+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Intensity of previous teaching but not diagnostic skills influences stigmatization of patients with substance use disorder by general practice residents. A vignette study among French final-year residents in general practice



Intensity of previous teaching but not diagnostic skills influences stigmatization of patients with substance use disorder by general practice residents. A vignette study among French final-year residents in general practice



European Journal of General Practice 24(1): 160-166



High levels of stigma towards patients with substance use disorder (SUD) have been found in health professionals and medical students. To assess the capability of residents in general practice to diagnose SUD correctly; to assess their stigmatization of patients with SUD and to assess the correlation between both variables. We hypothesized a negative correlation. In 2014, we conducted a cross-sectional survey among French residents in general practice, using a self-administered questionnaire. First, a clinical case of SUD (tramadol) was presented, to assess the diagnosis and retained diagnostic criteria. A second clinical vignette was presented (intravenous heroin user) to assess stigmatization with the Attitudes to Mental Illness Questionnaire (AMIQ). Its score ranges from -10 (negative attitude) to +10 (positive attitude). AMIQ scores of residents who diagnosed SUD correctly versus incorrectly, and who had received at least six hours versus less than six hours of teaching on this topic, were compared using Student's t-test. Of 1284 solicited residents, 303 participated (23.6%), 249 residents diagnosed SUD correctly (82.2%). The mean AMIQ score was -3.91 (SD 2.4) without significant difference regarding the correct diagnosis of SUD; but with a significant difference between residents who had received training in SUD for at least six hours versus residents less trained (AMIQ scores -3.76 (SD 2.46) versus -4.50 (SD 2.27), p = .0354). Residents in general practice had a good capacity to diagnose SUD correctly but on average expressed negative attitudes toward people with SUD. More SUD teaching seems to help in reducing stigmatizing attitudes.

(PDF emailed within 0-6 h: $19.90)

Accession: 065247563

Download citation: RISBibTeXText

PMID: 29792534

DOI: 10.1080/13814788.2018.1470239


Related references

A Comparison Study of Communication Skills Between General Surgery and General Practice Residents on First-time Patient Visits. Canadian Medical Education Journal 3(1): E42-E51, 2012

Providing patients with their diagnostic test results. A vignette study in general practice. Ugeskrift for Laeger 160(17): 2543-2545, 1998

Physician practice style patterns with established patients: determinants and differences between family practice and general internal medicine residents. Family Medicine 31(3): 187-194, 1999

A technical-skills course for 1st-year residents in general surgery: a descriptive study. Canadian Journal of Surgery. Journal Canadien de Chirurgie 35(5): 536-540, 1992

General internal medicine in hospital practice: the year 2013 put into perspective by residents. Revue Medicale Suisse 10(414): 164, 166-70, 2014

Effects of "Teaching Method Workshop" on general surgery residents' teaching skills. Journal of Education and Health Promotion 1: 38, 2012

Influences on final year medical students' attitudes to general practice as a career. Journal of Primary Health Care 6(1): 56-63, 2014

Influences on computer use in general practice. Report of a one-year study on behalf of the Royal College of General Practitioners. Occasional Paper 1995(68): I-Viii, 1-65, 1995

The role of general practice in routes to diagnosis of lung cancer in Denmark: a population-based study of general practice involvement, diagnostic activity and diagnostic intervals. Bmc Health Services Research 15: 21, 2016

Measuring the effectiveness of an intensive IPV training program offered to Greek general practitioners and residents of general practice. Bmc Medical Education 13(): 46-46, 2013

General practice residency programs: benefits to residents and patients. Journal of Dental Education 55(8): 534-6; Discussion 537, 1991

Teaching practice management skills to pediatric residents. Clinical Pediatrics 45(9): 846-849, 2006

Maintaining capacity for in-practice teaching and supervision of students and general practice trainees: a cross-sectional study of early career general practitioners. Australian Health Review 2017, 2017

Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents. Journal of Surgical Education 69(3): 385-392, 2012

Veterans affairs general practice residents experience with medically compromised patients. Journal of Dental Research 71(SPEC ISSUE): 643, 1992