Understanding the impact of training on the development of physicians'attitudes toward AIDS is important to furthering our knowledge of the mechanisms through which socialization affects professional outlook, as well as promoting an adequate supply of providers to treat people with AIDS (PWAs).
This prospective panel study collected data on 383 physicians at two critical stages : as fourth-year medical students and as third-year residents.
Aspects of residency training (e.g., residents'morale and positive faculty role models) were the most powerful predictors of increase in willingness to treat PWAs.
Decline in willingness was primarily a product of negative social attitudes-homophobia and IVDU-phobia (aversion to intravenous drug users).
Cynicism toward patient care acted as a trigger, activating the negative effects of IVDU-phobia ; having an acquaintance who is HIV positive mediated the negative impact ofhomophobia.
Notably, cynicism was associated with basic aspects of training (specific characteristics of the faculty and of the educational milieu).
The findings support a view of socialization as a pervasive process implicating intrinsic aspects of training and having an impact on a broad spectrum of outlooks.
Accordingly, interventions must address structural characteristics that transcend AIDS-specific concerns.
Mots-clés Pascal : Médecin, Changement attitude, Formation professionnelle, SIDA, Virose, Infection, Immunodéficit, Hémopathie, Etudiant, Etude longitudinale, Homme, Personnel sanitaire
Mots-clés Pascal anglais : Physician, Attitude change, Occupational training, AIDS, Viral disease, Infection, Immune deficiency, Hemopathy, Student, Follow up study, Human, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0318216
Code Inist : 002B30A05. Création : 10/04/1997.