First year allopathic medical student attitudes about vaccination and vaccine hesitancy

Onello, Emily; Friedrichsen, Samantha; Krafts, Kristine P; Simmons, Glenn; Diebel, Kevin W.

doi:10.1016/j.vaccine.2019.10.094

Cited by 11 publications

(22 citation statements)

References 10 publications

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“…When averaged amongst both cohorts, the response rate for the baseline survey was 57%. Although higher response rates approximating 65% are typically desirable, our response rate is similar to or higher than those reported in prior survey studies of medical student cohorts [ 44 , 45 ]. Additionally, a significant proportion of participants were lost to follow-up and did not complete the immediate or two-month post-intervention surveys, thus our findings may be subject to non-response bias and may not capture the true impact of the intervention on student knowledge and perception.…”

Section: Discussionsupporting

confidence: 73%

Implementation of an educational intervention to improve medical student cost awareness: a prospective cohort study

et al. 2023

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Background In the context of rising healthcare costs, formal education on treatment-related financial hardship is lacking in many medical schools, leaving future physicians undereducated and unprepared to engage in high-value care. Method We performed a prospective cohort study to characterize medical student knowledge regarding treatment-related financial hardship from 2019 to 2020 and 2020–2021, with the latter cohort receiving a targeted educational intervention to increase cost awareness. Using Kirkpatrick’s four-level training evaluation model, survey data was analyzed to characterize the acceptability of the intervention and the impact of the intervention on student knowledge, attitudes, and self-reported preparedness to engage in cost-conscious care. Results Overall, N = 142 medical students completed the study survey; 61 (47.3%) in the non-intervention arm and 81 (66.4%) in the intervention arm. Of the 81 who completed the baseline survey in the intervention arm, 65 (80.2%) completed the immediate post-intervention survey and 39 (48.1%) completed the two-month post-intervention survey. Following the educational intervention, students reported a significantly increased understanding of common financial terms, access to cost-related resources, and level of comfort and preparedness in engaging in discussions around cost compared to their pre-intervention responses. The majority of participants (97.4%) reported that they would recommend the intervention to future students. A greater proportion of financially stressed students reported considering patient costs when making treatment decisions compared to their non-financially stressed peers. Conclusions Targeted educational interventions to increase cost awareness have the potential to improve both medical student knowledge and preparedness to engage in cost-conscious care. Student financial stress may impact high-value care practices. Robust curricula on high-value care, including treatment-related financial hardship, should be formalized and universal within medical school training.

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Section: Discussionsupporting

confidence: 73%

Implementation of an educational intervention to improve medical student cost awareness: a prospective cohort study

et al. 2023

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“…Therefore, it is essential that medical students possess accurate knowledge of SARS-CoV-2 and the available vaccine options to dispel misinformation surrounding the COVID-19 vaccine. Previous studies have shown that medical students view immunization favorably and are more likely to gain comfort counseling vaccine-hesitant patients following a targeted curriculum on infectious disease and immunology [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

National attitudes of medical students towards mandating the COVID-19 vaccine and its association with knowledge of the vaccine

2021

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Background With the introduction of the novel COVID-19 vaccine, public hesitancy is being experienced with many turning to healthcare professionals for advice. As future physicians, medical students play a critical role in the public’s view of the vaccine. Objectives To determine the attitude of U.S. medical students toward mandating the COVID-19 vaccine to healthcare workers and patients, as well as whether their knowledge of the vaccine plays a role in their view. Methods The authors emailed a survey link to all U.S. medical schools with request to distribute it to their medical students. The survey remained open from 02/09/2021 to 03/15/2021 and included questions to determine the attitude of the medical students toward recommending the COVID-19 vaccine, and general knowledge questions about the vaccine. Chi square, Fisher’s exact test, and linear regression were conducted to determine associations between willingness to recommend the COVID-19 vaccine and general knowledge of the vaccine. Results Among the 1,899 responses from medical students representing 151 U.S. medical schools, 57.82% approved of making the COVID-19 vaccine mandatory to healthcare workers, and 16.27% approved of making it mandatory to patients. Additionally, those who tested most knowledgeable of the vaccine were less likely to approve of making the vaccine mandatory for patients (66.67% vs. 72.70). Those that tested most knowledgeable were also more likely to personally receive the vaccine (72.35% vs 62.99%) as opposed to those that tested the least knowledgeable who were less willing to personally receive the vaccine (4.12% vs 14.17%). Conclusions The data revealed that a slight majority of medical students support a vaccine mandate toward healthcare workers while a minority of medical students support a vaccine mandate toward healthcare workers. Additionally, medical students that had relatively high knowledge of the vaccine correlated with not approving of making the vaccine mandatory for patients. However increased knowledge of the vaccine correlated with increased willingness to personally receive the vaccine.

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“…Finally, this study was only conducted within one medical school in New York City, where overall vaccination rates are high. Therefore, this study population may not be representative of medical students’ perceptions and experiences around vaccine hesitancy nationwide, where vaccine hesitancy may be higher [ 15 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…Medical student training on vaccine hesitancy prior to the COVID-19 pandemic has been shown to increase knowledge and improve students’ confidence in facilitating conversations with vaccine-hesitant individuals [ 15 , 16 ]. Successful training has included sessions teaching the science and epidemiology of vaccines, understanding vaccine hesitancy including common misconceptions and fears, learning the role of the patient-provider relationship in building vaccine confidence, and the legal and historical background on vaccine exemptions [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Addressing COVID-19 Vaccine Hesitancy: The Role of Medical Students

et al. 2022

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We conducted a survey study at the Icahn School of Medicine at Mount Sinai to assess COVID-19 vaccine attitudes and behaviors among medical students. Almost all respondents (96.5%, n = 222) believed vaccines were effective and reported being asked about the COVID-19 vaccine by family members (79.0%, n = 180). However, when asked how they respond when someone shares misinformation, 89.0% ( n = 202) responded they agree to avoid conflict, 44.9% ( n = 102) listened empathically, and 9.3% ( n = 21) corrected the misinformation. Medical school education can address this disconnect, using standardized patients and role-playing to give students the tools to address vaccine hesitancy within their communities. Supplementary Information The online version contains supplementary material available at 10.1007/s40670-022-01670-2.

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First year allopathic medical student attitudes about vaccination and vaccine hesitancy

Cited by 11 publications

References 10 publications

Implementation of an educational intervention to improve medical student cost awareness: a prospective cohort study

Implementation of an educational intervention to improve medical student cost awareness: a prospective cohort study

National attitudes of medical students towards mandating the COVID-19 vaccine and its association with knowledge of the vaccine

Addressing COVID-19 Vaccine Hesitancy: The Role of Medical Students

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