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Logo of bmcmeduBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Medical Education
 
BMC Med Educ. 2004; 4: 29.
Published online Dec 6, 2004. doi:  10.1186/1472-6920-4-29
PMCID: PMC545964
Personal health promotion at US medical schools: a quantitative study and qualitative description of deans' and students' perceptions
Erica Frank,corresponding author1 Joan Hedgecock,2 and Lisa K Elon3
1Dept. of Family and Preventive Medicine Emory University School of Medicine 49 Jesse Hill Jr. Drive, Atlanta, GA 30303, USA
2American Medical Student Association/Foundation 1902 Association Drive, Reston, VA 20191, USA
3Department of Biostatistics Emory University Rollins School of Public Health 336 G.C. Rollins School of Public Health, Atlanta, GA 30322, USA
corresponding authorCorresponding author.
Erica Frank: efrank/at/emory.edu; Joan Hedgecock: joan_h/at/www.amsa.org; Lisa K Elon: lelon/at/sph.emory.edu
Received January 30, 2004; Accepted December 6, 2004.
Abstract
Background
Prior literature has shown that physicians with healthy personal habits are more likely to encourage patients to adopt similar habits. However, despite the possibility that promoting medical student health might therefore efficiently improve patient outcomes, no one has studied whether such promotion happens in medical school. We therefore wished to describe both typical and outstanding personal health promotion environments experienced by students in U.S. medical schools.
Methods
We collected information through four different modalities: a literature review, written surveys of medical school deans and students, student and dean focus groups, and site visits at and interviews with medical schools with reportedly outstanding student health promotion programs.
Results
We found strong correlations between deans' and students' perceptions of their schools' health promotion environments, including consistent support of the idea of schools' encouraging healthy student behaviors, with less consistent follow-through by schools on this concept. Though students seemed to have thought little about the relationships between their own personal and clinical health promotion practices, deans felt strongly that faculty members should model healthy behaviors.
Conclusions
Deans' support of the relationship between physicians' personal and clinical health practices, and concern about their institutions' acting on this relationship augurs well for the role of student health promotion in the future of medical education. Deans seem to understand their students' health environment, and believe it could and should be improved; if this is acted on, it could create important positive changes in medical education and in disease prevention.
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