医学生对自闭症的认识与普通人群相比:试点研究

Adam T. Blancher, Michelle M. Yetman
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摘要

背景:自闭症谱系障碍(ASD)对医科学生的培训水平历来备受关注。在美国的整个医学课程中,没有统一的课程标准,因此,要想改善这一领域的医学培训,首先要确定医学生目前的能力范围。本试验性研究调查了三年级医学生和普通人群样本在知识方面是否存在差异。研究方法我们调查了三年级医学生群体(n = 202)和大众样本(n = 858)对自闭症的看法。调查评估了有关信息来源、病因、最早诊断年龄、一线治疗提供者以及诊断症状与非诊断症状的自闭症知识。三年级医学生样本来自西南部的一个健康科学中心。三年级医学生是在儿科轮转期间接受调查的。普通公众样本通过亚马逊的 Mechanical Turk (MTurk) 平台访问并完成了调查。结果显示结果表明,虽然三年级医学生对自己的自闭症知识基础信心较低,但与对比样本相比,他们对自闭症的信息来源、病因和诊断检测选项有更多的了解。此外,他们在区分诊断性症状和非诊断性症状方面的能力明显更强。结论:总体而言,研究结果表明,到三年级时,医学生对自闭症的了解程度已超过普通大众。本次研究的结果表明,医学生对自闭症的认识有所提高。研究还讨论了治疗方案以及继续开展更多培训以增强医学生信心的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical Students’ Knowledge of Autism Compared to the General Population: A Pilot Study
Background: Historically, there has been some concern regarding the level of training in autism spectrum disorder (ASD) for medical students. Throughout medical programs in the US, there is no standardised curriculum, and therefore, to make improvements in this area of medical training, a first step is to determine the current areas of competency of medical students. This pilot study investigated whether differences exist in knowledge among third-year medical students and a general population sample. Methods: We investigated beliefs about autism among a group of third-year medical students (n = 202) and among a crowdsourced sample of the general public (n = 858). A survey assessed autism knowledge regarding sources of information, causes, age of earliest diagnosis, front-line treatment providers, and diagnostic versus non-diagnostic symptoms. The third-year medical student sample was obtained from a Health Sciences Center in the Southwest. Third-year medical students were surveyed during their paediatrics rotation. The general public sample accessed and completed the survey through Amazon’s Mechanical Turk (MTurk) platform. Results: Results suggested that although third-year medical students had lower confidence regarding their autism-knowledge base, they possessed more knowledge of autism related to sources of information, causes, and diagnostic testing options than the comparison sample. Additionally, they were significantly better at differentiating diagnostic symptoms from non-diagnostic symptoms. Conclusions: Overall, the results suggest that by their third year, medical students know more about autism than the general public. Results from the current study indicate an improvement in medical students’ knowledge with respect to autism. Treatment options and the continued need for more training to enhance medical student confidence are discussed.
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