Are medical students ready to provide HIV-prevention counseling?

Academic Medicine : Journal of the Association of American Medical Colleges
R L CookB F Richards

Abstract

To determine whether medical students were prepared to assess risk and counsel patients about prevention of HIV infection, and whether HIV-related experience produced better knowledge and counseling skills. In 1995, students at four North Carolina medical schools interviewed a standardized patient portraying a young woman concerned about HIV infection. The standardized patient recorded whether students asked risk-behavior questions and provided risk-reduction advice. A 21-item questionnaire assessed the students' knowledge of HIV testing and prevention. Students indicated whether they had had experience in educational settings related to HIV or STDs. 415 students completed both the patient interview and the questionnaire. Many failed to ask the patient about several HIV-risk behaviors. Although nearly all (98%) inquired about condom use, fewer than two thirds asked about the patient's history of STDs, number of sexual partners, or specific sexual practices. Most students advised the patient to use condoms. The average score on the knowledge test was 79%; 70% of students confused anonymous with confidential testing, more than half overestimated the risk of HIV transmission from a needle stick, and nearly one in ten did not know ...Continue Reading

Citations

Dec 12, 2001·HIV Medicine·W SchrootenUNKNOWN Eurosupport Group
Jun 28, 2007·Teaching and Learning in Medicine·Heather LeeperCathy Lazarus
Mar 26, 2002·Sexually Transmitted Diseases·Michael R AshtonGalen E Switzer
Jan 25, 2003·Journal of General Internal Medicine·Laura Weiss RobertsS Scott Obenshain
Apr 28, 2004·Journal of General Internal Medicine·Steven A HaistJohn F Wilson
Jan 5, 2001·Journal of Acquired Immune Deficiency Syndromes : JAIDS·G S ZaricD K Owens
Feb 23, 2020·Journal of General Internal Medicine·Samuel R BuntingTimothy J Keyes

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