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Title: Medical student's attitude towards working in geriatric medicine
Author: Simpson, Janet Mary
ISNI:       0000 0004 2708 8890
Awarding Body: Royal Holloway, University of London
Current Institution: Royal Holloway, University of London
Date of Award: 1990
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In general, medical students are unenthusiastic about working in geriatric medicine (GM). Variables potentially related to this problem were identified and questionnaires designed to measure them: attitudes toward the work-of GM, toward GM patients, to old people, amount of prior contact with old people, discussions with other doctors and respondents' gender. Fishbein and Ajzen's (1975) Theory of-Reasoned Action guided a study of how these variables related to final year students' enthusiasm for working in GM, i. e. their behavioural intention (BI). The model explained 60% of the variance in BI. Aact (attitude toward working in GM) and SN (subjective normative pressure) together explained 50% of the variance in BI. Multiple regression showed'that attitude toward GM work most influenced BI. Correlations between the components of this attitude and BI were examined. A method for identifying primary variables is described. Evaluations rather than beliefs emerged as primary. The more students valued social and caring aspects of medicine'(e. g. dealing with social problems and treating chronic cases), the less unenthusiastic they were about GM. The more they valued its financial rewards and status aspects the more unenthusiastic they were. Attitude toward GM patients related weakly to`BI. Attitude to old people was not convincingly related to BI. Women's mean rating on BI was slightly higher than men's. Women students who had worked with old people had the highest BI scores. Cluster analysis showed that students may be grouped according to their values and also-supported the findings of the correlational analysis. A longitudinal study traced change and stability in students' primary values during medical training. Only the value students attached to dealing with social problems appeared to change. It declined during the clinical period. Students appeared to enter medical school with the value systems relevant to an interest in GM already formed. Ways by which GM's'image may be improved are discussed
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available