Improving medical students' attitude toward patients with substance use problems through addiction medicine education.

Background:Patients with addiction often encounter negative attitudes from health care professionals, including medical doctors. Addiction medicine training might improve medical students' attitudes toward patients with addiction problems and change the way they think about addiction. We evaluated the effect of comprehensive addiction medicine training on students' attitudes and illness perceptions and explored which perceptions are most relevant for attitude development. Methods: In a quasi-experimental non-randomized study, fourth-year students (n = 296) participated in either addiction medicine training (intervention) or one of three other blocks (control). We used the Medical Condition Regards Scale to measure attitudes and the Illness Perception Questionnaire Addiction version for perceptions. We analyzed the effect of the intervention using repeated measures MANOVA. The contribution of illness perception to attitude was explored in the intervention group using linear regression analysis. Results: Addiction medicine training improved students' attitudes toward patients with addiction, compared to the control group. After the training, students expressed a less demoralized perception, a stronger perception of a coherent understanding of addiction, addiction as a cyclical condition, and attributed addiction more to psychological factors, compared to the control group. In the intervention group, attitude and emotional representation before training and illness coherence after the training were associated with attitude after the training. Conclusions: Addiction medicine training is effective in improving medical students' attitudes toward patients with addiction and changing their illness perceptions of addiction. The development of an understanding of addiction might be particularly relevant for attitude improvement. These findings underscore the relevance of addiction medicine training as part of medical curricula and argue for including aspects related to attitude development in the curriculum.

Applying conscientiousness index: a tool to explore medical students' professionalism in Indonesia.

OBJECTIVES: This study was aimed to describe lecturers' perspective concerning the suitable Conscientiousness Index (CI) components and implementations, as well as to compare the CI scores in year 1-4 student batches. METHODS: Components were formulated from objective measurements based on interviews with 12 faculty members. The components include: attendance, adherence to rules, evaluative feedback submissions, performance in assignments and clinical skills, assignment submissions, volunteerism, accomplishments, and general misconducts. The scores were collected from year 1-4 pre-clinical medical students (N=144) during the first semester of 2014-2015. Final interviews were conducted with 9 faculty members. Quantitative analysis was performed using Kruskal-Wallis and Mann-Whitney test. Qualitative analysis was performed using content analysis. RESULTS: Using Kruskal-Wallis test, significant difference was found in the CI scores among all years (p=0.000). Post-hoc analysis using Mann-Whitney test showed significant difference in all years except year 1 and 4 (p=0.388). Of the 9 lecturers interviewed during the second interviews, 7 endorsed the importance of CI, while 2 doubted its applicability. CONCLUSIONS: Due to the unique characteristics of each block, our system had not been able to conduct a balanced CI evaluation, as compared to the original research. We concluded that the implementation of CI would be highly dependent on the faculty members, with their commitment as the main pre-requisite. We hope to involve academic advisors as CI evaluators and improve our student-centered learning for future assessments. Further study is needed to investigate the longitudinal implementation of CI.

Supramolecular interactions of terpyridine-derived cores of metallomesogen precursors.

Use of Hirshfeld surfaces calculated from crystal structure determinations on various transition metal ion complexes of three terpyridine ligands carrying trimethoxyphenyl substituents has enabled an assessment of the contribution made by the ligand components to the interactions determining the lattice structures, interactions expected also to be present in metallomesogens derived from similar ligands. The form of the link joining the trimethoxyphenyl substituent to the 4' position of 2,2';6',2''-terpyridine is of some importance. In the case of the Co(II) complexes of two of the ligands, their spin-crossover characteristics can be rationalised in terms of the different interactions seen in their lattices.