Medical student judgments of adolescents with alcohol use disorders (AUD).
The clinical encounter presents opportunities for detection and intervention of adolescent alcohol use disorders (AUDs).


OBJECTIVE
Investigate (a) identification rate of AUDs, (b) whether AUD identification predicts clinical judgment, and (c) patient characteristics influences on clinical judgment. Medical students (n=123) read a case study and completed questions on diagnosis and clinical judgment. Twenty-five percent of participants identified AUD adolescents, who were more negatively rated than non-AUD adolescents. Prior clinical experience and addiction training predicted AUD identification. Patient race and gender influenced clinical judgment ratings. Addictions training is needed to improve identification rates. Study limitations are noted.
Lee
Christina S
CS
Department of Community Health, Center for Alcohol and Addiction Studies, Butler Hospital and Brown Medical School, Brown University, Providence, Rhode Island 02912, USA. Christina_Lee@Brown.edu
Abrantes
Ana M
AM
Colby
Suzanne M
SM
López
Steven R
SR
Jordan
Theresa J
TJ
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data; D000428:Alcohol Drinking / Q000523:psychology; D019973:Alcohol-Related Disorders / Q000175:diagnosis* / Q000523:psychology; D000437:Alcoholism / Q000175:diagnosis / Q000523:psychology; D001294:Attitude to Health; D002983:Clinical Competence; D003479:Curriculum / Q000592:standards; D004501:Education, Medical / Q000592:standards; D005260:Female; D006801:Humans; D007600:Judgment; D008297:Male; D011336:Probability; D012737:Sex Factors; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data