Impact of participation in a community-based intimate partner violence prevention program on medical students: a multi-center study.
BACKGROUND
Physicians are generally poorly trained to recognize, treat or refer adolescents at risk for intimate partner violence (IPV). Participation in community programs may improve medical students' knowledge, skills, and attitudes about IPV prevention.


OBJECTIVE
To determine whether the experience of serving as educators in a community-based adolescent IPV prevention program improves medical students' knowledge, skills, and attitudes toward victims of IPV, beyond that of didactic training.


METHODS
One hundred and seventeen students attending 4 medical schools.


METHODS
Students were randomly assigned to didactic training in adolescent IPV prevention with or without participation as educators in a community-based adolescent IPV prevention program. Students assigned to didactic training alone served as community educators after the study was completed.


METHODS
Knowledge, self-assessment of skills and attitudes about intimate partner violence and future plans to pursue outreach work.


RESULTS
The baseline mean knowledge score of 10.25 improved to 21.64 after didactic training (p </= .001). Medical students in the "didactic plus outreach" group demonstrated higher levels of confidence in their ability to address issues of intimate partner violence, (mean = 41.91) than did students in the "didactic only" group (mean = 38.94) after controlling for initial levels of confidence (p </= .002).


CONCLUSIONS
Experience as educators in a community-based program to prevent adolescent IPV improved medical students' confidence and attitudes in recognizing and taking action in situations of adolescent IPV, whereas participation in didactic training alone significantly improved students' knowledge.
Moskovic
Cindy S
CS
Iris Cantor-UCLA Women's Health Center and the Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA, USA. cmoskovic@mednet.ucla.edu
Guiton
Gretchen
G
Chirra
Annapoorna
A
Núñez
Ana E
AE
Bigby
Judyann
J
Stahl
Christiane
C
Robertson
Candace
C
Thul
Elizabeth C
EC
Miller
Elizabeth
E
Sims
Abigail
A
Sachs
Carolyn J
CJ
Pregler
Janet P
JP
D000293:Adolescent; D016497:Adolescent Health Services; D001290:Attitude; D003159:Community-Institutional Relations; D004504:Education, Medical, Undergraduate; D004521:Educational Measurement; D006801:Humans; D000297:Psychology, Adolescent; D013179:Spouse Abuse / Q000517:prevention & control*; D013337:Students, Medical / Q000523:psychology