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Abstract Details

Understanding the Genesis of Neurophobia: A Mixed-Methods Study of Trainees' Perceptions of Neurology 好色先生
Neurologic 好色先生
P04 - (-)
255
BACKGROUND: "Neurophobia", or the avoidance of neurology by medical trainees, has been demonstrated in many studies; however, no studies have examined how and why it develops.
DESIGN/METHODS: We used a two-phase, sequential, mixed methods explanatory design in this single centre study. Phase 1 involved the collection and analysis of a questionnaire administered to students in the first 3 years of medical school. Phase 2 involved focus groups with a subgroup of students who demonstrated potential evidence of neurophobia in Phase 1.
RESULTS: 152 questionnaires were completed (response rates of 36.8%, 44.3% and 18.7% for first, second and third year students, respectively). One-way ANOVAs showed that students' perceptions of neurology differed significantly (p < .05) by year of study. Overall, 50% of first years, 30% of second years and 39% of third years answered one or more questions indicating they had a certain degree of neurophobia. Phase 2 findings revealed many students reported negative preconceptions about neurology and commented on the difficulty and complexity of neurology. Some experienced changes in these conceptions following their neurology block. Past clinical, educational, and personal experiences in neurology impacted their comfort level. Reported barriers to learning included the lack of clinical application of knowledge, instruction using mainly didactic methods, and the complexity of concepts, terminology and language.
CONCLUSIONS: This study shows that neurophobia decreases following students' participation in second-year neurology blocks, but that third year students continue to show signs of neurophobia. It also provides insight into why neurophobia exists amongst medical students and sheds light on pre-existing and emerging factors contributing to this sense of neurophobia.
Authors/Disclosures
Tadeu Fantaneanu, MD
PRESENTER 		Dr. Fantaneanu has nothing to disclose.
No disclosure on file
No disclosure on file
Tanuja Chitnis, MD, FAAN (Brigham and Women's Hospital) Dr. Chitnis has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Novartis. Dr. Chitnis has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Roche-Genentech. Dr. Chitnis has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Octave Biosciences. Dr. Chitnis has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Sanofi. The institution of Dr. Chitnis has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Novartis. The institution of Dr. Chitnis has received research support from Novartis. The institution of Dr. Chitnis has received research support from Sanofi. The institution of Dr. Chitnis has received research support from Octave. The institution of Dr. Chitnis has received research support from Genentech-Roche. The institution of Dr. Chitnis has received research support from Tiziana Life Sciences. The institution of Dr. Chitnis has received research support from Bristol-Myers Squibb. The institution of Dr. Chitnis has received research support from Wesley Clover.
No disclosure on file
Christine A. De Meulemeester, MD No disclosure on file
Heather J. MacLean, MD (Ottawa General Hospital) No disclosure on file
No disclosure on file
Asif Doja, MD, FAAN Dr. Doja has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Neurology 好色先生 . Dr. Doja has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for the CMPA. Dr. Doja has received personal compensation in the range of $5,000-$9,999 for serving as an Expert Witness for Integra . Dr. Doja has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Connect Care .