title: A gender-specific evaluation of a care-oriented curricular change in a Dutch medical school.
abstract: BACKGROUND
  Patients with chronic diseases need doctors who have the appropriate skills to maintain a long-term doctor-patient relationship with an orientation towards care rather than cure and focused on the patient's role in managing their condition. As the number of chronically ill patients is rising, medical education has to develop and evaluate instructional formats to prepare future doctors to provide care tailored to these patients.
  
  
  OBJECTIVE
  To examine the possibly gender-specific effects on students' orientations of a patient-oriented programme.
  
  
  METHODS
  Three consecutive cohorts of third-year medical students at least twice completed the Ideal Physician questionnaire, which measures care versus cure orientation. Two cohorts participated in a care-oriented curriculum intervention, the third cohort did not. Analysis of variance was used to examine trends in the students' orientation.
  
  
  RESULTS
  Starting from a rather neutral care-cure orientation, a small but consistent trend towards increased cure orientation was found, which was unaffected by the educational intervention. Female students were more patient centred (p = 0.00) but became increasingly cure oriented.
  
  
  CONCLUSIONS
  Our programme was unable to curb the increased cure orientation in students. In addition to appropriate health-care innovations, other or more intensive curricular interventions are probably needed to serve the current and the future influx of chronically ill patients.
authors.affiliation: Department of Social Medicine, Maastricht University, The Netherlands. hans.bosma@socmed.unimaas.nl
authors.forename: Hans
authors.initials: H
authors.lastname: Bosma
authors.forename: Jos
authors.initials: J
authors.lastname: Diederiks
authors.forename: Albert
authors.initials: A
authors.lastname: Scherpbier
authors.forename: Jacques
authors.initials: J
authors.lastname: Van Eijk
mesh_terms: D000293:Adolescent; D002908:Chronic Disease; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000458:organization & administration; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D009426:Netherlands; D005791:Patient Care; D012577:Schools, Medical; D012737:Sex Factors; D011795:Surveys and Questionnaires; D055815:Young Adult