Project Details


This study seeks to explain the mechanisms underlying house staff's
attitudes and subsequent behaviors concerning AIDS, utilizing a
longitudinal design and building on baseline data collected in 1989.
Analysis of the 1989 data revealed that residents are consistently more
negative in their attitudes toward a wide range of AIDS issues than
fourth-year medical students and report greater intention to avoid AIDS
in future practice. Hypotheses about the causes of such disparities
rely, to varying degrees, upon (1)the potential impact of factors
associated with the training experience as students progress through
internship and further graduate training, and (2)the possible effects of
individual characteristics which differentiate the younger cohort of
trainees from their earlier counterparts. The proposed research is designed to identify the relative
importance of aspects of training as well as characteristics of the
cohorts in explaining physicians' attitudes toward AIDS and their
relationship to subsequent behaviors. The goal of the research is to
generate an incisive understanding of that portion of attitude formation
which is alterable and to inform strategies for purposeful intervention.
The longitudinal design, following a sample of 1989 medical graduates and
interviewing a companion cohort of the 1989 PGY-2 sample, will permit a
delineation of cohort- and socialization-effects. This distinction is
important since the mechanisms have different implications for the
development of strategies for change. In-depth knowledge of how training
affects AIDS attitudes and how those attitudes affect day-to-day behavior
and future plans will lead to identification of aspects of training whose
modification would be beneficial in promoting more positive outlooks. A
knowledge of cohort differences may be important in targeting particular
types of students in recruitment efforts and in alerting educators to
issues which might be addressed in training so as to shape emerging
attitudes toward AIDS. The study is intended to provide medical
educators with specific recommendations for training physicians who have
a more positive outlook toward treating patients with AIDS.
Effective start/end date5/1/914/30/93


  • National Institutes of Health


  • Medicine(all)

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