Attitudes towards neurology among medical undergraduates
Abstract
Diseases of the nervous system are an important contributor to clinical and social problems. Therefore there is a need to provide undergraduates and postgraduates of medical faculties with adequate training in neurology. However, many shortcomings have been observed in this field, often associated with students’ negative perception of neurology. The aim of this study was to explore attitudes towards neurology amongst undergraduates of the medical faculty at Wroclaw Medical University, and the reasons for these attitudes. As a qualitative component of the study, a focus group discussion was conducted with six fifth year undergraduates. The findings of the focus group and a literature search informed the content of a questionnaire distributed among fifth year students of the medical faculty, including non-Poles attending English Division. The responses to the closed questions were analysed quantitatively and subjected to statistical analysis while the free text comments were analysed qualitatively. Triangulation of the findings from the focus group and the survey was performed. 134 Polish students and 75 English-speaking ones responded to the survey. The majority of participants perceived neurology to be interesting and important for medical education, and it was highly ranked as a potential future speciality. The majority of the survey respondents regarded neurology as difficult and mentioned specific drawbacks. In spite of similar general perceptions of neurology, Polish and English- -speaking students differed in their perceptions of particular aspects, conditioned by diversity in cultural backgrounds and earlier experiences associated with neurology. The course in neurology affected attitudes towards the subject more than preceding experiences, mostly in a positive manner. The fifth year medical undergraduates expressed mostly positive attitudes towards neurology. Cultural background and the course in neurology were the main factors contributing to attitudes in these students.
Keywords: neurologyundergraduatesattitudesneurophobia
References
- Neurological Disorders: Public Health Challenges. Neurol Disord Public Heal Challenges. 2006: 41–176.
- Jozefowicz RF. Neurophobia: the fear of neurology among medical students. Arch Neurol. 1994; 51(4): 328–329.
- Zinchuk A, Flanagan E, Tubridy N, et al. Attitudes of US medical trainees towards neurology education: "Neurophobia" - a global issue. BMC Medical Education. 2010; 10(1).
- Solorzano GE, Józefowicz RF. Neurophobia: a chronic disease of medical students. Neurology. 2015; 85(2): 116–117.
- McGee J, Maghzi AH, Minagar A. Neurophobia: a global and under-recognized phenomenon. Clin Neurol Neurosurg. 2014; 122: iii–iv.
- Nicholl DJ, Appleton JP. Clinical neurology: why this still matters in the 21st century. J Neurol Neurosurg Psychiatry. 2015; 86(2): 229–233.
- Zieliński JJ, Bejnarowicz J, Drabrowska-Kaczmarek A, et al. [Place and role of clinical neurology in the opinion of students graduating from medical schools]. Neurol Neurochir Pol. 1979; 13(4): 411–416.
- Trzeciak B, Siebert J, Kliszcz J, et al. Specialties’ preferences of students of Medical University in Gdansk during the transformation period. Fam Med Prim Care Rev. 2006; 8: 77–81.
- Ministry Health. http://www mz gov pl/system-ochrony-zdrowia/kadra-medyczna.
- Fantaneanu TA, Moreau K, Eady K, et al. Neurophobia inception: a study of trainees' perceptions of neurology education. Can J Neurol Sci. 2014; 41(4): 421–429.
- Youssef FF. Neurophobia and its implications: evidence from a Caribbean medical school. BMC Med Educ. 2009; 9: 39.
- Pakpoor J, Handel AE, Disanto G, et al. Association of British Neurologists. National survey of UK medical students on the perception of neurology. BMC Med Educ. 2014; 14: 225–229.
- Matthias AT, Nagasingha P, Ranasinghe P, et al. Neurophobia among medical students and non-specialist doctors in Sri Lanka. BMC Med Educ. 2013; 13: 164.
- Flanagan E, Walsh C, Tubridy N. ?Neurophobia?? attitudes of medical students and doctors in Ireland to neurological teaching. European Journal of Neurology. 2007; 14(10): 1109–1112.
- Lukas R, Albert D, Abulaban A, et al. Neurophobia among medical students. Neurosciences. 2015; 20(4): 404–404.
- Schon F. Is clinical neurology really so difficult? Journal of Neurology, Neurosurgery & Psychiatry. 2002; 72(5): 557–559.
- POSER CM. Undergraduate attitudes toward the specialty of neurology. Neurology. 1959; 9: 682–688.
- Khadilkar S, Bangar S, Patil T, et al. Neurology as career option among postgraduate medical students. Annals of Indian Academy of Neurology. 2013; 16(4): 478–482.
- Albert D, Hoyle C, Yin H, et al. Why neurology? Factors which influence career choice in neurology. Neurological Research. 2016; 38(1): 10–14.
- Kamour A, Han D, Mannino D, et al. Factors that impact medical student and house-staff career interest in brain related specialties. Journal of the Neurological Sciences. 2016; 369: 312–317.
- Humbert K, Chang B. In the beginning: How medical students choose (or do not choose) neurology. Annals of Neurology. 2014; 75(4): 487–489.
- Ridsdale L, Massey R, Clark L. Preventing neurophobia in medical students, and so future doctors. Pract Neurol. 2007; 7(2): 116–123.
- Fuller G. Neurophilia: a fascination for neurology—a new syndrome. Practical Neurology. 2012; 12(5): 276–278.
- Giles J. Clinical neuroscience attachments: a student's view of 'neurophobia'. Clin Teach. 2010; 7(1): 9–13.
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