期刊论文详细信息
BMC Medical Education
National survey of UK medical students on the perception of neurology
Sreeram V Ramagopalan4  Gavin Giovannoni3  Richard J Davenport1  Giulio Disanto3  Adam E Handel4  Julia Pakpoor2 
[1] Division of Clinical Neurosciences, Western General Hospital, Edinburgh, UK;Oxford University Medical School, Medical Sciences Office, John Radcliffe Hospital, OX3 9DU Oxford, UK;Blizard Institute, Queen Mary University of London, Barts and the London School of Medicine and Dentistry, London, UK;Department of Physiology, Anatomy and Genetics and Medical Research Council Functional Genomics Unit, University of Oxford, Oxford, UK
关键词: Neurological examination;    Medical student;    Neurology;    Medical education;    Survey;    National;   
Others  :  1090442
DOI  :  10.1186/1472-6920-14-225
 received in 2014-03-27, accepted in 2014-09-01,  发布年份 2014
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【 摘 要 】

Background

Medical students perceive neurology to be a difficult subject, a phenomenon described as “neurophobia”. Studies investigating student attitudes towards neurology have so far been limited by small sample sizes as a consequence of being conducted within a single medical school or region. We aimed to conduct the first national survey of the perception of neurology among UK medical students.

Methods

A 24 question online survey was designed and distributed in the form of a web-link to all UK medical schools. Responses were collected for 10 weeks with reminders sent at 3 and 6 weeks. A prize-draw of £300 was offered upon completion of the survey.

Results

2877 medical students from 25 of 31 medical schools responded. Students found neurology to be significantly more difficult than other specialties and were least comfortable drawing up a neurological differential diagnosis compared to other specialties (p < 0.0001 for neurology vs. each of the other specialties). Neuroanatomy was regarded as the most important factor contributing to neurology being perceived as difficult.

Conclusions

The findings of the first national survey addressing this issue are consistent with previous research. The perception of neurology remains unchanged, in contrast to the rapidly changing demands of neurological care in an ageing population. Neurological examination and formulating a differential diagnosis are important skills in any medical specialty, and combatting “neurophobia” in medical students is therefore essential.

【 授权许可】

   
2014 Pakpoor et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Jozefowicz RF: Neurophobia: the fear of neurology among medical students. Arch Neurol 1994, 51(4):328-329.
  • [2]Schon F, Hart P, Fernandez C: Is clinical neurology really so difficult? J Neurol Neurosurg Psychiatr 2002, 72(5):557-559.
  • [3]Flanagan E, Walsh C, Tubridy N: ‘Neurophobia’–attitudes of medical students and doctors in Ireland to neurological teaching. Eur J Neurol 2007, 14(10):1109-1112.
  • [4]Youssef FF: Neurophobia and its implications: evidence from a Caribbean medical school. BMC Med Educ 2009, 9:39. BioMed Central Full Text
  • [5]Zinchuk AV, Flanagan EP, Tubridy NJ, Miller WA, McCullough LD: Attitudes of US medical trainees towards neurology education: “Neurophobia” - a global issue. BMC Med Educ 2010, 10:49. BioMed Central Full Text
  • [6]Hudson JN: Linking neuroscience theory to practice to help overcome student fear of neurology. Med Teach 2006, 28(7):651-653.
  • [7]Ridsdale L, Massey R, Clark L: Preventing neurophobia in medical students, and so future doctors. Pract Neurol 2007, 7(2):116-123.
  • [8]Department of Health: Modernising Medical Careers: The Next Steps—The Future Shape of Foundation, Specialist and General Practice Training Programmes. London: Department of Health; 2004.
  • [9]Thapar AK, Stott NC, Richens A, Kerr M: Attitudes of GPs to the care of people with epilepsy. Fam Pract 1998, 15:437-442.
  • [10]Pinder R: The management of chronic illness: patient and doctors’ perspectives on Parkinson’s Disease. Basingstoke: Macmillan Press; 1990.
  • [11]Jao CS, Brint SU, Hier DB: Making the neurology clerkship more effective: can e-textbook facilitate learning. Neurol Res 2005, 27(7):762-767.
  • [12]Menken M, Munsat TL, Toole JF: The global burden of disease study: implications for neurology. Arch Neurol 2000, 57:418-420.
  • [13]Association of British Neurologists: Acute Neurological Emergencies in Adults. London: Association of British Neurologists; 2002.
  • [14]Fuller GN: Neurophilia: a fascination for neurology–a new syndrome. Pract Neurol 2012, 12(5):276-278.
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