Frequency and effect of negative comments (“badmouthing”) on medical studentsʼ career choices

Hunt, D. Daniel; Scott, C. Ronald; Zhong, Shiping; Goldstein, Erika A.

doi:10.1097/00001888-199606000-00022

Cited by 71 publications

(57 citation statements)

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“…3,8,27,28 These factors are, presumably, quite closely related to students' exposure to negative comments ('bad mouthing') about psychiatry and psychiatrists; such comments are not confined to psychiatry but have been reported as exerting a negative effect on perceptions of a career in bad-mouthed specialties. 29,30 However, only a small percentage of students endorsed the feeling that either the prestige of psychiatry or the prevalence of negative comments discouraged them 'a lot'. Addressing these perceptions and behaviours is a complex issue and of clear importance beyond the confines of recruitment of psychiatrists.…”

Section: Influences On Students' Career Choicesmentioning

confidence: 99%

Factors that discourage medical students from pursuing a career in psychiatry

Curtis-Barton

Eagles

2011

Psychiatrist

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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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Section: Influences On Students' Career Choicesmentioning

confidence: 99%

Factors that discourage medical students from pursuing a career in psychiatry

Curtis-Barton

Eagles

2011

Psychiatrist

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“…Two studies have looked at the existence and impact of negative attitudes expressed unofficially by faculty, residents, and students during the process of medical education. Both found that a majority of students report hearing negative comments about their specialty, 35,46 and a small percentage report changing specialties because of this. It is clear from these studies that the unofficial culture of medical schools has an impact on specialty choice.…”

Section: Unofficial Climate For Primary Carementioning

confidence: 99%

Factors Related to the Choice of Family Medicine: A Reassessment and Literature Review

Senf

Campos‐Outcalt

Kutob

2003

The Journal of the American Board of Family Medicine

205

159

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Background: Recent decreases in the number of students entering family medicine has prompted reconsideration of what is known about the factors affecting specialty choice.Methods: Thirty-six articles on family medicine specialty choice published since 1993 were reviewed and rated for quality.Results: Rural background related positively and parents' socioeconomic status relates negatively to choice of family medicine. Career intentions at entry to medical school predict specialty choice. Students who believe primary care is important, have low income expectations, and do not plan a research career are more likely to choose family medicine. The school characteristic related to choice of family medicine is public ownership. Large programs to increase numbers entering primary care seem effective. Required family medicine time in clinical years is related to higher numbers selecting family medicine.

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“…Positive placement experiences have been shown to improve students' attitudes to psychiatry (Eagles et al 2007) and positive attitudes of teachers at medical school can be influential in helping students choose psychiatry as a career (McParland et al 2003;Dein et al 2007). Despite these positive influences, psychiatry is often viewed as a lower status specialty among both students and professionals (Hunt et al 1996;Eagles et al 2007) and is seen by students as an unattractive career choice about which they often hold misconceptions (Rajagopal 2004). This was a single medical school survey as are most recent surveys of medical student attitudes to psychiatry attitudes.…”

Section: Introductionmentioning

confidence: 99%

Student attitudes to psychiatry and their clinical placements

Budd¹,

Kelley²,

Day³

et al. 2011

Medical Teacher

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Background: Medical students consistently report low rates of interest in psychiatry as a career over time with negative perceptions of the specialty. Only 3-6% of students enter the specialty. Aim: To explore medical students' current career choices and attitudes to psychiatry and factors affecting these. Methods: Medical students at four UK medical schools completed a questionnaire related to career specialty choices and psychiatry and their psychiatry placement experiences. Results: A total of 905 questionnaires were returned. Psychiatry was first career specialty choice in 4% but in the top three choices in 14%. The students in this group who had undertaken clinical placements were more positively inclined towards psychiatry, given more opportunities to practice and receive feedback on psychiatric skills, and more inclined to practice psychiatry later. Conclusion: One in seven students is interested in psychiatry. Psychiatrists need to find ways to identify these students and target them with individually tailored interventions to help recruitment into the specialty.

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Frequency and effect of negative comments (“badmouthing”) on medical studentsʼ career choices

Cited by 71 publications

References 0 publications

Factors that discourage medical students from pursuing a career in psychiatry

Factors that discourage medical students from pursuing a career in psychiatry

Factors Related to the Choice of Family Medicine: A Reassessment and Literature Review

Student attitudes to psychiatry and their clinical placements

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