Medical students, spirituality and religiosity-results from the multicenter study SBRAME
Abstract (provisional)
Background
To evaluate the relationship between spirituality/religiosity (S/R) and the attitudes,
beliefs and experiences of medical students in Brazil with respect to S/R in their
undergraduate training and clinical practice.
Methods
SBRAME (Spirituality and Brazilian Medical Education) is a multicenter study involving
12 Brazilian medical schools with 5950 medical students (MS). Participants completed
a questionnaire that collected information on socio-demographic data and S/R in their
undergraduate training and practice.
Results
Of all MS, 3630 participated in the survey (61.0%). The sample was 53.8% women and
the mean age was 22.5 years. The majority of MS believed that spirituality has an
impact on patients' health (71.2%) and that this impact was positive (68.2%). The
majority also wanted to address S/R in their clinical practice (58.0%) and considered
it relevant (75.3%), although nearly one-half (48.7%) felt unprepared to do so. Concerning
their training, most MS reported that they had never participated in a "spirituality
and health" activity (81.0%) and that their medical instructors had never or rarely
addressed this issue (78.3%). The majority also believed that they should be prepared
to address spiritual issues related to the health of their patients (61.6%) and that
this content should be included in the medical curriculum (62.6%).
Conclusion
There is a large gap between MS attitudes and expectations and the S/R training that
they are receiving during their undergraduate training. The majority of MS surveyed
believe that patients should have their beliefs addressed and that these beliefs could
have important effects on their health and the doctor-patient relationship. These
results should stimulate discussion about the place that S/R training should have
in the medical curriculum.
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