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Patel K, Bansal E, Hassan Y, Kim S, Zaidi A, Rice T. Enriching Medical Students' Attitudes About Child and Adolescent Psychiatry Through Viewing of "Starless Dreams" in a Cross-Cultural Seminar on Adverse Childhood Experiences. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2022; 46:640-643. [PMID: 35174456 PMCID: PMC8853425 DOI: 10.1007/s40596-022-01586-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Accepted: 01/06/2022] [Indexed: 06/14/2023]
Affiliation(s)
- Krishna Patel
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Esha Bansal
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Yonis Hassan
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Susan Kim
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Arifa Zaidi
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Timothy Rice
- Icahn School of Medicine at Mount Sinai, New York, NY, USA.
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Wolstenholme N, McKinnon I, Lloyd AJ. Factors that influence psychiatric trainees' choice of higher training specialty: mixed-methods study. BJPsych Bull 2022; 47:171-177. [PMID: 35040424 DOI: 10.1192/bjb.2021.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
AIMS AND METHOD Factors influencing trainees' decisions about choosing and remaining in higher training subspecialties have not been widely researched. We administered telephone questionnaires to higher specialist trainees in the north-east of England to ascertain what influences these decisions. Thematic analysis was employed to develop overall constructs. RESULTS Twenty-seven trainees were interviewed, resulting in six overall constructs. These were: supervisory experiences; perceived work-life balance; career prospects; training and working environments; interest in the chosen subspecialty; and previous experience within the chosen subspecialty. Most trainees interviewed felt they had made the right specialty choice. CLINICAL IMPLICATIONS This study demonstrates the particular importance of exposure to a specialty and perceptions of the supervisory experience in determining trainees' choices of, and decisions to remain in, a particular psychiatric specialty. Factors highlighted in this study must inform training, recruitment and workforce planning in order to bolster the recruitment and retention of trainees into higher specialty training.
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Affiliation(s)
| | - Iain McKinnon
- Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Morpeth, UK.,Newcastle University, Newcastle upon Tyne, UK
| | - Adrian J Lloyd
- Newcastle University, Newcastle upon Tyne, UK.,Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.,Health Education England, Newcastle upon Tyne, UK
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Rice T, Arnovitz M, Hubert M, Weiss J, Gao V, Christopher M, Rivera A, Blazejowskyj A, Hassan Y. Inpatient Child and Adolescent Psychiatry as an Extracurricular Venue for Medical Student and Resident Education and Professional Development: Story Time and Teen Talk. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2020; 44:577-580. [PMID: 32602073 DOI: 10.1007/s40596-020-01273-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Accepted: 06/17/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE Comparatively little systematic data exists concerning medical student education from the inpatient child and adolescent psychiatry venue. Training in this venue is vulnerable to pressures including increasingly reduced lengths of stay and greater emphasis on clinical productivity. An extracurricular psychosocial opportunity during evening hours may be a productive means through which to provide meaningful patient exposure, training, and mentorship to trainees. We sought to evaluate the impact upon student beliefs and attitudes through participation in an initiative titled "Story Time and Teen Talk." METHODS Under the direct supervision of postgraduate resident physicians in psychiatry, students read fairy tales and children's literature to children and conducted group discussions with adolescents during weekly held evening hours. Students were invited to complete a 15-item questionnaire that surveyed the impact of their participation on their beliefs and attitudes concerning general medical education and patient care, the field of psychiatry, and training in child and adolescent psychiatry. A subset of students underwent a semi-structured interview which was evaluated via grounded theory analysis to determine qualitative themes related to impact of program participation. RESULTS Thirty students (N = 30) completed the survey and five students (N = 5) completed the interview. The majority of students reported strongly agreeing or agreeing that participation impacted their attitudes and beliefs about general medical education and patient care in twelve of the thirteen assayed items. Themes from qualitative analysis supported these findings. CONCLUSIONS Extracurricular opportunities may be a productive venue for graduate medical education and, specifically, child and adolescent psychiatry.
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Affiliation(s)
- Timothy Rice
- Icahn School of Medicine at Mount Sinai, New York, NY, USA.
| | - Mitchell Arnovitz
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
- State University of New York Upstate Medical University, Syracuse, NY, USA
| | - Maya Hubert
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Jonathan Weiss
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Georgetown University School of Medicine, Washington, DC, USA
| | - Virginia Gao
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Weill Cornell School of Medicine, New York, NY, USA
| | | | - Allyssa Rivera
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | | | - Yonis Hassan
- Icahn School of Medicine at Mount Sinai, New York, NY, USA
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Bahji A, Altomare J, Sapru A, Haze S, Prasad S, Egan R. Predictors of hospital admission for patients presenting with psychiatric emergencies: A retrospective, cohort study. Psychiatry Res 2020; 290:113149. [PMID: 32512355 DOI: 10.1016/j.psychres.2020.113149] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 05/25/2020] [Accepted: 05/25/2020] [Indexed: 01/24/2023]
Abstract
BACKGROUND Rising psychiatric visits represent a significant and growing burden for emergency departments (EDs) across Canada. For individual psychiatric conditions, there are likely a variety of demographic and social variables that may increase risk of resource intensive hospital admission. METHODS We conducted a retrospective cohort study of all patients admitted into inpatient psychiatric units from two EDs in Kingston, Ontario, Canada from 2015 to 2018. We collected demographic and social variables from an electronic ED information system inclusive of all patients presenting to the ED with a mental health or addictions-related chief complaint. We used multivariate logistic regression models to identify predictors of psychiatric admission. RESULTS A total of 23,814 patients (49.1% male, median age 33) were identified. Admitted patients (n=1838) tended to be older (49 vs. 31 years), have lower Canadian Triage Acuity Scale scores (2.6 vs. 3.0), arrive by ambulance (51% vs. 35%) or police (18% vs. 9%), and have longer lengths of stay (8.4 vs. 4.9 hours). Individuals with mood and psychotic disorders were more likely to require a hospital admission. CONCLUSION A variety of clinical and demographic variables increased the risk of hospital admissions for individuals with a variety of psychiatric disorders.
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Affiliation(s)
- Anees Bahji
- Department of Psychiatry, Queen's University, Kingston, Ontario, Canada; Department of Public Health Sciences, Queen's University, Kingston, Ontario, Canada.
| | | | - Amer Sapru
- Department of Psychiatry, Queen's University, Kingston, Ontario, Canada
| | - Spencer Haze
- Department of Psychiatry, Queen's University, Kingston, Ontario, Canada
| | - Samir Prasad
- Department of Psychiatry, Queen's University, Kingston, Ontario, Canada
| | - Rylan Egan
- Health Quality Programs, Queen's University, Kingston, Ontario, Canada
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Abstract
Mental health disorders cause a large burden on global public health, with many patients living years with the disability. However, many doctors are ill-equipped to treat mental health disorders given inadequate training during their undergraduate years. In some countries, psychiatry is even considered an elective course rather than a core module. There is, therefore, a pressing need to improve the training of medical students in managing mental health disorders. Measures need to be implemented to attract students to choose psychiatry as their career. Given the developments in the fields and the challenges currently faced by trainees and early career psychiatrists, changes may also be made to the training programme in the postgraduate stage to unify the variations across the world in terms of the training duration and format. This paper will describe the ways that undergraduate and postgraduate psychiatry training may be ameliorated to improve the delivery of mental healthcare around the world and to equip doctors to face challenges in the future.
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Affiliation(s)
- Keith Hariman
- Department of General Adult Psychiatry, Castle Peak Hospital, Hong Kong, China
| | | | - Mariana Pinto da Costa
- Hospital de Magalhães Lemos, Porto, Portugal.,Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, Porto, Portugal.,Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK
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6
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Factors influencing medical students and psychiatry residents in Ghana to consider psychiatry as a career option - a qualitative study. Glob Ment Health (Camb) 2020; 7:e31. [PMID: 33489247 PMCID: PMC7786269 DOI: 10.1017/gmh.2020.24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2020] [Revised: 09/19/2020] [Accepted: 10/06/2020] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Currently, Ghana has 14 actively practicing psychiatrists and about 26 psychiatric residents for a population of over 28 million people. Previous research suggests a lack of interest by Ghanaian medical students and medical graduates in considering psychiatry as a career option. OBJECTIVES To examine the perception of medical students and psychiatry residents in Ghana about the barriers which hinder Ghanaian medical graduates from choosing careers in psychiatry and how these barriers could be overcome. METHODS This was a cross-sectional qualitative study with data gathered using focus group discussion. Twenty clinical year medical students were selected through block randomization from the four public medical schools in Ghana and invited to participate in one of two focus group discussions. Also, four psychiatric residents were invited to participate in the focus group discussions. RESULTS The main barriers identified by participants could be grouped under four main themes, namely: (a) myths and stigma surrounding mental health and patients, (b) negative perceptions of psychiatrists, (c) infrastructure and funding issues, (d) lack of exposure and education. To address the barriers presented, participants discussed potential solutions that could be categorized into five main themes, namely: (a) stigma reduction, (b) educating professionals, (c) addressing deficient infrastructure, (d) risk management, and (e) incentivizing the pursuit of psychiatry among students. CONCLUSION Health policy planners and medical training institutions could consider implementing proposed solutions to identify barriers as part of efforts to improve the psychiatrist to patient ratio in Ghana.
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Holt C, Mirvis R, Bao J, Cross S, Hussain O, Hutchings H, Marshall E, Qureshi H, Turner F, Wilson-Jones C. Three-Year Longitudinal Follow-up of the Psychiatry Early Experience Program (PEEP): Gaining and Sustaining Positive Attitudes Towards Psychiatry in Students at a UK Medical School. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2019; 43:600-604. [PMID: 31372963 DOI: 10.1007/s40596-019-01092-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Revised: 06/23/2019] [Accepted: 07/21/2019] [Indexed: 05/23/2023]
Abstract
OBJECTIVE The Psychiatry Early Experience Programme (PEEP) is a novel enrichment activity at Kings College London medical school. Throughout their five-year degree, students shadow trainee psychiatry doctors. The study aimed to evaluate whether more regular early exposure affects attitudes towards psychiatry. METHODS Forty first-year medical students joined PEEP and completed a baseline survey, including questions on demographics, current top three choices of medical specialty and the 30-item Attitudes Towards Psychiatry questionnaire (ATP-30). Participants completed annual follow up surveys, incorporating free-text questions about what students had learned and whether their views about psychiatry had changed. RESULTS Over three years there was a sustained improvement in mean ATP-30 scores (8.27 points higher at three years than at baseline [95% CI 2.86-13.7, T=3.2, p=0.005]). There was no significant difference between baseline specialty choice and specialty choice at three-year follow-up. At three years there was a 55% response rate. There was no significant association between non-responders at three years and baseline ATP-30, specialty choice or demographic factors. Thematic analysis of qualitative data suggested that PEEP challenged preconceptions towards psychiatry and highlighted its relevance in medicine. CONCLUSIONS The results offer some support that exposure to clinical psychiatry through longitudinal shadowing experiences can sustain positive attitudes. Areas for development include using a control group and following-up participants to the point when they specialize. It remains unclear whether it is most effective to select participants based on established commitment to psychiatry or to try to influence students who are still undecided.
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Affiliation(s)
- Clare Holt
- South London and Maudsley NHS Foundation Trust, London, UK
| | - Ross Mirvis
- South London and Maudsley NHS Foundation Trust, London, UK.
| | - Jianan Bao
- South London and Maudsley NHS Foundation Trust, London, UK
| | - Shoshana Cross
- South London and Maudsley NHS Foundation Trust, London, UK
| | - Osman Hussain
- South London and Maudsley NHS Foundation Trust, London, UK
| | | | - Emily Marshall
- South London and Maudsley NHS Foundation Trust, London, UK
| | - Henna Qureshi
- South London and Maudsley NHS Foundation Trust, London, UK
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Psychiatry as a specialization: influential factors and gender differences among medical students in a low- to middle-income country. Ir J Psychol Med 2019; 37:111-117. [PMID: 31482773 DOI: 10.1017/ipm.2019.38] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVES To assess the perception of Ghanaian medical students about factors influencing their career interest in psychiatry and to explore gender differences in these perceptions. METHODS This is a cross-sectional quantitative survey of 5th and 6th year medical students in four public medical schools in Ghana. Data were analyzed with descriptive and inferential statistics using SPSS version 20. RESULTS Responses were obtained from 545 medical students (response rate of 52%). Significantly, more male medical students expressed that stigma is an important consideration for them to choose or not to choose a career in psychiatry compared to their female counterparts (42.7% v. 29.7%, respectively). Over two-thirds of the medical students perceived that psychiatrists were at risk of being attacked by their patients, with just a little over a third expressing that risk was an important consideration for them to choose a career in psychiatry. There were no gender differences regarding perceptions about risk. Around 3 to 4 out of 10 medical students will consider careers in psychiatry if offered various incentives with no gender differences in responses provided. CONCLUSION Our study presents important and novel findings in the Ghanaian context, which can assist health policy planners and medical training institutions in Ghana to formulate policies and programs that will increase the number of psychiatry residents and thereby increase the psychiatrist-to-patient ratio in Ghana.
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AlOsaimi FMS, AlShehri HM, AlHasson WI, Agha S, Omair A. Why psychiatry as a career: Effect of factors on medical students' motivation. J Family Med Prim Care 2019; 8:648-651. [PMID: 30984688 PMCID: PMC6436284 DOI: 10.4103/jfmpc.jfmpc_399_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Context The number of Saudi psychiatrists in Saudi Arabia is not sufficient to keep up with the increasing need.[1] Approximately out of 6873 physicians, only 148 are psychiatrists, which is barely 2.1%.[2] Despite the high number of medical students graduating each year and the high demand for psychiatry physicians, only few medical graduates choose psychiatry as a career option.[3]. Aims To investigate the profile of final year medical students of both sexes at King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia. In terms of their decisions regarding specialization, this study aimed to identify the motivators and deterrents that impact the choice of psychiatry as specialty. Subjects and Methods Students filled in a self-reported questionnaire focusing on the several factors that act as motivators, deterrents, or have no impact on psychiatry career choice. Statistical Analysis Used Statistical analysis was done using Statistical Package for Social Sciences (SPSS)® version 20. Different factors were expressed in terms of numbers and percentages. Chi-square test was used to compare responses to the questionnaire between male and female students and whether the GPA had an effect on their choice. P value less than 0.05 was considered significant. Results It was noted that 85% did not choose psychiatry, with the most important deterrent being "Family member is psychologically ill" and "Available job position" being the most common motivator for choosing a specialty. Conclusion In conclusion, there are many factors that play an important role in career choice. No difference was found among male and female students, and no effect was identified while comparing GPA with career choice.
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Affiliation(s)
| | - Husam M AlShehri
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Waleed I AlHasson
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Sajida Agha
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.,King Abdullah International Medical Research, Riyadh, Saudi Arabia
| | - Amir Omair
- College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.,King Abdullah International Medical Research, Riyadh, Saudi Arabia
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Bogie BJM, Colbourne A, Menezes N, Saperson K, McConnell MM. The Doctor Is In: Media Portrayals of Psychiatrists and Their Influence on Canadian Medical Students' Recruitment into Psychiatry. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2018; 42:386-393. [PMID: 28875461 DOI: 10.1007/s40596-017-0798-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2017] [Accepted: 08/11/2017] [Indexed: 05/23/2023]
Affiliation(s)
| | - Amy Colbourne
- McMaster University Michael G. DeGroote School of Medicine, Hamilton, ON, Canada
| | - Natasja Menezes
- McMaster University Michael G. DeGroote School of Medicine, Hamilton, ON, Canada
| | - Karen Saperson
- McMaster University Michael G. DeGroote School of Medicine, Hamilton, ON, Canada
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Appleton A, Singh S, Eady N, Buszewicz M. Why did you choose psychiatry? a qualitative study of psychiatry trainees investigating the impact of psychiatry teaching at medical school on career choice. BMC Psychiatry 2017; 17:276. [PMID: 28754157 PMCID: PMC5534074 DOI: 10.1186/s12888-017-1445-5] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2017] [Accepted: 07/25/2017] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND There is no consensus regarding the optimal content of the undergraduate psychiatry curriculum as well as factors contributing to young doctors choosing a career in psychiatry. Our aim was to explore factors which had influenced psychiatry trainees' attitudes towards mental health and career choice. METHOD Qualitative in-depth interviews with 21 purposively sampled London psychiatry trainees analysed using the Framework method. RESULTS Early exposure and sufficient time in undergraduate psychiatry placements were important in influencing psychiatry as a career choice and positive role models were often very influential. Integration of psychiatry with teaching about physical health was viewed positively, although concerns were raised about the potential dilution of psychiatry teaching. Foundation posts in psychiatry were very valuable in positively impacting career choice. Other suggestions included raising awareness at secondary school level, challenging negative attitudes amongst all medical educators, and promoting integration within medical specialties. CONCLUSIONS Improvements in teaching psychiatry could improve medical attitudes and promote recruitment into psychiatry.
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Affiliation(s)
- A. Appleton
- 0000000121901201grid.83440.3bResearch Department of Primary Care and Population Health, University College London, London, NW3 2PF UK
| | - S. Singh
- 0000000121901201grid.83440.3bResearch Department of Primary Care and Population Health, University College London, London, NW3 2PF UK
| | - N. Eady
- 0000 0004 0426 7183grid.450709.fEast London NHS Foundation Trust, 9 Alie Street, London, E1 8DE UK
| | - M. Buszewicz
- 0000000121901201grid.83440.3bResearch Department of Primary Care and Population Health, University College London, London, NW3 2PF UK
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Harper BL, Roman BJB. The Changing Landscape of Recruitment in Psychiatry. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2017; 41:221-225. [PMID: 28168405 DOI: 10.1007/s40596-017-0671-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Accepted: 01/19/2017] [Indexed: 05/23/2023]
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Spollen JJ, Beck Dallaghan GL, Briscoe GW, Delanoche ND, Hales DJ. Medical School Factors Associated with Higher Rates of Recruitment into Psychiatry. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2017; 41:233-238. [PMID: 27032395 DOI: 10.1007/s40596-016-0522-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2015] [Accepted: 02/17/2016] [Indexed: 06/05/2023]
Abstract
OBJECTIVE The medical school a student attends appears to be a factor in whether students eventually match into psychiatry. Knowledge of which factors are associated with medical schools with higher recruitment rates into psychiatry may assist in developing strategies to increase recruitment. METHODS Psychiatry leaders in medical student education in the 25 highest and lowest recruiting US allopathic schools were surveyed concerning various factors that could be important such as curriculum, educational leadership, and presence of anti-psychiatry stigma. The relationship between the survey results of high recruiting schools versus those of low recruiting schools was evaluated using Mann-Whitney U tests. RESULTS Factors significantly associated (p < .05) with higher recruiting schools included better reputation of the psychiatry department and residents, perceived higher respect for psychiatry among non-psychiatry faculty, less perception that students dissuaded other students from pursuing psychiatry, and longer clerkship length. CONCLUSIONS Educational culture and climate factors may have a significant impact on psychiatry recruitment rates. Clerkship length was associated with higher recruiting schools, but several previous studies with more complete samples have not shown this.
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Affiliation(s)
- John J Spollen
- University of Arkansas for Medical Sciences, Little Rock, AR, USA.
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Walaszek A. Keep Calm and Recruit On: Residency Recruitment in an Era of Increased Anxiety about the Future of Psychiatry. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2017; 41:213-220. [PMID: 28188506 DOI: 10.1007/s40596-017-0664-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Accepted: 01/09/2017] [Indexed: 05/23/2023]
Affiliation(s)
- Art Walaszek
- University of Wisconsin, Madison, Wisconsin, USA.
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15
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Lyons Z. Psychiatry Enrichment Initiatives: A Review of Current Programs, Summer Schools, and Institutes. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2017; 41:266-271. [PMID: 26983419 DOI: 10.1007/s40596-016-0512-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Accepted: 02/08/2016] [Indexed: 05/23/2023]
Affiliation(s)
- Zaza Lyons
- School of Psychiatry and Clinical Neurosciences, University of Western Australia, Crawley, Western Australia, Australia.
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Clark CD. Doctoring Undercover: updating the educational tradition of shadowing. MEDICAL EDUCATION ONLINE 2017; 22:1265848. [PMID: 28178909 PMCID: PMC5328335 DOI: 10.1080/10872981.2017.1265848] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
BACKGROUND Premedical students are educated in basic biological and health sciences. As a complement to traditional premedical coursework, medical school applicants are encouraged to shadow practitioners, with the hope that observation will introduce students to the culture and practice of healthcare. Yet the shadowing experience varies widely across practitioners and institutions; resources that guide students' critical reflection and structure the experience are scarce. DEVELOPMENT A pilot experiential learning course, Doctoring Undercover: Shadowing and the Culture of Medicine, was developed to fill this gap. The course consisted of three parts: an introduction to medical culture through the disciplines of medical sociology, history, anthropology, and bioethics; a site placement in which students applied these fields' analytical techniques to the study of medical culture and practice; and the development of an online activity guide that other premedical students may adapt to their shadowing circumstances. IMPLEMENTATION Students reported that they were exposed to new disciplinary perspectives and interprofessional environments that they would not traditionally encounter. Students' contributions to the shadowing guide encouraged active learning and reflection on the dynamics of effective patient-provider relationships and shadowing experiences. FUTURE DIRECTIONS Locally, the class may be scaled for a larger group of premedical students and incorporated into a formal pathway program for premedical students; the content will also be integrated into the clinical medicine course for first-year medical students. Online, the guide will be promoted for use by other institutions and by individuals planning extracurricular shadowing experiences; feedback will be solicited. Tools for evaluating the short- and long-term impact of the course and guide will be developed and validated. Observational and experimental studies of the course's impact should be conducted. ABBREVIATIONS ICM: Introduction to Clinical Medicine; SCE: Selective Clinical Experiences.
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Affiliation(s)
- Claire D. Clark
- The Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, KY, USA
- CONTACT Claire D. Clark Department of Behavioral Science, University of Kentucky College of Medicine, 110 Medical Behavioral Science Building, 1100 Veterans Drive, Lexington40536-0086, KY, USA
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