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Related Experiment Videos

Understanding physicians' attitudes towards hormone therapy.

Rachel Hess1, Chung Chou Joyce Chang, Joseph Conigliaro

  • 1Division of General Internal Medicine, University of Pittsburgh, 230 McKee Place, Pittsburgh, PA 15213, USA. hessr@umpc.edu

Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health
|January 22, 2005
PubMed
Summary

Residency education on hormone therapy (HT) did not improve resident knowledge, which remained low despite didactic exposure. Experiential learning positively influenced provider attitudes toward HT, while pharmaceutical detailing negatively impacted them.

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Area of Science:

  • Medical Education
  • Endocrinology
  • Women's Health

Background:

  • Hormone therapy (HT) practice guidelines evolved rapidly following major study releases.
  • Understanding resident education, knowledge, and attitudes toward HT is crucial for patient care.

Purpose of the Study:

  • To examine the relationship between residency education components, knowledge, and attitudes regarding hormone therapy (HT).
  • To assess resident preparedness to counsel patients on HT amidst changing guidelines.

Main Methods:

  • Survey administered to Internal Medicine residents at the University of Pittsburgh (February-April 2002).
  • Data collected on demographics, educational exposures (didactic and experiential), HT knowledge, and attitudes.
  • Analysis of factors influencing provider attitudes toward HT.

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Main Results:

  • 75% of eligible residents responded; 38% were women.
  • Despite extensive didactic exposure (80% >1 exposure), HT knowledge was low (mean 47%) and only 26% felt prepared to counsel.
  • Appropriate attitudes correlated with lectures, menopause management rotations, and continuity practices with >30% women; pharmaceutical detailing and self-study correlated with inappropriate attitudes. Knowledge did not influence attitudes.

Conclusions:

  • Resident knowledge regarding hormone therapy (HT) remains low despite significant educational exposure.
  • Experiential learning positively shapes provider attitudes toward HT, whereas pharmaceutical detailing is linked to inappropriate attitudes regarding HT risks.