Psychiatric Resident Participation in an Asylum Clinic: a Single-Institutional Experience

Patel, Nikhil A.; Sreshta, Nina; Frank, Amber; Marlin, Robert P.; Boyd, J. Wesley

doi:10.1007/s40596-018-0925-3

Cited by 9 publications

(5 citation statements)

References 3 publications

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“…In this survey, trainees were highly motivated to receive additional training regarding the mental health of displaced people. This is a similar finding to Patel et al (2019) in a survey of American psychiatry residents, where, following exposure, the vast majority of residents were keen to learn more. Another insight of the above-mentioned survey was that these residents had to consider how working with non- or limited-English-speaking patients through interpreters impacted their clinical conceptualizations.…”

Section: Discussionsupporting

confidence: 85%

Forcibly displaced persons and mental health: A survey of the experiences of Europe-wide psychiatry trainees during their training

Frankova

Scheeres

Menculini

et al. 2022

Transcult Psychiatry

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Many European countries have seen increasing refugee populations and asylum applications over the past decade. Forcibly displaced persons (FDPs) are known to be at higher risk of developing mental disorders and are in need of specific care. Thus, specific training for mental health professionals is recommended by international health organizations. The aim of this exploratory study was to assess the experience of clinical work with FDPs among psychiatric trainees in Europe and Central Asia as well as their interest and specific training received on this topic. An online questionnaire was designed by the Psychiatry Across Borders working group of the European Federation of Psychiatric Trainees (EFPT) and was distributed via email through local networks among European trainees from 47 countries between March 2017 and April 2019. Answers of 342 psychiatric trainees from 15 countries were included in the survey analysis. A majority of trainees (71%) had had contact with FDPs in the last year of their clinical work. Although three-quarters expressed a strong interest in the mental health of FDPs, only 35% felt confident in assessing and treating them. Specific training was provided to 25% of trainees; of this subset, only a quarter felt this training prepared them adequately. Skills training on transcultural competencies, post-traumatic stress disorder, and trauma management was regarded as essential to caring for refugees with confidence. Although psychiatric trainees are motivated to improve their skills in treating FDPs, a lack of adequate specific training has been identified. The development of practical skills training is essential. International online training courses could help meet this pressing need.

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Section: Discussionsupporting

confidence: 85%

Forcibly displaced persons and mental health: A survey of the experiences of Europe-wide psychiatry trainees during their training

Frankova

Scheeres

Menculini

et al. 2022

Transcult Psychiatry

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“…A 36-question mixed methods survey was developed in Qualtrics (2020, Seattle, WA), version August 2020 by adapting the survey used by Patel et al to assess psychiatry residents' experiences with asylum evaluations to the medical student population (see online appendix A). 3 Survey responses were anonymous. The survey collected data on medical student demographics, student countries of origin, factors leading to student involvement, and student confidence in working with patients with significant physical or psychological trauma before and after participating in forensic evaluations.…”

Section: Methodsmentioning

confidence: 99%

“…2 A 2018 study of psychiatry residents who participated in their residency's asylum clinic found that participants often had a history of immigration themselves, wanted to use their professional position to advance a moral good, and were interested in performing future asylum evaluations in their career. 3 Student-run asylum clinics continue to manage an increasingly large number of forensic medical evaluation requests nationwide, with comparable asylum grant rates to those performed by independent clinicians. 4 Understanding medical student motivations for participating in asylum clinics, as well as the emotional impact of student involvement could help educators provide an emotionally safe experience for students and offer insight into ways to improve the experience for those who participate in the future.…”

Section: Introductionmentioning

confidence: 99%

Impact on Medical Students Participating in Forensic Examinations of Asylum Seekers: A Pilot Study

et al. 2023

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Background: Student-run asylum clinics handle an increasing proportion of forensic medical evaluation requests for asylum cases across the country, but the impact on medical students participating in these evaluations remains poorly understood. This study investigates the self-reported backgrounds, roles, and experiences of medical students who directly participated in forensic evaluations of asylum-seekers at a student-run forensic asylum clinic between 2017 and 2021.Methods: Electronic surveys were sent to 40 medical students who had completed at least one asylum evaluation through the student clinic. Survey questions asked about student background, motivations, volunteer roles, and learning experiences during the evaluation process. Frequencies were calculated for multiple choice and 10-point Likert scale responses. Reviewers independently identified themes in free-response answers. Responses were subsequently coded using a consensus theme bank.Results: Eighteen of 40 (45%) students emailed completed the survey. Seventy-eight percent of respondents reported a personal or familial history of immigration. Almost all wrote the first draft of the medical affidavit. All respondents to the question reported improvement in their confidence working with patients who had experienced physical or psychological trauma as a result of persecution or feared persecution, because of their participation in an asylum evaluation. Conclusions: Students frequently were motivated to participate in forensic examinations of asylum-seekers for personal reasons related to their immigrant backgrounds. Our findings suggest that asylum evaluations promote professional development and skills working with survivors of trauma, though there remain technical and emotional challenges that mandate adequate training and support for student volunteers.

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“…A further literature review of medical student experiences in human rights work produced one student reflection [ 21 ], a study that focused on the development and evaluation of a medical school curriculum [ 22 ], a longitudinal assessment of an international global health student elective [ 23 ], and a survey evaluating student participation in a refugee resettlement program [ 24 ]. Still, other studies have examined the effect that participating in a human rights program and working with asylum seekers have on residents and physicians [ 25 26 27 28 ].…”

Section: Introductionmentioning

confidence: 99%

“…

Background: There is consensus among many medical school deans that exposure to human rights is a necessary component of physician training [ 7 8 ], however little is known about the impact of engagement in human rights programs on students’ personal and professional development [ 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ].

Objective: This study aimed to examine medical students’ experiences in the Mount Sinai Human Rights Program (MSHRP), their motivations for involvement, and the possible influence of engagement on their professional identities, personal growth, and career choices.

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mentioning

confidence: 99%

Medical Student Involvement in a Human Rights Program: Impact on Student Development and Career Vision

Schonholz

Edens

Epié

et al. 2020

Annals of Global Health

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Background: There is consensus among many medical school deans that exposure to human rights is a necessary component of physician training [7, 8], however little is known about the impact of engagement in human rights programs on students' personal and professional development [15-28]. Objective: This study aimed to examine medical students' experiences in the Mount Sinai Human Rights Program (MSHRP), their motivations for involvement, and the possible influence of engagement on their professional identities, personal growth, and career choices. Methods: Through semi-structured interviews, this qualitative study gathered the experiences of 15 fourth year and recently graduated medical students who participated in the comprehensive training, research, and direct service opportunities provided by the program. Responses were coded using a content analysis approach. Findings: The results of this research highlight the motivations behind students' involvement in a medical human rights program, as well as the challenges they experienced engaging with this work. The study captured students' perceptions of the role of the program on their personal growth, clinical skills, and career vision. Nearly all the students interviewed indicated they developed important, clinically applicable skills that enhanced their traditional medical education. Students indicated that their participation directly influenced their professional identities and future career directions by reinforcing previous interests in human rights and social justice work, impacting medical specialty and residency program selections and fostering commitment to working with immigrant populations. Conclusions: The results of this study indicate that longitudinal involvement with the MSHRP contributed to the acquisition of important clinical skills that were not otherwise attained in students' early medical education. Findings suggest that there is significant opportunity for clinical and leadership development outside the traditional preclinical and clinical setting, and that exposure to human rights education shapes students' professional identities and career paths. Finally, the findings highlight the essential role of human rights and social justice in medical education.

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Psychiatric Resident Participation in an Asylum Clinic: a Single-Institutional Experience

Abstract: Participating in asylum evaluations impacts residents' sense of themselves as psychiatrists and expands their views about psychiatrists' roles.

Cited by 9 publications

References 3 publications

Forcibly displaced persons and mental health: A survey of the experiences of Europe-wide psychiatry trainees during their training

Forcibly displaced persons and mental health: A survey of the experiences of Europe-wide psychiatry trainees during their training

Impact on Medical Students Participating in Forensic Examinations of Asylum Seekers: A Pilot Study

Medical Student Involvement in a Human Rights Program: Impact on Student Development and Career Vision

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