Medical student attitudes to risk taking and self-perceived influence on medical practice.
Medical student attitudes to risk taking and self-perceived influence on medical practice.
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医学生对冒险的态度以及自我感知对医疗实践的影响。
DOI：
10.1111/j.1365-2929.2006.02531.x
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Fryer,GeorgeE
中科院分区：
文献类型：
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作者：
Weissberg,Michael;Sakai,JosephT;Miyoshi,ThomasJ;Fryer,GeorgeE
ContextLittle发表了关于医学生冒险态度和行为以及学生是否认为这些属性会影响他们如何对待患者的文章。ObjectivesOur aims were to assess for a association between risk-taking attitudes and behaviors，such as problematic substance use，self‐reported risk-behaviors，and self‐reported accidents，和测试之间的关联风险承担的态度和学生的看法，这些态度对未来的临床practice.MethodsThree连续类的影响2年级医学生（n= 315）完成了自我管理，29项问卷。使用改编自杰克逊人格量表（JPI）的6个问题的冒险态度量表评估冒险态度。结果冒险态度（JPI）与有问题的物质使用（r =0.34;P<0.01）、自我报告的危险行为（r =0.47;P<0.01）和自我报告的事故（r =0.33;P<0.01）之间呈显着正相关。 不认为他们对风险的态度会影响他们的临床决策的学生在我们的冒险态度测量中得分显著更高（t306=-4.60;P<0.01）。 那些不认为他们的饮酒、吸毒或性行为会影响他们如何就这些问题向患者提供咨询的学生在我们的问题物质使用测量中得分显著更高（t307= -2.51 ;P= 0.01）。在我们的样本中，具有高风险态度和行为的学生比他们的同事更不可能认为他们的态度会影响他们的临床实践。医学教育的影响进行了讨论。
ContextLittle has been published on medical student risk‐taking attitudes and behaviours and whether students think these attributes will affect how they treat patients.ObjectivesOur aims were to assess for an association between risk‐taking attitudes and behaviours, such as problematic substance use, self‐reported risky behaviours, and self‐reported accidents, and to test for an association between risk‐taking attitudes and student perceptions of the influence of these attitudes on future clinical practice.MethodsThree consecutive classes of Year 2 medical students (n= 315) completed a self‐administered, 29‐item questionnaire. Risk‐taking attitudes were evaluated using a 6‐question, risk‐taking scale adapted from the Jackson Personality Inventory (JPI).ResultsA significant positive correlation was demonstrated between risk‐taking attitudes (JPI) and problematic substance use (r =0.34;P< 0.01), self‐reported risky behaviours (r =0.47;P< 0.01), and self‐reported accidents (r =0.33;P< 0.01). Students who did not think their attitudes toward risk would affect their clinical decision making scored significantly higher on our measure of risk‐taking attitudes (t306= − 4.60;P< 0.01). Students who did not think that their drinking, drug taking or sexual behaviour would affect how they counselled patients on these matters scored significantly higher on our measure of problematic substance use (t307= − 2.51;P= 0.01).ConclusionsAlthough risk‐taking attitudes have been associated with significant differences in clinical decision making among doctors, in our sample students with high risk‐taking attitudes and behaviours were significantly less likely than their colleagues to think their attitudes would affect their clinical practice. Implications for medical education are discussed.