How neurologists are viewed by their colleagues: exploring stereotypes and social representations of neurologists.

Autor: Cheval M; Epileptology Unit, Department of Neurology, Hôpital Pitié-Salpêtrière, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Paris, France. margaux.cheval@gmail.com.; Neurologic Rehabilitation Unit, Hôpital Pitié-Salpêtrière, Assistance Publique Hôpitaux de Paris, Sorbonne Université, Paris, France. margaux.cheval@gmail.com.; French Association of Neurology Fellows and Residents (ANAINF), Paris, France. margaux.cheval@gmail.com.; Neurology department, Hôpitaux Universitaires Pitié-Salpêtrière/Ch. Foix, 47-83, boulevard de l'hôpital, 75651, PARIS Cedex 13, France. margaux.cheval@gmail.com., Lanore A; French Association of Neurology Fellows and Residents (ANAINF), Paris, France.; Department of Neurology, CIC Neurosciences, Hôpital Pitié-Salpêtrière, Assistance Publique Hôpitaux de Paris, Paris, France., Mhanna E; French Association of Neurology Fellows and Residents (ANAINF), Paris, France.; Memory Unit, Department of Neuro-Psycho-Geriatry, Hôpital Léopold Bellan, Paris, France., Balcerac A; French Association of Neurology Fellows and Residents (ANAINF), Paris, France.; Department of Neurology, Hôpital Pitié-Salpêtrière, Assistance Publique Hôpitaux de Paris, Paris, France., Gouy E; Department of Medical Genetics, University Hospital of Lyon, Lyon, France.; Univ Lyon, Université Claude Bernard Lyon 1, INSERM, CNRS, Institut NeuroMyogeneMéLis (CNRS UMR 5284-INSERM U1314), Génétique et Neurobiologie de C. elegans, 69008, Lyon, France., Rolland F; CESP-Inserm, U1018, Research in Ethics and Epistemology (R2E), Paris-Sud University, Paris-Saclay University, Inserm, Paris, France., Truong LN; Faculté de Médecine, Université de Bourgogne-Franche-Comté, 7 Boulevard Jeanne D'Arc, Dijon, France., Frajerman A; Université Paris-Saclay, AP-HP, Service Hospitalo-Universitaire de Psychiatrie, Hôpital de Bicêtre, Paris, France., Vinchon F; Université Paris Cité et Université Gustave Eiffel, LaPEA, 92100, Boulogne-Billancourt, France., Hadouiri N; Department of Physical Medicine and Rehabilitation, Center Hospitalier Universitaire de Dijon, 21000, Dijon, France.
Jazyk: angličtina
Zdroj: Journal of neurology [J Neurol] 2024 Apr; Vol. 271 (4), pp. 2102-2107. Date of Electronic Publication: 2023 Nov 15.
DOI: 10.1007/s00415-023-12106-1
Abstrakt: Introduction: The choice of medical specialization is influenced by various factors, including personal, educational, and interpersonal aspects. However, stereotypes and social representations (SRs) can also play a significant role in biasing the choice of a particular medical specialty. The aim of this study is to describe and understand the social representation (SR) of French Neurologist among medical peers, and factors explaining stereotypes about neurology.
Methods: A nationwide web-based survey was sent to the French medical community (students, residents, and graduated physicians) to collect sociodemographic and professional data, status, experience, and acquaintance in Neurology as well as qualitative hierarchical evocation question to assess the SR of French Neurologists.
Results: Overall, 367 people participated in the survey, including 112 medical students, 170 residents, and 85 graduated physicians. Only 14.3% of students listed neurology among their top 5 specialty choices, and 63.8% disagreed with the statement "I could have chosen (or I will choose) neurology after the validation of my 6th year of medical studies." Qualitative analysis revealed that the most frequently occurring words used to describe neurologists were "stroke", "complicated", "no treatment," "clinical", and "brain" and five themes corresponded to SRs of neurologist: his/her personal and professional traits (36.4% of the corpus), his/her daily practice (18.1%), the negative aspects of the neurological practice (15.3%), and the neurological pathology and daily skills (30.2%).
Conclusion: The perception of neurologists by other physicians is nuanced. Neurologists are described as rigorous specialists, maybe excessively so but the cliché of a contemplative specialty with no effective treatment remains. The specialty and neurological patients suffer also from a reputation of complexity. Further interventions among medical students and better information are required to increase the attractiveness of our specialty.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
Databáze: MEDLINE
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