title: Multidimensional attitudes of medical residents and geriatrics fellows toward older people.
abstract: OBJECTIVE
  To examine dimensions of a validated instrument measuring geriatric attitudes of primary care residents and performances on these dimensions between residents and fellows.
  
  
  METHODS
  Cross-sectional and longitudinal studies.
  
  
  METHODS
  An academic medical center.
  
  
  METHODS
  Two hundred thirty-eight primary care residents (n=177) and geriatrics fellows (n=61) participated in the study from 1995 to 2000.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  The multidimensional analysis of the scale contributes to better understanding of medical trainees' attitudes and sheds light on educational interventions.
authors.affiliation: Department of Humanities and Social Sciences, University of the West, Rosemead, California, USA. mingl@uwest.edu
authors.forename: Ming
authors.initials: M
authors.lastname: Lee
authors.forename: David B
authors.initials: DB
authors.lastname: Reuben
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Ferrell
mesh_terms: D001291:Attitude of Health Personnel; D005194:Family Practice; D005853:Geriatrics; D006801:Humans; D007396:Internship and Residency; D010817:Physician-Patient Relations; D015397:Program Evaluation