Effects of an oncology elective on first-year medical students' knowledge and attitudes about cancer

This study examined cognitive knowledge and attitudes about cancer for three consecutive classes of first-year medical students who were enrolled in an elective oncology course. Analyses of the data indicated that knowledge about oncologic anatomy and cancer spread patterns increased and attitudes about various aspects of cancer tended to be positive; however, the two parameters were not correlated. Our observations and findings led us to believe that although we did not attempt to "teach" attitudes, factors in addition to cognitive skills could be associated with students' attitudes about cancer. Exposure to cancer patients in an appropriate setting may be as important as instruction. These findings are discussed and placed within the context of the literature. Further research is suggested to compare this group to students who may have similar exposure to cancer patients, but no didactic presentations.