Changes in Physicians' Attitudes Toward AIDS during Residency Training: A Longitudinal Study of Medical School Graduates

Michael J. Yedidia, Carolyn Berry, Judith K. Barr

Research output: Contribution to journalArticle

Abstract

Understanding the impact of training on the development of physicians' attitudes toward AIDS is important to furthering our knowledge of the mechanisms through which socialization affects professional outlook, as well as promoting an adequate supply of providers to treat people with AIDS (PWAs). This prospective panel study collected data on 383 physicians at two critical stages: as fourth-year medical students and as third-year residents. Aspects of residency training (e.g., residents' morale and positive faculty role models) were the most powerful predictors of increase in willingness to treat PWAs. Decline in willingness was primarily a product of negative social attitudes - homophobia and IVDU-phobia (aversion to intravenous drug users). Cynicism toward patient care acted as a trigger, activating the negative effects of IVDU-phobia; having an acquaintance who is HIV positive mediated the negative impact of homophobia. Notably, cynicism was associated with basic aspects of training (specific characteristics of the faculty and of the educational milieu). The findings support a view of socialization as a pervasive process implicating intrinsic aspects of training and having an impact on a broad spectrum of outlooks. Accordingly, interventions must address structural characteristics that transcend AIDS-specific concerns.

Original languageEnglish (US)
Pages (from-to)179-191
Number of pages13
JournalJournal of Health and Social Behavior
Volume37
Issue number2
StatePublished - Jun 1996

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Internship and Residency
Medical Schools
Longitudinal Studies
Acquired Immunodeficiency Syndrome
Homophobia
Physicians
Socialization
Phobic Disorders
Morale
Drug Users
Medical Students
Patient Care
HIV
Prospective Studies

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Changes in Physicians' Attitudes Toward AIDS during Residency Training : A Longitudinal Study of Medical School Graduates. / Yedidia, Michael J.; Berry, Carolyn; Barr, Judith K.

In: Journal of Health and Social Behavior, Vol. 37, No. 2, 06.1996, p. 179-191.

Research output: Contribution to journalArticle

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