期刊论文详细信息
BMC Medical Education
Medical students, spirituality and religiosity-results from the multicenter study SBRAME
Alessandra LG Lucchetti2  José Roberto Leite3  Harold G Koenig1  Leandro Romani de Oliveira3  Giancarlo Lucchetti2 
[1] King Abdulaziz University, Jeddah, Saudi Arabia;Brazilian Medical Spiritist Association, Rua Dona Elisa, 150 apto 153B, São Paulo, Brazil;Federal University of São Paulo, São Paulo, Brazil
关键词: Curriculum;    Religion and medicine;    Medical education;    Spirituality;   
Others  :  1135758
DOI  :  10.1186/1472-6920-13-162
 received in 2013-06-14, accepted in 2013-12-02,  发布年份 2013
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【 摘 要 】

Background

To evaluate the relationship between spirituality/religiosity (S/R) and the attitudes, beliefs and experiences of medical students in Brazil with respect to S/R in their undergraduate training and clinical practice.

Methods

SBRAME (Spirituality and Brazilian Medical Education) is a multicenter study involving 12 Brazilian medical schools with 5950 medical students (MS). Participants completed a questionnaire that collected information on socio-demographic data and S/R in their undergraduate training and practice.

Results

Of all MS, 3630 participated in the survey (61.0%). The sample was 53.8% women and the mean age was 22.5 years. The majority of MS believed that spirituality has an impact on patients’ health (71.2%) and that this impact was positive (68.2%). The majority also wanted to address S/R in their clinical practice (58.0%) and considered it relevant (75.3%), although nearly one-half (48.7%) felt unprepared to do so. Concerning their training, most MS reported that they had never participated in a “spirituality and health” activity (81.0%) and that their medical instructors had never or rarely addressed this issue (78.3%). The majority also believed that they should be prepared to address spiritual issues related to the health of their patients (61.6%) and that this content should be included in the medical curriculum (62.6%).

Conclusion

There is a large gap between MS attitudes and expectations and the S/R training that they are receiving during their undergraduate training. The majority of MS surveyed believe that patients should have their beliefs addressed and that these beliefs could have important effects on their health and the doctor-patient relationship. These results should stimulate discussion about the place that S/R training should have in the medical curriculum.

【 授权许可】

   
2013 Lucchetti et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Miller WR, Thoresen CE: Spirituality, religion, and health: an emerging research field. Am Psychol 2003, 58:24-35.
  • [2]Koenig HG, McCullough M, Larson D: Handbook of Religion and Health. New York: Oxford University Press; 2001.
  • [3]Curlin FA, Lawrence RE, Chin MH, Lantos JD: Religion, conscience, and controversial clinical practices. N Engl J Med 2007, 356:593-600.
  • [4]Lucchetti G, Lucchetti AGL, Badan-Neto AM, Peres PT, Peres MFP, Moreira-Almeida A, Gomes C, Koenig HG: Religiousness affects mental health, pain and quality of life in older people in an outpatient rehabilitation setting. J Rehabil Med 2011, 43:316-322.
  • [5]Hebert RS, Jenckes MW, Ford DE, O’Connor DR, Cooper LA: Patient perspectives on spirituality and the patient‒physician relationship*. J Gen Intern Med 2001, 16:685-692.
  • [6]Lucchetti G, Lucchetti AL, Koenig HG: Impact of spirituality/religiosity on mortality: comparison with other health interventions. Explore (NY) 2011, 7:234-238.
  • [7]Neely D, Minford EJ: Current status of teaching on spirituality in UK medical schools. Med Educ 2008, 42:176-182.
  • [8]Koenig HG, Hooten EG, Lindsay-Calkins E, Meador KG: Spirituality in medical school curricula: findings from a national survey. Int J Psychiatry Med 2010, 40:391-398.
  • [9]Lucchetti G, Lucchetti AL, Espinha DC, Oliveira LR, Leite JR, Koenig HG: Spirituality and health in the curricula of medical schools in Brazil. BMC Med Educ 2012, 12:78. BioMed Central Full Text
  • [10]Puchalski CM, Larson DB: Developing curricula in spirituality and medicine. Acad Med 1998, 73:970-974.
  • [11]Monroe MH, Bynum D, Susi B, Phifer N, Schultz L, Franco M, MacLean CD, Cykert S, Garrett J: Primary care physician preferences regarding spiritual behavior in medical practice. Arch Intern Med 2003, 163:2751-2756.
  • [12]Mariotti L, Lucchetti G, Dantas M, Banin V, Fumelli F, Padula N: Spirituality and medicine: views and opinions of teachers in a Brazilian medical school. Med Teach 2011, 33:339-340.
  • [13]Vermandere M, De Lepeleire J, Smeets L, Hannes K, Van Mechelen W, Warmenhoven F, van Rijswijk E, Aertgeerts B: Spirituality in general practice: a qualitative evidence synthesis. Br J Gen Pract 2011, 61:e749-e760.
  • [14]Guck TP, Kavan MG: Medical student beliefs: spirituality’s relationship to health and place in the medical school curriculum. Med Teach 2006, 28:702-707.
  • [15]Banin LB, Suzart NB, Banin VB, Mariotti LGL, Guimarães FAG, Lucchetti G: Spirituality: Do teachers/students hold the same opinion? Clin Teach 2013, 10(1):3-8.
  • [16]Lucchetti G, de Oliveira LR, Granero Lucchetti AL, Leite JR: Spirituality in medical education: new initiatives in Brazil. Clin Teach 2011, 8:213.
  • [17]Cavalcanti T, Guimaraes J, Sampaio B: Barriers to skill acquisition in brazil: public and private school students performance in a public university entrance exam. Q Rev Econ Finance 2010, 50:395-407.
  • [18]Baldassin S, Alves T, De Andrade A, Martins LN: The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study. BMC Med Educ 2008, 8:60. BioMed Central Full Text
  • [19]Tomasso CS, Beltrame IL, Lucchetti G: Knowledge and attitudes of nursing professors and students concerning the interface between spirituality, religiosity and health. Rev Lat Am Enfermagem 2011, 19:1205-1213.
  • [20]Koenig H, Parkerson GR Jr, Meador KG: Religion index for psychiatric research. Am J Psychiatry 1997, 154:885-886.
  • [21]Lucchetti G, Granero Lucchetti AL, Peres MF, Leão FC, Moreira-Almeida A, Koenig HG: Validation of the Duke religion index: DUREL (Portuguese version). J Relig Health 2012, 51:579-586.
  • [22]Curlin FA, Sellergren SA, Lantos JD, Chin MH: Physicians’ observations and interpretations of the influence of religion and spirituality on health. Arch Intern Med 2007, 167:649-654.
  • [23]Anandarajah G, Hight E: Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. Am Fam Physician 2001, 63:81-89.
  • [24]Ellis MR, Vinson DC, Ewigman B: Addressing spiritual concerns of patients: family physicians’ attitudes and practices. J Fam Pract 1999, 48:105-109.
  • [25]Curlin FA, Chin MH, Sellergren SA, Roach CJ, Lantos JD: The association of physicians’ religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter. Med Care 2006, 44:446-453.
  • [26]Kuyck WGE, De Wit NJ, Kuyvenhoven MM: Do doctors pay attention to the religious beliefs of their patients? A survey amongst Dutch GPs. Fam Pract 2000, 17:230-232.
  • [27]Cooper LA, Brown C, Thi Vu H, Ford DE, Powe NR: How important is intrinsic spirituality in depression care? J Gen Intern Med 2001, 16:634-638.
  • [28]Mccauley J, Jenckes MW, Tarpley MJ, Koenig HG, Yanek LR, Becker DM: Spiritual beliefs and barriers among managed care practitioners. J Relig Health 2005, 44:137-146.
  • [29]Rasinski KA, Kalad YG, Yoon JD, Curlin FA: An assessment of US physicians’ training in religion, spirituality, and medicine. Med Teach 2011, 33:944-945.
  • [30]Moreira-Almeida A, Pinsky I, Zaleski M, Laranjeira R: Religious involvement and sociodemographic factors: a Brazilian national survey. Revista de Psiquiatria Clínica 2010, 37:12-15.
  • [31]Maugans T, Wadland W: Religion and family medicine: a survey of physicians and patients. J Fam Pract 1991, 32:210-213.
  • [32]Puchalski C: Spirituality and medicine: curricula in medical education. J Cancer Educ 2006, 21:14-18.
  • [33]Dyrbye LN, Thomas MR, Huntington JL, Lawson KL, Novotny PJ, Sloan JA, Shanafelt TD: Personal life events and medical student burnout: a multicenter study. Acad Med 2006, 81:374-384.
  • [34]Dyrbye LN, Thomas MR, Eacker A, Harper W, Massie F Jr, Power DV, Huschka M, Novotny PJ, Sloan JA, Shanafelt TD: Race, ethnicity, and medical student well-being in the United States. Arch Intern Med 2007, 167:2103-2109.
  • [35]Nagata-Kobayashi S, Sekimoto M, Koyama H, Yamamoto W, Goto E, Fukushima O, Ino T, Shimada T, Shimbo T, Asai A: Medical student abuse during clinical clerkships in Japan. J Gen intern Med 2006, 21:212-218.
  • [36]Baldwin D Jr, Daugherty SR, Rowley BD, Schwarz M: Cheating in medical school: a survey of second-year students at 31 schools. Acad Med 1996, 71:267-273.
  • [37]Goebert D, Thompson D, Takeshita J, Beach C, Bryson P, Ephgrave K, Kent A, Kunkel M, Schechter J, Tate J: Depressive symptoms in medical students and residents: a multischool study. Acad Med 2009, 84:236-241.
  • [38]Scott I, Wright B, Brenneis F, Gowans M: Whether or wither some specialties: a survey of Canadian medical student career interest. BMC Med Educ 2009, 9:57. BioMed Central Full Text
  • [39]Lucchetti G, Lucchetti ALG, Puchalski CM: Spirituality in medical education: global reality? J Relig Health 2012, 51:3-19.
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