Objective
There is growing consensus in medical education regarding the importance of integrating training in behavioral health and psychiatry with other fields of medicine, given broad applicability, inter-relatedness, and clinical relevance. The authors developed a scale to measure attitudes and confidence in the integration of psychiatry into other fields of medicine.
Methods
The Attitudes and Confidence in Integration of Psychiatry in Medicine (ACIP) scale was developed through discussion with content experts across disciplines and pilot testing of items. This scale was administered to third- and fourth-year medical students at three United States medical schools (University of Iowa, University of Michigan, Rush University) for validation, focused on assessment of variability, internal consistency, factor structure, and test-retest reliability.
Results
A total of 310 medical students completed the survey (35% participation rate). The scale had a high internal consistency (Cronbach’s alpha=0.88) and was without ceiling or floor effects. Survey items loaded on the two factors of interest: attitudes and confidence. Students rated the integration of psychiatry into the practice of surgery and its subspecialties as less relevant than its integration into other specialties; however, scores were not biased by students’ interest in procedural vs. non-procedural specialties. Test-retest reliability was high (Cronbach’s alpha=0.90).
Conclusions
The ACIP may serve a useful role in determining the outcome of educational efforts toward integrated care.