• Anna Felnhofer, Oswald D Kothgassner, Astrid Stoll, and Claudia Klier.
• Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria; Comprehensive Center for Pediatrics, CCP, Medical University of Vienna, Austria.
• Complement Ther Med. 2021 May 1; 58: 102700.

BackgroundThe relevance of medical cannabis (MC) increases; and, educating those who are at the forefront of patient care is imperative. Yet, research on medical students' expertise and opinions is still scarce.ObjectiveThis study set out to evaluate Austrian medical students' knowledge about and attitudes towards MC and compare them with other academic disciplines. Additionally, gender was controlled for.MethodsAn online survey was conducted with N = 404 students enrolled in (1) medical studies, (2) studies with a medical background and (3) studies without a medical background.ResultsIn contrast to non-medical students, 64 % of medical students said they learnt about MC at the university. Although students were confident about their knowledge, they struggled to differentiate between CBD and THC. Chronic pain, oncological diseases and palliative care were the most frequently cited indications, psychiatric indications, however, were mentioned less often. Medical students were more reserved in their attitudes towards increasing medical usage and legalizing cannabis than the two other groups. Also, they were more skeptical about whether physicians should be allowed to prescribe MC and whether they should be obliged to offer it. Males showed more confidence regarding cannabis knowledge and were more favorable of legalizing and prescribing cannabis; females perceived cannabis as more physically addictive and as a gate-way drug.ConclusionsConsidering that beliefs and attitudes shape behavior, it is expected that future health care professionals will struggle with recommending cannabis for medical treatment. A coordinated approach for medical training is needed to ensure high standard medical care.Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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