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Li X, Ai M, Chen X, Gan Y, He J, Tian Y, Zhai J, Yang H, Kuang L. Attitudes Toward Psychiatry Among Medical Students With a Psychiatric Major at Chongqing Medical University. Front Psychiatry 2022; 13:820060. [PMID: 35237193 PMCID: PMC8882591 DOI: 10.3389/fpsyt.2022.820060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Accepted: 01/17/2022] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES To understand the attitudes of medical students with a psychiatry major toward psychiatry at Chongqing medical university in China and to find out factors influencing students' career choice. METHODS The present study used an online web survey tool to assess the attitudes toward psychiatry amongst 422 students majoring in psychiatry at Chongqing medical university in China using sociodemographic and Attitudes Toward Psychiatry-30 items (ATP-30) scales. Descriptive statistics and logistic regression analysis were used to examine associated factors. RESULTS Three hundred and sixty-nine students (87%) answered the questionnaire. Nearly 54.5% of participants had overall positive attitudes to psychiatry and 80.8% thought psychiatrist could be a career choice. Of the students, 5.1% showed that they did not want to be a psychiatrist while the remaining 14.1% were undecided. The first and fifth year students showed less desire to be a psychiatrist (74.3 and 69.8%, respectively); the highest percentage recorded is of the third year (90.6%). Female participants, in contact with patients suffering from mental illness, were willing to study psychiatry as a master degree and see good prospects were positive factors in choosing psychiatry as a career. CONCLUSIONS Students generally have good expectations toward psychiatry, but different opinions are also held and the field is still faced with various challenges in order to provide more psychiatrists.
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Affiliation(s)
- Xiao Li
- Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Ming Ai
- Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Xiaolu Chen
- The First Branch, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Yao Gan
- Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Jinglan He
- Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Yu Tian
- Department of the First Clinical Medicine, Chongqing Medical University, Chongqing, China
| | - Jian Zhai
- Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Haoling Yang
- Department of Oncology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Li Kuang
- Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
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Agyapong VIO, Hrabok M, Agyapong-Opoku G, Khinda H, Owusu-Antwi R, Osei A, Ohene S, Ulzen T, Gilligan P. Evaluating the Impact of an Innovative Public Speaking Competition to Promote Psychiatry as a Career Option for Ghanaian Medical Students. ACADEMIC PSYCHIATRY : THE JOURNAL OF THE AMERICAN ASSOCIATION OF DIRECTORS OF PSYCHIATRIC RESIDENCY TRAINING AND THE ASSOCIATION FOR ACADEMIC PSYCHIATRY 2019; 43:180-183. [PMID: 30267363 DOI: 10.1007/s40596-018-0986-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2018] [Accepted: 09/20/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE The psychiatrist workforce has been identified as an area in need of development, especially in low- to middle-income countries. The purpose of this project is to assess the perceptions of Ghanaian medical students of a novel mental health inter-medical school speaking competition on career interest in psychiatry and mental health education and advocacy. METHODS The study employed quantitative and qualitative methods in a cross-sectional design. A paper-based survey was administered to medical students from four schools in Ghana, and focus groups were conducted. RESULTS A 52% response rate (545/1041 fifth- and sixth-year medical students from the four public medical schools in Ghana) was achieved. The competition was successful in stimulating interest in psychiatry as a subject (25%) and as a career (14%) and was viewed as serving an important public health and mental health advocacy function (65% and 66% respectively). The competition stimulated interest in students who were undecided or had previously ruled out psychiatry specialization, in both those who had and had not already completed a psychiatry clerkship (23% and 13% before and after completing a clinical rotation in psychiatry, respectively). Overall, 29% of respondents who participated in at least one competition-related activity reported that the competition stimulated their interest in psychiatry, compared to 4% who did not participate in any competition-related activity (Ӽ2 = 80, p = 0.0). Analysis of focus group content echoed these themes and highlighted opportunities for improvement. CONCLUSION The innovative public speaking competition was successful in stimulating interest in psychiatry and furthering mental health education and advocacy. Implications are discussed.
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Affiliation(s)
- Vincent I O Agyapong
- University of Alberta, Edmonton, Canada.
- Alberta Health Services, Edmonton, Canada.
| | - Marianne Hrabok
- University of Alberta, Edmonton, Canada
- Alberta Health Services, Edmonton, Canada
| | | | | | - Ruth Owusu-Antwi
- Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - Sammy Ohene
- University of Ghana Medical School, Accra, Ghana
| | | | - Paul Gilligan
- St Patrick's Mental Health Services, Dublin, Ireland
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Curtis-Barton MT, Eagles JM. Factors that discourage medical students from pursuing a career in psychiatry. ACTA ACUST UNITED AC 2018. [DOI: 10.1192/pb.bp.110.032532] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Aims and methodThis cross-sectional study investigated the evolution of intentions among medical students to pursue a career in psychiatry and the factors that might discourage them from becoming a psychiatrist. A questionnaire survey was sent to medical students in years 1–5 at Aberdeen University.ResultsFrom 918 students, 467 (51%) returned useable responses. Proportions of students across the 5-year groups who definitely or probably intended to become psychiatrists remained fairly stable at 4–7%. In their final year, psychiatry remained a possible career option for a further 17% of students. The most potent discouraging factor was the perception of poor prognoses among psychiatric patients. Perceptions of a lack of scientific/evidence base reduced enthusiasm for becoming a psychiatrist. Issues relating to the prestige of the specialty were also important.ImplicationsIf recruitment to the specialty is to improve, these negative perceptions among students should be addressed by their teachers and more widely within psychiatry.
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Abstract
SummaryGraduates in the UK are not choosing a career in psychiatry. This paper sets out to do three related things: review the factors that attract and deter medical students from a career in psychiatry, describe the provision of current summer schools and special programmes in psychiatry, and provide detail of how initiatives such as summer schools may be set up, run and evaluated locally to potentially address some of those issues identified in the first section.
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Schwartz AC, McDonald WM, Vahabzadeh AB, Cotes RO. Keeping Up With Changing Times in Education: Fostering Lifelong Learning of Millennial Learners. FOCUS: JOURNAL OF LIFE LONG LEARNING IN PSYCHIATRY 2018; 16:74-79. [PMID: 31975905 DOI: 10.1176/appi.focus.20170004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Not only must the 21st-century psychiatrist adapt to a rapidly advancing science and changing health care climate, he or she must also consider how to most effectively educate the psychiatrists of tomorrow. Psychiatric education is changing and is influenced by the experiences, attitudes, beliefs, and preferences of today's learner. The Millennial Generation, the cohort of individuals born between 1981 and 2000, now represents the majority of the trainees entering medical school and psychiatry residency. This column provides an overview of generational differences in medicine and gives the reader a set of concrete strategies for working with Millennial learners in psychiatry most effectively. In general, Millennials enjoy collaborative learning, perform well in groups, are technologically savvy, appreciate clear expectations, and expect frequent and individualized feedback about their performance. Educators must determine what works best for each individual, create a culture of inquiry, and, most important, fuel a spirit of lifelong learning.
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Affiliation(s)
- Ann C Schwartz
- Dr. Schwartz, Dr. McDonald, and Dr. Cotes are with the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta. Dr. Vahabzadeh is with the Department of Psychiatry, Harvard Medical School, Boston, and the Massachusetts General Hospital Psychiatry Academy, Boston
| | - William M McDonald
- Dr. Schwartz, Dr. McDonald, and Dr. Cotes are with the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta. Dr. Vahabzadeh is with the Department of Psychiatry, Harvard Medical School, Boston, and the Massachusetts General Hospital Psychiatry Academy, Boston
| | - Arshya B Vahabzadeh
- Dr. Schwartz, Dr. McDonald, and Dr. Cotes are with the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta. Dr. Vahabzadeh is with the Department of Psychiatry, Harvard Medical School, Boston, and the Massachusetts General Hospital Psychiatry Academy, Boston
| | - Robert O Cotes
- Dr. Schwartz, Dr. McDonald, and Dr. Cotes are with the Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta. Dr. Vahabzadeh is with the Department of Psychiatry, Harvard Medical School, Boston, and the Massachusetts General Hospital Psychiatry Academy, Boston
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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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Factors that impact medical student and house-staff career interest in brain related specialties. J Neurol Sci 2016; 369:312-317. [DOI: 10.1016/j.jns.2016.08.046] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Revised: 08/16/2016] [Accepted: 08/22/2016] [Indexed: 11/19/2022]
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Kodakandla K, Nasirabadi M, Pasha MS. Attitude of interns towards mental illness and psychiatry: A study from two medical colleges in South India. Asian J Psychiatr 2016; 22:167-73. [PMID: 27520923 DOI: 10.1016/j.ajp.2016.06.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Revised: 05/20/2016] [Accepted: 06/19/2016] [Indexed: 12/27/2022]
Abstract
OBJECTIVE This study aims to assess the intern's beliefs about mental illness, their attitude towards psychiatry and psychiatry as a career choice. METHODS In a cross-sectional design, one hundred and seventy six interns from the two medical colleges completed the Belief about Mental illness scale and Attitudes Towards Psychiatry (ATP-29) scale. RESULTS Majority of the interns considered mentally ill patients as dangerous, unpredictable, cannot take up major responsibilities, cannot be a good parent, have poor interpersonal or social skills. The attitude towards psychiatry overall, functioning of a psychiatrist, efficacy of psychiatry treatment was found to be good in over 90% of the interns. The attitude towards career and reward aspect of psychiatry was not favorable in about 40%. About 13% considered psychiatry as a career choice. CONCLUSIONS Beliefs about mental illness continue to be negative. Though the attitude towards psychiatry, psychiatrist and treatment efficacy is good, the social and reward aspects of psychiatry are not encouraging. Steps for changes in undergraduate medical education policies are required.
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Affiliation(s)
- Krishna Kodakandla
- Dept. of Psychiatry, Shadan Institute of Medical Sciences, Peeramcheru, Near Kalimandir, Chevella Road, Hyderabad, Telangana 500 086, India.
| | - Minhajzafar Nasirabadi
- Dept. of Psychiatry, Dr. V.R.K Women's Medical College, Aziznagar, Ranga Reddy District, Hyderabad, Telangana 500 075, India
| | - Mohammed Shahid Pasha
- Dept. of Psychiatry, Shadan Institute of Medical Sciences, Peeramcheru, Near Kalimandir, Chevella Road, Hyderabad, Telangana 500 086, India
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Fillman VM. Career interest, self-efficacy, and perception in undecided and nursing undergraduate students: a quantitative study. NURSE EDUCATION TODAY 2015; 35:251-255. [PMID: 25218036 DOI: 10.1016/j.nedt.2014.08.011] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2014] [Accepted: 08/25/2014] [Indexed: 06/03/2023]
Abstract
Career choice variables of career interest, self-efficacy, and perception were chosen based upon Social Cognitive Career Theory concepts for study between nursing and undecided undergraduate student groups. Components of the Career Search Questionnaire and Perceptions of Professional Nursing instruments were combined and adapted to form the Career Choice Survey for use in this research. This web-based survey totaling 40 questions was sent to 577 undergraduate students with a 12% response rate (N=68). Due to the need to increase nursing recruitment and retention, hypotheses were developed that distinguish if any relationship existed between groups. Findings of this quantitative study resulted in statistically significant results on two of the three variable hypotheses (p=.006 for career interest, p=.002 for self-efficacy, p=.395 for perception), aligning with previous research and provide insight into the change in nursing perception. Overall, scores for each subscale were encouraging to current nurses and expected from undecided students. Implications for practice include increases in accurate nursing portrayal in the media and early career counseling to younger populations. Nurse educators can further research in career choice with focus on continuing education for current nurses and recruitment of young nursing hopefuls.
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Affiliation(s)
- Valentina M Fillman
- Saint Francis Medical Center College of Nursing, 511 NE Greenleaf, Peoria, IL 61603, United States.
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Poddubnaya T. Empathy problematic in psychological aspects of professional medical care (review). КОНСУЛЬТАТИВНАЯ ПСИХОЛОГИЯ И ПСИХОТЕРАПИЯ 2015. [DOI: 10.17759/cpp.2015230202] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The article covers summary report of the main aspects of empathy research in medical care. Data of an empathy level diagnostics depending on social aspects is pre¬sented, as well as an issue of empathy consideration as a stable personal characteristic, its dependency on experience and doctor's specialization, context of medical activity (necessary pain infliction, emergency aid assistance) is discussed. Aspects of empathic communication for medical workers of various specialties, inter alia psychiatrists and oncologists, as well as communication strategies, developed for coping with cocurrent negative emotions are analyzed. An example of a medical interview facilitating the quality of interpersonal relationship in the pair patient-doctor alliance" is given. In conclusion there are presented actual scientific contra¬dictions and set the possible main lines of future researches.
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Scott I, Gowans M, Wright B, Brenneis F. Stability of medical student career interest: a prospective study. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2012; 87:1260-1267. [PMID: 22836853 DOI: 10.1097/acm.0b013e31826291fa] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
PURPOSE To examine the stability and switching patterns of student career interests over the course of medical school. METHOD From 2001 through 2004, during the first two weeks of classes, a survey on career interest was distributed to first-year students in 15 classes at eight Canadian medical schools. Students indicated interest in eight broad career paths (emergency medicine, family medicine, internal medicine, obstetrics-gynecology, pediatrics, psychiatry, surgery, and "other") and ranked their top three. Following these students' residency match three to four years later, student residency career choice was linked to their career interest at medical school entry. For students whose career interests switched be-tween medical school entry and exit, switching patterns were examined in terms of careers' matching difficulty scores (MDSs). RESULTS Of 1,941 eligible students, 1,542 contributed to the final analysis. Family medicine, internal medicine, and surgery had the greatest student interest at both the beginning and end of medical school. Family medicine, surgery, obstetrics-gynecology, psychiatry, and "other" careers showed a net gain of student interest during medical school with the remaining careers showing a loss of interest. The most stable careers were family medicine, surgery, and internal medicine. The least stable were pediatrics and obstetrics-gynecology. Students tended to switch between careers with similar MDSs. CONCLUSIONS Student career choice is relatively stable with a number of careers showing approximately 50% of stability from the entrance to the exit of medical school. Students tend to switch to careers with similar MDS, but some specific switching patterns exist.
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Affiliation(s)
- Ian Scott
- Undergraduate Family Medicine Programs, Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada.
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[Perception of Psychiatry among Undergraduate Students of a School of Medicine]. ACTA ACUST UNITED AC 2012; 41S:136S-49S. [PMID: 26572568 DOI: 10.1016/s0034-7450(14)60186-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2012] [Accepted: 05/18/2012] [Indexed: 11/21/2022]
Abstract
OBJECTIVE Learn about perceptions and beliefs regarding psychiatry among undergraduate medicine students and compare their conceptions and appreciations concerning positive and negative aspects, before and after specific training in psychiatry. METHODS Observational, cross-sectional study; qualitative and quantitative research with application of a survey for undergraduate medicine students of the Universidad de La Sabana, before and after a specific psychiatry course. 90 students answered the survey in two groups: one of them before the course, and the other one afterwards; RESULTS 52,2% corresponded to semesters prior to the course of psychiatry; 25.5% expressed the purpose to specialize in Psychiatry before the course, and such percentage decreased to 13.4% after the course. Association was found between the purpose of not specializing in Psychiatry with the fact of having taken said course (Fisher's exact test, p=0,042). Most students would not specialize in psychiatry because they are interested in other areas. Before the course, students made emphasis on the biological aspects of mental disease. After the course, they also directed their attention to other factors. The two groups believe that the management of these patients is mainly pharmacological. The incurable character of mental illness was also highlighted together with the risk of getting ill and the stigma it entails. CONCLUSIONS Psychiatry is perceived as a medical specialization with emphasis on pharmacological treatment. There is a low frequency of students interested in this area. The course of psychiatry is associated with reduction of this frequency and limits the variability of the psychiatric concept.
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Gowans MC, Wright BJ, Brenneis FR, Scott IM. Which students will choose a career in psychiatry? CANADIAN JOURNAL OF PSYCHIATRY. REVUE CANADIENNE DE PSYCHIATRIE 2011; 56:605-13. [PMID: 22014693 DOI: 10.1177/070674371105601006] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE In Canada, availability of and access to mental health professionals is limited. Only 6.6% of practising physicians are psychiatrists, a situation unlikely to improve in the foreseeable future. Identifying student characteristics present at medical school entry that predict a subsequent psychiatry residency choice could allow targeted recruiting or support to students early on in their careers, in turn creating a supply of psychiatry-oriented residency applicants. METHOD Between 2002 and 2004, data were collected from students in 15 Canadian medical school classes within 2 weeks of commencement of their medical studies. Surveys included questions on career preferences, attitudes, and demographics. Students were followed through to graduation and entry data linked anonymously with residency choice data. Logistic regression was used to identify early predictors of a psychiatry residency choice. RESULTS Students (n = 1502) (77.4% of those eligible) contributed to the final analysis, with 5.3% naming psychiatry as their preferred residency career. When stated career interest in psychiatry at medical school entry was not included in a regression model, an exit career choice in psychiatry was predicted by a student's desire for prestige, lesser interest in medical compared with social problems, low hospital orientation, and not volunteering in sports. When an entry career interest in psychiatry was included in the model, this variable became the only predictor of an exit career choice in psychiatry. CONCLUSION While experience and attitudes at medical school entry can predict whether students will chose a psychiatry career, the strongest predictor is an early career interest in psychiatry.
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Affiliation(s)
- Margot C Gowans
- Department of Family Practice, University of British Columbia, Vancouver
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Lampe L, Coulston C, Walter G, Malhi G. Familiarity breeds respect: attitudes of medical students towards psychiatry following a clinical attachment. Australas Psychiatry 2010; 18:348-53. [PMID: 20645902 DOI: 10.3109/10398561003739612] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim of this paper was to examine the influence of a clinical attachment in psychiatry on medical students' attitudes to psychiatry as a specialty and potential career. METHOD Medical students at Sydney Medical School were surveyed following an 8-week clinical attachment in psychiatry. Secondary analyses sought to identify associations with variables such as age, gender and level of clinical experience as a medical student. RESULTS Following a clinical attachment in psychiatry, 80% of students rated their attitude to psychiatry as more positive. Approximately 32% rated themselves as likely or very likely to choose a career in psychiatry. No differences were seen with respect to gender, age or stage of training. The quality of the teaching, enthusiasm of the clinical teachers, the holistic approach and scientific basis of psychiatry were cited by students as factors influencing attitudes. CONCLUSIONS The clinical rotation in psychiatry is a significant factor influencing medical student attitudes towards psychiatry.
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Affiliation(s)
- Lisa Lampe
- Discipline of Psychiatry, University of Sydney, NSW, Australia.
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