Skip to main content
Top
Published in: BMC Primary Care 1/2014

Open Access 01-12-2014 | Research article

Measuring the ambiguity tolerance of medical students: a cross-sectional study from the first to sixth academic years

Authors: Anne Weissenstein, Sandra Ligges, Britta Brouwer, Bernhard Marschall, Hendrik Friederichs

Published in: BMC Primary Care | Issue 1/2014

Login to get access

Abstract

Background

Tolerance of ambiguity, or the extent to which ambiguous situations are perceived as desirable, is an important component of the attitudes and behaviors of medical students. However, few studies have compared this trait across the years of medical school. General practitioners are considered to have a higher ambiguity tolerance than specialists. We compared ambiguity tolerance between general practitioners and medical students.

Methods

We designed a cross-sectional study to evaluate the ambiguity tolerance of 622 medical students in the first to sixth academic years. We compared this with the ambiguity tolerance of 30 general practitioners. We used the inventory for measuring ambiguity tolerance (IMA) developed by Reis (1997), which includes three measures of ambiguity tolerance: openness to new experiences, social conflicts, and perception of insoluble problems.

Results

We obtained a total of 564 complete data sets (return rate 90.1%) from medical students and 29 questionnaires (return rate 96.7%) from general practitioners. In relation to the reference groups defined by Reis (1997), medical students had poor ambiguity tolerance on all three scales. No differences were found between those in the first and the sixth academic years, although we did observe gender-specific differences in ambiguity tolerance. We found no differences in ambiguity tolerance between general practitioners and medical students.

Conclusions

The ambiguity tolerance of the students that we assessed was below average, and appeared to be stable throughout the course of their studies. In contrast to our expectations, the general practitioners did not have a higher level of ambiguity tolerance than the students did.
Appendix
Available only for authorised users
Literature
1.
go back to reference Budner S: Intolerance of ambiguity as a personality variable. J Pers. 1962, 30: 29-50. 10.1111/j.1467-6494.1962.tb02303.x.CrossRefPubMed Budner S: Intolerance of ambiguity as a personality variable. J Pers. 1962, 30: 29-50. 10.1111/j.1467-6494.1962.tb02303.x.CrossRefPubMed
2.
go back to reference Ellsberg D: Risk, ambiguity, and the savage axioms. Quart J Econ. 1961, 75: 643-669. 10.2307/1884324.CrossRef Ellsberg D: Risk, ambiguity, and the savage axioms. Quart J Econ. 1961, 75: 643-669. 10.2307/1884324.CrossRef
3.
go back to reference Tatzel M: Tolerance for ambiguity in adult college students. Psychol Rep. 1980, 47: 377-378. 10.2466/pr0.1980.47.2.377.CrossRef Tatzel M: Tolerance for ambiguity in adult college students. Psychol Rep. 1980, 47: 377-378. 10.2466/pr0.1980.47.2.377.CrossRef
4.
go back to reference Furnham A, Ribchester T: Tolerance of ambiguity: a review of the concept, its measurement and applications. Cur Psychol. 1995, 14: 179-199. 10.1007/BF02686907.CrossRef Furnham A, Ribchester T: Tolerance of ambiguity: a review of the concept, its measurement and applications. Cur Psychol. 1995, 14: 179-199. 10.1007/BF02686907.CrossRef
5.
go back to reference Geller G: Tolerance for ambiguity: an ethics-based criterion for medical student selection. Acad Med. 2013, 88: 581-584. 10.1097/ACM.0b013e31828a4b8e.CrossRefPubMed Geller G: Tolerance for ambiguity: an ethics-based criterion for medical student selection. Acad Med. 2013, 88: 581-584. 10.1097/ACM.0b013e31828a4b8e.CrossRefPubMed
6.
go back to reference Carney PA, Yi JP, Abraham LA, Miglioretti DL, Aiello EJ, Gerrity MS, Reisch L, Berns EA, Sickles EA, Elmore JG: Reactions to uncertainty and the accuracy of diagnostic mammography. J Gen Intern Med. 2007, 22: 234-241. 10.1007/s11606-006-0036-9.CrossRefPubMedPubMedCentral Carney PA, Yi JP, Abraham LA, Miglioretti DL, Aiello EJ, Gerrity MS, Reisch L, Berns EA, Sickles EA, Elmore JG: Reactions to uncertainty and the accuracy of diagnostic mammography. J Gen Intern Med. 2007, 22: 234-241. 10.1007/s11606-006-0036-9.CrossRefPubMedPubMedCentral
7.
go back to reference Allison JJ, Kiefe CI, Cook EF, Gerrity MS, Orav EJ, Centor R: The association of physician attitudes about uncertainty and risk taking with resource use in a Medicare HMO. Med Decis Making. 1998, 18: 320-329. 10.1177/0272989X9801800310.CrossRefPubMed Allison JJ, Kiefe CI, Cook EF, Gerrity MS, Orav EJ, Centor R: The association of physician attitudes about uncertainty and risk taking with resource use in a Medicare HMO. Med Decis Making. 1998, 18: 320-329. 10.1177/0272989X9801800310.CrossRefPubMed
8.
go back to reference Geller G, Tambor ES, Chase GA, Holtzman NA: Measuring physicians’ tolerance for ambiguity and its relationship to their reported practices regarding genetic testing. Med Care. 1993, 31: 989-1001. 10.1097/00005650-199311000-00002.CrossRefPubMed Geller G, Tambor ES, Chase GA, Holtzman NA: Measuring physicians’ tolerance for ambiguity and its relationship to their reported practices regarding genetic testing. Med Care. 1993, 31: 989-1001. 10.1097/00005650-199311000-00002.CrossRefPubMed
9.
go back to reference Benbassat J, Pilpel D, Schor R: Physicians’ attitudes toward litigation and defensive practice: development of a scale. Behav Med. 2001, 27: 52-60. 10.1080/08964280109595771.CrossRefPubMed Benbassat J, Pilpel D, Schor R: Physicians’ attitudes toward litigation and defensive practice: development of a scale. Behav Med. 2001, 27: 52-60. 10.1080/08964280109595771.CrossRefPubMed
10.
go back to reference Kvale J, Berg L, Groff JY, Lange G: Factors associated with residents’ attitudes toward dying patients. Fam Med. 1999, 31: 691-696.PubMed Kvale J, Berg L, Groff JY, Lange G: Factors associated with residents’ attitudes toward dying patients. Fam Med. 1999, 31: 691-696.PubMed
11.
go back to reference Ghosh AK: On the challenges of using evidence-based information: the role of clinical uncertainty. J Lab Clin Med. 2004, 144: 60-64. 10.1016/j.lab.2004.05.013.CrossRefPubMed Ghosh AK: On the challenges of using evidence-based information: the role of clinical uncertainty. J Lab Clin Med. 2004, 144: 60-64. 10.1016/j.lab.2004.05.013.CrossRefPubMed
12.
go back to reference Dogra N, Giordano J, France N: Cultural diversity teaching and issues of uncertainty: the findings of a qualitative study. BMC Med Educ. 2007, 7: 8-10.1186/1472-6920-7-8.CrossRefPubMedPubMedCentral Dogra N, Giordano J, France N: Cultural diversity teaching and issues of uncertainty: the findings of a qualitative study. BMC Med Educ. 2007, 7: 8-10.1186/1472-6920-7-8.CrossRefPubMedPubMedCentral
13.
go back to reference Wayne S, Dellmore D, Serna L, Jerabek R, Timm C, Kalishman S: The association between intolerance of ambiguity and decline in medical students’ attitudes toward the underserved. Acad Med. 2011, 86: 877-882. 10.1097/ACM.0b013e31821dac01.CrossRefPubMed Wayne S, Dellmore D, Serna L, Jerabek R, Timm C, Kalishman S: The association between intolerance of ambiguity and decline in medical students’ attitudes toward the underserved. Acad Med. 2011, 86: 877-882. 10.1097/ACM.0b013e31821dac01.CrossRefPubMed
14.
go back to reference Sarikaya O, Civaner M, Kalaca S: The anxieties of medical students related to clinical training. Int J Clin Pract. 2006, 60: 1414-1418. 10.1111/j.1742-1241.2006.00869.x.CrossRefPubMed Sarikaya O, Civaner M, Kalaca S: The anxieties of medical students related to clinical training. Int J Clin Pract. 2006, 60: 1414-1418. 10.1111/j.1742-1241.2006.00869.x.CrossRefPubMed
15.
go back to reference Sherrill WW: Tolerance of ambiguity among MD/MBA students: implications for management potential. J Contin Educ Health Prof. 2001, 21: 117-122. 10.1002/chp.1340210209.CrossRefPubMed Sherrill WW: Tolerance of ambiguity among MD/MBA students: implications for management potential. J Contin Educ Health Prof. 2001, 21: 117-122. 10.1002/chp.1340210209.CrossRefPubMed
16.
go back to reference Kearl GW, Mainous AG, Harrell PL: Students’ expected practice locations and their tolerance of ambiguity. Acad Med. 1992, 67: 413-414.CrossRefPubMed Kearl GW, Mainous AG, Harrell PL: Students’ expected practice locations and their tolerance of ambiguity. Acad Med. 1992, 67: 413-414.CrossRefPubMed
17.
go back to reference Nevalainen M, Kuikka L, Sjoberg L, Eriksson J, Pitkala K: Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. Fam Med. 2012, 44: 240-246.PubMed Nevalainen M, Kuikka L, Sjoberg L, Eriksson J, Pitkala K: Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. Fam Med. 2012, 44: 240-246.PubMed
18.
go back to reference Fox RC: Training for uncertainty. 1957, Cambridge, Massachusetts: Harvard University PressCrossRef Fox RC: Training for uncertainty. 1957, Cambridge, Massachusetts: Harvard University PressCrossRef
19.
go back to reference Donner-Banzhoff N: Dealing with uncertainty in general medical practice. Z Evid Fortbild Qual Gesundhwes. 2008, 102: 13-18. 10.1016/j.zgesun.2007.12.001.CrossRefPubMed Donner-Banzhoff N: Dealing with uncertainty in general medical practice. Z Evid Fortbild Qual Gesundhwes. 2008, 102: 13-18. 10.1016/j.zgesun.2007.12.001.CrossRefPubMed
21.
go back to reference Reis J: Ambiguitätstoleranz. Beiträge zur Entwicklung eines Persönlichkeitskonstrukts. 1997, Heidelberg: Asanger Reis J: Ambiguitätstoleranz. Beiträge zur Entwicklung eines Persönlichkeitskonstrukts. 1997, Heidelberg: Asanger
22.
go back to reference Schwarzer A, Gregor F: Medizinerreport 2012 – Berufsstart und Berufsverlauf von Humanmedizinerinnen und Humanmedizinern. HIS Hochschul-Informations-System GmbH. 2012, 5: Schwarzer A, Gregor F: Medizinerreport 2012 – Berufsstart und Berufsverlauf von Humanmedizinerinnen und Humanmedizinern. HIS Hochschul-Informations-System GmbH. 2012, 5:
23.
go back to reference Kopetsch T: Dem deutschen Gesundheitswesen gehen die Ärzte aus!. Bundesärztekammer und Kassenärztliche Bundesvereinigung. 2010, 94-95. Kopetsch T: Dem deutschen Gesundheitswesen gehen die Ärzte aus!. Bundesärztekammer und Kassenärztliche Bundesvereinigung. 2010, 94-95.
24.
go back to reference DeForge BR, Sobal J: Intolerance of ambiguity in students entering medical school. Soc Sci Med. 1989, 28: 869-874. 10.1016/0277-9536(89)90117-2.CrossRefPubMed DeForge BR, Sobal J: Intolerance of ambiguity in students entering medical school. Soc Sci Med. 1989, 28: 869-874. 10.1016/0277-9536(89)90117-2.CrossRefPubMed
25.
go back to reference Fox RC: Is there a “new” medical student?: a comparative view of medical socialization in the 1950’s and 1970’s. 1974, Washington, D.C.: National Academy of Sciences Fox RC: Is there a “new” medical student?: a comparative view of medical socialization in the 1950’s and 1970’s. 1974, Washington, D.C.: National Academy of Sciences
26.
go back to reference Matteson MT, Smith SV: Selection of medical specialties: preferences versus choices. J Med Educ. 1977, 52: 548-554.PubMed Matteson MT, Smith SV: Selection of medical specialties: preferences versus choices. J Med Educ. 1977, 52: 548-554.PubMed
27.
go back to reference DeForge BR, Sobal J: Investigating whether medical students’ intolerance of ambiguity is associated with their specialty selections. Acad Med. 1991, 66: 49-51. 10.1097/00001888-199101000-00015.CrossRefPubMed DeForge BR, Sobal J: Investigating whether medical students’ intolerance of ambiguity is associated with their specialty selections. Acad Med. 1991, 66: 49-51. 10.1097/00001888-199101000-00015.CrossRefPubMed
28.
go back to reference Elstein AS, Schwartz A: Clinical problem solving and diagnostic decision making: selective review of the cognitive literature. BMJ. 2002, 324: 729-732. 10.1136/bmj.324.7339.729.CrossRefPubMedPubMedCentral Elstein AS, Schwartz A: Clinical problem solving and diagnostic decision making: selective review of the cognitive literature. BMJ. 2002, 324: 729-732. 10.1136/bmj.324.7339.729.CrossRefPubMedPubMedCentral
Metadata
Title
Measuring the ambiguity tolerance of medical students: a cross-sectional study from the first to sixth academic years
Authors
Anne Weissenstein
Sandra Ligges
Britta Brouwer
Bernhard Marschall
Hendrik Friederichs
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2014
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/1471-2296-15-6

Other articles of this Issue 1/2014

BMC Primary Care 1/2014 Go to the issue