title: Observing Electroconvulsive Therapy Changes Students' Attitudes: A Survey of Croatian Medical Students.
abstract: OBJECTIVE
  To assess the impact of education and direct observation of electroconvulsive therapy (ECT) on medical students' attitudes toward ECT in particular and psychiatric treatment in general in Croatia.
  
  
  METHODS
  Two self-administered questionnaires were completed by year 4 medical students twice, at the beginning and the end of the psychiatry clerkship. Students were divided into 2 groups: those who observed an ECT session (47.9%) and those who did not (52.1%).
  
  
  RESULTS
  The survey was completed by 190 students yielding a response rate of 79.8%. Students' attitudes toward ECT and other methods of psychiatric treatment and psychiatry in general changed in positive direction after the clerkship in both groups. However, the attitudes toward ECT of students who observed a live ECT session became more positive than those who did not. Likewise, students who observed ECT were more likely to agree to receive ECT and had better knowledge about ECT compared with the other group.
  
  
  CONCLUSIONS
  Having watched a live ECT session had a positive effect on students' attitudes toward ECT and other types of psychiatric treatment. Watching live ECT sessions should be mandatory during the psychiatric clerkship.
authors.affiliation: From the *Istra Primary Health Care Center, Pula, Croatia; †Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; ‡Department of Psychiatry, University Hospital Centre Osijek, Osijek; §Zagreb Region Primary Health Care Center, Zagreb, Croatia; ∥Centre for Psychiatry and Addiction Medicine, Szent István and Szent Laszló Hospitals; ¶Department of Psychiatry and Psychotherapy, Faculty of Medicine, Semmelweis University, Budapest, Hungary; #Notre Dame University, Australia; **School of Psychiatry and Clinical Neurosciences, University of Western Australia, Perth, Australia; ††Department of Psychiatry, University Hospital Centre Zagreb, Zagreb, Croatia; and ‡‡Zagreb School of Medicine, Zagreb, Croatia.
authors.forename: Tamara
authors.initials: T
authors.lastname: Pranjkovic
authors.forename: Dunja
authors.initials: D
authors.lastname: Degmecic
authors.forename: Ana
authors.initials: A
authors.lastname: Medic Flajsman
authors.forename: Gábor
authors.initials: G
authors.lastname: Gazdag
authors.forename: Gabor S
authors.initials: GS
authors.lastname: Ungvari
authors.forename: Martina Rojnic
authors.initials: MR
authors.lastname: Kuzman
mesh_terms: D001291:Attitude of Health Personnel; D002982:Clinical Clerkship; D017523:Croatia; D004565:Electroconvulsive Therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011570:Psychiatry / Q000193:education; D013337:Students, Medical; D011795:Surveys and Questionnaires; D055815:Young Adult