Medical Students' Perceptions of Child Psychiatry: Pre- and Post-Psychiatry Clerkship

Martin, Vicki L.; Bennett, David S.; Pitale, Maria

doi:10.1176/appi.ap.29.4.362

Cited by 21 publications

(10 citation statements)

References 14 publications

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“…Benefits included seeing the milder spectrum of mental illness and less stereotyping of patients with severe mental illness. In studies where attachments consisted of a block of a subspecialty of psychiatry, there was evidence of positive attitude change after attachments in child and adolescent psychiatry (weak evidence) 24,44 and addictions psychiatry (strong evidence). [45][46][47] Oakley & Oyebode 48 examined attitudes to the psychiatry curriculum.…”

Section: Attitudes and Features Of The Attachmentmentioning

confidence: 99%

“…55 Indeed, a large American survey found no association between duration of attachment and psychiatry recruitment. 56 The weak evidence of positive attitude change after a child and adolescent psychiatry placement 24,44 and strong evidence for change after addictions psychiatry 46,47,57 highlight the importance of exposing students to subspecialties. This increases awareness of the diversity within psychiatry.…”

Section: Attachment Featuresmentioning

confidence: 99%

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Narrative review of the impact of clinical psychiatry attachments on attitudes to psychiatry

Qureshi

Carney²,

Iversen

2013

Psychiatrist

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Aims and methodPsychiatry in the UK has long-standing issues in recruiting UK-trained doctors. A key potential influence on interest in psychiatry during medical school is the clinical attachment. This narrative review investigates how the clinical experience of psychiatry affects medical students' attitudes towards the specialty.ResultsWe identified 107 studies, of which 46 were included. They showed that clinical attachments in psychiatry did result in more positive attitudes towards the specialty and increased career interest. There was inconsistent evidence on whether interest was maintained, with some studies indicating that the increase is transient. Factors which may influence attitudes include attachment setting, duration and student demographics.Clinical implicationsThe results suggest a need to actively maintain interest in psychiatry throughout medical school. Research with long-term follow-up and evaluation of schemes to maintain students' interest is needed.

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Section: Attitudes and Features Of The Attachmentmentioning

confidence: 99%

Section: Attachment Featuresmentioning

confidence: 99%

Narrative review of the impact of clinical psychiatry attachments on attitudes to psychiatry

Qureshi

Carney²,

Iversen

2013

Psychiatrist

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“…The principal investigator constructed the interview questions (see Table 1) from previous medical student self-report questionnaire findings (Cutler et al 2006), as well as from a general review of existing psychiatric education literature (Feifel et al 1999;Chew-Graham et al 2003;Fink 1983;Walter 1989;Furnham 1986;Cutler et al 2006;Galka et al 2005;Martin et al 2005;Singh et al 1998;Balon et al 1999;Sierles and Taylor 1995;Nielsen and Eaton 1981). Two faculty members in the department of psychiatry conducted the interviews shortly after students received notification of their residency matches.…”

Section: Materials and Proceduresmentioning

confidence: 99%

“…While enrolled medical students in the United States find the field intellectually interesting (Cutler et al 2006), many regard clinical work with psychiatric patients as unappealing (Galka et al 2005;Martin et al 2005;Singh et al 1998;Balon et al 1999;Sierles et al 1995;Nielsen et al 1981) and even stressful (Cutler et al 2006). Similar observations have been made in many countries around the world (Brockington and Mumford 2002;Malhi et al 2002;Fischel et al 2008;Ndetei et al 2008;Syed et al 2008;Ay et al 2006).…”

Section: Introductionmentioning

confidence: 99%

Discrediting the notion “working with ‘crazies’ will make you ‘crazy’”: addressing stigma and enhancing empathy in medical student education

Cutler

Harding

Mozian

et al. 2008

Adv in Health Sci Educ

110

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People with mental illness around the world continue to suffer from stigmatization and limited care. Previous studies utilizing self-report questionnaires indicate that many medical students regard clinical work with psychiatric patients as unappealing, while the professionalism literature has documented a general decline in students' capacity for empathy over the course of medical school. Through in-depth interviews, this study attempts to better understand the formation of medical students' perceptions of psychiatry and the implications of that process for a more general understanding of the impact of emotionally-laden experiences on medical students' capacity for empathy. Forty-seven fourth-year medical students who had expressed interest or performed well in psychiatry were asked a series of questions to elicit their perceptions of the field of psychiatry. Interview transcripts were systematically coded using content analysis and principles of grounded theory. Stigma, stereotypes, and stressfully intense emotional reactions seemed to adversely affect the students' expected satisfaction from and willingness to care for the mentally ill, despite enjoying psychiatry's intellectual content and the opportunity to develop in-depth relationships with patients. Teaching faculty need to directly address the stigma and stereotypes that surround mental illness and actively help medical students cope with the stress that they report experiencing during their psychiatry clerkship in order to improve the recognition and treatment of psychiatric illness by newly graduating physicians. More generally, the relationships that we identify among stress, stigmatization, and stereotyping along an empathic spectrum suggest that increased attention should be paid to the stress that empathy can entail. This perspective may allow for the creation of similarly targeted interventions throughout the medical school curriculum to counteract the decline in empathy, the so-called "hardening of the heart," associated with physician-training worldwide.

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“…And psychiatrists performed better on psychiatry and behavioural science examinations in medical school than other physicians in retrospect (Sierles et al 2004). But also medical school experiences, like clinical clerkships, play a role in the career choice of medical students (O'Herrin et al 2004;Martin et al 2005). The interpretation of these factors depends on differences between nations and the impact of changing health care demands (Morrison 2006;Van Offenbeek et al 2006).…”

Section: Introductionmentioning

confidence: 99%

Career preference and medical students’ biographical characteristics and academic achievement

2008

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Background: We know that medical students' biographical characteristics and academic achievement influence career preference. Less is known about the differential association of these characteristics with preference for distinct specialties at different stages of medical training. Aim: To investigate the association between biographical characteristics and academic achievement with preference for specific medical specialties among first year medical students, before the clerkships, during clerkships and at the end of medical school. Methods: A written questionnaire was completed by medical students from two Dutch medical schools in 2002. Five medical specialties were selected for analysis (general practice, internal medicine, surgery, paediatrics and psychiatry). Biographical characteristics (gender, parental education and profession, and academic achievement were used to construct a prognostic model related to the preference for a medical career. Results: Being female and having a parent in general practice was positively associated with a preference for a career in general practice. Male gender was positively associated with a preference for a career in surgery. In first-year students, and in students with no clerkship experience, male gender was positively associated with a preference for a career in internal medicine. Among students with clerkship experience and final-year students the duration of study was positively associated with a preference for a career in internal medicine. For all students together, female gender was positively associated with a preference for a career in paediatrics. In first-year students, and in students with no clerkship experience, female gender was positively associated with a preference for a career in psychiatry. Conclusions: Our findings show that the medical background of the parents and gender are positively associated with a preference for a career, especially for general practice. Work experience in health care, personal experience with medical care and academic achievement plays a minor role in the career preference of medical students.

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Medical Students' Perceptions of Child Psychiatry: Pre- and Post-Psychiatry Clerkship

Abstract: Implications for the recruitment of medical students into CAP are discussed, including the potential importance of exposing students to diverse patient populations and requiring a CAP experience during the clerkship.

Cited by 21 publications

References 14 publications

Narrative review of the impact of clinical psychiatry attachments on attitudes to psychiatry

Narrative review of the impact of clinical psychiatry attachments on attitudes to psychiatry

Discrediting the notion “working with ‘crazies’ will make you ‘crazy’”: addressing stigma and enhancing empathy in medical student education

Career preference and medical students’ biographical characteristics and academic achievement

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