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Knowledge, Attitudes, and Reported Practices of Medical Students and House Staff Regarding the Diagnosis and Treatment of Alcoholism
Gail Geller, ScD, MHS;
David M. Levine, MD, ScD;
Joyce A. Mamon, PhD;
Richard D. Moore, MD, MHS;
Lee R. Bone, MPH;
Emma J. Stokes, PhD
JAMA. 1989;261(21):3115-3120.
Abstract
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Although alcoholism is prevalent in both general and inpatient populations, barriers to its timely diagnosis and effective treatment exist. These are often attributed to physicians' inadequate understanding and skill development and negative attitudes toward the disease. All Johns Hopkins' medical students and house staff, during 1986 through 1987, received a self-administered survey of their attitudes, skills, perceived role responsibility, knowledge, and reported practices with regard to alcoholism. Results indicate a strong relationship between perceived role responsibility, confidence in skills, and reported screening and referral practices among students and house staff. Knowledge levels strengthened the association between skills and practices for medical students. House staff perceived less of a responsibility for screening than medical students. There was a trend toward lower confidence and more negative attitudes among house staff than medical students. The results point to areas where educational interventions can be improved to enhance quality of care and outcomes for this major chronic disease.
(JAMA. 1989;261:3115-3120)
Author Affiliations
From the Department of Health Policy and Management, The Johns Hopkins University School of Hygiene and Public Health (Drs Geller and Mamon and Ms Bone); and the Department of Medicine (Drs Levine and Moore) and the Blades Center for Clinical Practice, Research and Teaching in Alcoholism (Dr Stokes), The Johns Hopkins University School of Medicine, Baltimore, Md.
Footnotes
Reprint requests to The Johns Hopkins University School of Hygiene and Public Health, 624 N Broadway, Room 511, Baltimore, MD 21205 (Dr Geller).
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