Multidimensional Attitudes of Medical Residents and Geriatrics Fellows Toward Older People

Ming Lee · David B. Reuben · Bruce A. Ferrell

92 citations0/0 files storedJournal of the American Geriatrics Society

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Aging and Gerontology Research Innovations in Medical Education Empathy and Medical Education

Abstract

OBJECTIVES: To examine dimensions of a validated instrument measuring geriatric attitudes of primary care residents and performances on these dimensions between residents and fellows. DESIGN: Cross-sectional and longitudinal studies. SETTING: An academic medical center. PARTICIPANTS: Two hundred thirty-eight primary care residents (n=177) and geriatrics fellows (n=61) participated in the study from 1995 to 2000. MEASUREMENTS: A 14-item, 5-point Likert scale previously validated for measuring primary care residents' attitudes toward older people and geriatric patient care was used. RESULTS: Factor analysis showed four dimensions of the scale, labeled Social Value, Medical Care (MC), Compassion (CP), and Resource Distribution, which demonstrated acceptable reliability. Both groups of subjects showed significantly (P<.001) positive (mean>3) attitudes across the dimensions and times, except for residents, who had near-neutral (mean=3) attitudes on MC. Residents' mean attitude scores on the overall scale and the MC and CP subscales were significantly (P<.001) lower than those of fellows over time. Residents and fellows showed different change patterns in attitudes over time. Residents' attitudes generally improved during the first 2 years of training, whereas fellows' attitudes declined slightly. Personal experience was a strong predictor of residents' attitudes toward older patients. Ethnicity, academic specialty, professional experience, and career interest in geriatrics were also associated with residents' attitude scores. CONCLUSION: The multidimensional analysis of the scale contributes to better understanding of medical trainees' attitudes and sheds light on educational interventions.

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References

2000Ageism: Negative and Positive 1969A Factor Analysis of Attitudes Toward the Aged 1998Development and Validation of a Geriatrics Attitudes Scale for Primary Care Residents 1979Beliefs, Attitudes, and Stereotypes about Old People 1980Attitudes Toward the Geriatric Patient Among Family Practice Residents†

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