Neurogastroenterol Motil. 2023 Apr 5;e14576. doi: 10.1111/nmo.14576. Online ahead of print.

Daniel Henick ¹, Tyler Italiano ², Hannibal Person ³, Laurie Keefer ⁴

Author information

¹Department of Medical Education, Yale School of Medicine, New Haven, CT, USA.

²Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

³Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA.

⁴Department of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Abstract

Background: Gastroenterologists may hold less positive attitudes toward disorders of gut-brain interaction (DGBI) like irritable bowel syndrome (IBS) compared with organic GI disorders like inflammatory bowel disease (IBD). This contributes to worse health outcomes in patients with DGBI and decreased patient satisfaction. Medical student knowledge and perception of these two disorders have not been directly studied.

Methods: A cohort of medical students (n = 106) completed a survey where they read clinical vignettes about patients with IBS and IBD and answered questions regarding their knowledge of and attitudes toward these two diseases.

Key results: IBS was perceived as a less real and a more exaggerated disorder when compared to IBD, and patients with IBS were seen as more difficult to treat. With more clinical exposure across 4 years of training, students were more likely to perceive IBS as a "less real" illness, though they held fewer negative attitudes toward patients with IBS. Greater familiarity with both IBS and IBD was associated with fewer negative attitudes.

Conclusions & inferences: Biases observed in gastroenterologists toward patients with IBS originate as early as the beginning of medical school, including seeing IBS as a "less real" disease and more difficult to treat. Earlier educational interventions may be helpful in identifying and addressing these biases.