title: Medical student attitudes toward older people and willingness to consider a career in geriatric medicine.
abstract: OBJECTIVE
  To evaluate the attitudes of first- and fourth-year medical students toward older people and the relationship between these attitudes and possible career choice. To examine the effects of an intensive geriatric medicine (GM) teaching program on these attitudes and career aspirations.
  
  
  METHODS
  Observational study.
  
  
  METHODS
  University of Aberdeen.
  
  
  METHODS
  Medical students.
  
  
  METHODS
  In September 2005, first-year students (n=163) at the start of their undergraduate training completed a questionnaire based on the University of California at Los Angeles Geriatrics Attitudes Scale. Students were asked how likely they were to consider a career in GM in the future on a 5-point Likert scale. From the beginning of the academic year 2005/06, fourth-year students completed the same questionnaire before and after an intensive 8-day GM teaching program.
  
  
  RESULTS
  First-year medical students had a mean attitude score+/-standard deviation of 3.69+/-0.39. A more-positive attitude increased the likelihood of considering a career in GM (P<.001). Fourth-year students had better attitude scores than first-year students (3.86+/-0.36, P=.002). The GM teaching program did not significantly affect attitude scores but significantly increased the willingness to consider a career in GM by a mean 0.52 points (95% confidence interval=0.35-0.70, P<.001).
  
  
  CONCLUSIONS
  Attitudes toward older people were better in fourth-year than first-year medical students. A more-positive attitude toward older people increased the likelihood of considering a career in GM. An intensive 8-day course in GM had no significant effect on attitudes but increased the likelihood of fourth-year students considering a career in GM.
authors.affiliation: Department of Medicine for the Elderly, Woodend Hospital, Aberdeen, United Kingdom. njmhughes@nhs.net
authors.forename: Niall J
authors.initials: NJ
authors.lastname: Hughes
authors.forename: Roy L
authors.initials: RL
authors.lastname: Soiza
authors.forename: Melvin
authors.initials: M
authors.lastname: Chua
authors.forename: Graeme E
authors.initials: GE
authors.lastname: Hoyle
authors.forename: Allan
authors.initials: A
authors.lastname: MacDonald
authors.forename: William R
authors.initials: WR
authors.lastname: Primrose
authors.forename: D Gwyn
authors.initials: DG
authors.lastname: Seymour
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002321:Career Choice; D005260:Female; D005853:Geriatrics; D006801:Humans; D008297:Male; D012606:Scotland; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires