Medical Student Attitudes Toward the Medically Underserved: The USU Perspective

Author:

Stephens Mark B.1,Landers Grace2,Davis Stephen W.2,Durning Steven J.3,Crandall Sonia J.2

Affiliation:

1. Department of Family Medicine, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814.

2. Department of Family Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157.

3. Department of Medicine and Pathology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814.

Abstract

ABSTRACT This study examined a cohort of students attending the Uniformed Services University regarding their attitudes toward medical care in underserved populations. Using the previously validated Medical Student Attitudes Toward the Underserved (MSATU), repeated measures analysis of variance showed that student attitudes toward care in underserved populations was less favorable than limited national data at entry and declined over time (Mean MSATU total score Year 1: 46.2 [SD 10.95]; Year 4: 41.7 [SD 12.3] p < 0.01). Differences in medical school debt, exposure to underserved populations, and the definition of “service” in the context of active duty military status might explain some of our findings. Providing broad service learning opportunities within the curriculum could increase student exposure to underserved populations and strengthen the social contract between community and institution.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,General Medicine

Reference13 articles.

1. Majerol M , NewkirkV, GarfieldR The Uninsured: A Primer: Key Facts Health About Insurance and the Uninsured in America. Kaiser Family Foundation, 2011. Available at http://www.kff.org/uninsured/upload/7451-06.pdf; accessed September 15, 2014.

2. U.S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis Projecting the Supply and Demand for Primary Care Practitioners Through 2020. Rockville, MD, U.S. Department of Health and Human Services, 2013. Available at http://bhpr.hrsa.gov/healthworkforce/supplydemand/usworkforce/primarycare/projectingprimarycare.pdf; accessed October 1, 2014.

3. Fulfilling the social contract between medical schools and the public;McCurdy;Acad Med,1997

4. Capturing medical students' idealism;Smith;Ann Fam Med,2006

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