, Adrian O, Siegenthaler, Andrea, Moser, André, Stoeckli, Yvette D, Stuck, Andreas E, Schoenenberger, Andreas W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287533/
https://www.ncbi.nlm.nih.gov/pubmed/25342579
http://dx.doi.org/10.1186/1472-6920-14-233
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author Goeldlin, Adrian O
Siegenthaler, Andrea
Moser, André
Stoeckli, Yvette D
Stuck, Andreas E
Schoenenberger, Andreas W
author_facet Goeldlin, Adrian O
Siegenthaler, Andrea
Moser, André
Stoeckli, Yvette D
Stuck, Andreas E
Schoenenberger, Andreas W
author_sort Goeldlin, Adrian O
collection PubMed
description BACKGROUND: Physicians’ attitudes, knowledge and skills are powerful determinants of quality of care for older patients. Previous studies found that using educational interventions to improve attitude is a difficult task. No previous study sought to determine if a skills-oriented educational intervention improved student attitudes towards elderly patients. METHODS: This study evaluated the effect of a geriatric clinical skills training (CST) on attitudes of University of Bern medical students in their first year of clinical training. The geriatric CST consisted of four 2.5-hour teaching sessions that covered central domains of geriatric assessment (e.g., cognition, mobility), and a textbook used by students to self-prepare. Students’ attitudes were the primary outcome, and were assessed with the 14-item University of California at Los Angeles Geriatrics Attitudes Scale (UCLA-GAS) in a quasi-randomized fashion, either before or after geriatric CST. RESULTS: A total of 154 medical students participated. Students evaluated before the CST had a median UCLA-GAS overall scale of 49 (interquartile range 44–53). After the CST, the scores increased slightly, to 51 (interquartile range 47–54; median difference 2, 95% confidence interval 0–4, P = 0.062). Of the four validated UCLA-GAS subscales, only the resource distribution subscale was significantly higher in students evaluated after the geriatric CST (median difference 1, 95% confidence interval 0–2, P = 0.005). CONCLUSIONS: Teaching that targets specific skills may improve the attitudes of medical students towards elderly patients, though the improvement was slight. The addition of attitude-building elements may improve the effectiveness of future skills-oriented educational interventions.
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spelling pubmed-42875332015-01-09 Effects of geriatric clinical skills training on the attitudes of medical students Goeldlin, Adrian O Siegenthaler, Andrea Moser, André Stoeckli, Yvette D Stuck, Andreas E Schoenenberger, Andreas W BMC Med Educ Research Article BACKGROUND: Physicians’ attitudes, knowledge and skills are powerful determinants of quality of care for older patients. Previous studies found that using educational interventions to improve attitude is a difficult task. No previous study sought to determine if a skills-oriented educational intervention improved student attitudes towards elderly patients. METHODS: This study evaluated the effect of a geriatric clinical skills training (CST) on attitudes of University of Bern medical students in their first year of clinical training. The geriatric CST consisted of four 2.5-hour teaching sessions that covered central domains of geriatric assessment (e.g., cognition, mobility), and a textbook used by students to self-prepare. Students’ attitudes were the primary outcome, and were assessed with the 14-item University of California at Los Angeles Geriatrics Attitudes Scale (UCLA-GAS) in a quasi-randomized fashion, either before or after geriatric CST. RESULTS: A total of 154 medical students participated. Students evaluated before the CST had a median UCLA-GAS overall scale of 49 (interquartile range 44–53). After the CST, the scores increased slightly, to 51 (interquartile range 47–54; median difference 2, 95% confidence interval 0–4, P = 0.062). Of the four validated UCLA-GAS subscales, only the resource distribution subscale was significantly higher in students evaluated after the geriatric CST (median difference 1, 95% confidence interval 0–2, P = 0.005). CONCLUSIONS: Teaching that targets specific skills may improve the attitudes of medical students towards elderly patients, though the improvement was slight. The addition of attitude-building elements may improve the effectiveness of future skills-oriented educational interventions. BioMed Central 2014-10-23 /pmc/articles/PMC4287533/ /pubmed/25342579 http://dx.doi.org/10.1186/1472-6920-14-233 Text en © Goeldlin et al.; licensee BioMed Central Ltd. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Goeldlin, Adrian O
Siegenthaler, Andrea
Moser, André
Stoeckli, Yvette D
Stuck, Andreas E
Schoenenberger, Andreas W
Effects of geriatric clinical skills training on the attitudes of medical students
title Effects of geriatric clinical skills training on the attitudes of medical students
title_full Effects of geriatric clinical skills training on the attitudes of medical students
title_fullStr Effects of geriatric clinical skills training on the attitudes of medical students
title_full_unstemmed Effects of geriatric clinical skills training on the attitudes of medical students
title_short Effects of geriatric clinical skills training on the attitudes of medical students
title_sort effects of geriatric clinical skills training on the attitudes of medical students
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287533/
https://www.ncbi.nlm.nih.gov/pubmed/25342579
http://dx.doi.org/10.1186/1472-6920-14-233
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