{"title":"Long-term clinical clerkship improves medical students' attitudes toward team collaboration.","authors":"Kazunori Ganjitsuda, Masami Tagawa, Kazuya Tomihara, Takuya Saiki, Makoto Kikukawa, Akiteru Takamura, Hitoaki Okazaki, Yasushi Matsuyama, Rika Moriya, Hiroki Chiba, Yasushi Takagi, Hitoshi Setoyama, Akihiro Tokushige, Hidetaka Yokoh","doi":"10.5116/ijme.633f.e97a","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To examine the related factors associated with medical students' attitudes toward team collaboration.</p><p><strong>Methods: </strong>This cross-sectional study targeted medical students, residents, and doctors. A survey was conducted from 2016 to 2017 using the Japanese version of the Jefferson Scale of Attitudes Toward Interprofessional Collaboration (JeffSATIC-J), which evaluated \"working relationship\" and \"accountability.\" We analyzed 2409 questionnaire responses with JeffSATIC-J items and the gender item. Analysis of variance was used for factors associated with the JeffSATIC-J score and Spearman's rank correlation coefficient for the relationship between educational intervention and the JeffSATIC-J score.</p><p><strong>Results: </strong>First-year students' scores were the highest (F<sub>(2, 2045)</sub> = 13.42 to 18.87, p < .001), and female students' scores were significantly higher than those of male students (F<sub>(1, 2045)</sub> = 21.16 to 31.10, p < .001). For residents' scores, the institution was not a significant variable. Female \"accountability\" scores were significantly higher than those of males (F <sub>(1,108)</sub> = 4.95, p = .03). Gender was not a significant variable for doctors' scores. Sixth-year students' scores were significantly correlated with the length of clinical clerkship (r<sub>(5)</sub>=.78 to .96, p<.05), with the exception of females' \"working relationship\" scores. The medical school with the highest JeffSATIC-J scores had the longest clinical clerkship in the community.</p><p><strong>Conclusions: </strong>These results indicate that long-term clinical clerkship in the community at higher grades is important in improving medical students' attitudes toward team collaboration. A qualitative study is required to confirm our findings.</p>","PeriodicalId":14029,"journal":{"name":"International Journal of Medical Education","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911282/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical Education","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5116/ijme.633f.e97a","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: To examine the related factors associated with medical students' attitudes toward team collaboration.
Methods: This cross-sectional study targeted medical students, residents, and doctors. A survey was conducted from 2016 to 2017 using the Japanese version of the Jefferson Scale of Attitudes Toward Interprofessional Collaboration (JeffSATIC-J), which evaluated "working relationship" and "accountability." We analyzed 2409 questionnaire responses with JeffSATIC-J items and the gender item. Analysis of variance was used for factors associated with the JeffSATIC-J score and Spearman's rank correlation coefficient for the relationship between educational intervention and the JeffSATIC-J score.
Results: First-year students' scores were the highest (F(2, 2045) = 13.42 to 18.87, p < .001), and female students' scores were significantly higher than those of male students (F(1, 2045) = 21.16 to 31.10, p < .001). For residents' scores, the institution was not a significant variable. Female "accountability" scores were significantly higher than those of males (F (1,108) = 4.95, p = .03). Gender was not a significant variable for doctors' scores. Sixth-year students' scores were significantly correlated with the length of clinical clerkship (r(5)=.78 to .96, p<.05), with the exception of females' "working relationship" scores. The medical school with the highest JeffSATIC-J scores had the longest clinical clerkship in the community.
Conclusions: These results indicate that long-term clinical clerkship in the community at higher grades is important in improving medical students' attitudes toward team collaboration. A qualitative study is required to confirm our findings.