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Student attitudes: potential barriers to implementing a community medicine field activity
Peter F Cronholm1, Katherine Margo, Gillian Bazelon
1Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA 19104-4283, USA. peter.cronholm@uphs.upenn.edu
Family Medicine
|January 10, 2009
Summary
Medical students" complex attitudes toward community medicine training, including insider/outsider perceptions and safety concerns, can impede program development and professional growth. Addressing these views is crucial for effective community health initiatives.
Area of Science:
- Medical education
- Community health
- Social determinants of health
Background:
- Medical students often develop complex attitudes towards the communities where they undertake clinical training.
- Understanding these attitudes is essential for effective community medicine programs.
Purpose of the Study:
- To assess medical students' attitudes after a community medicine experience during their clerkship year.
- To identify key features of student narratives regarding community medicine training.
Main Methods:
- Content analysis of audiotaped group discussions with medical students.
- Multidisciplinary coding of transcripts to identify themes in student attitudes and attributions.
Main Results:
- Students expressed insider/outsider themes and resentment over historical legacies impacting doctor-patient relationships.
- Concerns regarding personal safety and the educational relevance of the community experience were noted.
- Some students reported an improved understanding of patients within their community context.
Conclusions:
- Negative student attitudes can hinder community medicine initiatives and professional development.
- Unaddressed negative attributions may contribute to health disparities.
- Further research is needed to optimize community medicine training integration.
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