Significance of a psychiatry rotation for subjective achievement of competencies related to psychiatry in the <scp>Japanese</scp> postgraduate residency system

Matsuzaka, Yusuke; Michitsuji, Toru; Ozono, Eriko; Matsushima, Kayoko; Hamada, Hirofumi; Morimoto, Yoshiro; Kanegae, Shinji; Kinoshita, Hirohisa; Imamura, Akira; Ozawa, Hiroki

doi:10.1111/pcn.13316

Cited by 1 publication

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“…A previous study reported that psychiatry rotation had no significant educational effects on knowledge about disorders of growth and development [ 10 ]. However, in the current study, residents achieved sufficient learning on this item.…”

Section: Discussionmentioning

confidence: 99%

“…The survey was administered both at the start and at the end of psychiatry rotation. We selected nine psychiatry-related competency items (dependence, mood disorders, agitation and delirium, disorders of growth and development, schizophrenia, dementia, insomnia, memory deficit, and depression) from the guidelines of the Japanese residency system (up to 2019 and after 2020), in accord with a previous study [ 10 ]. Mood disorders and insomnia were selected from the pre-2019 guidelines, and the other items were selected from the guidelines after 2020.…”

Section: Methodsmentioning

confidence: 99%

“…In addition to objective assessment by clinical teachers, learners’ self-assessment is also important [ 9 ]. In the previous system, residents who did not complete the psychiatry rotation showed a lower level of subjective understanding and confidence in initiating treatment toward psychiatry-related competency items [ 10 ]. In the current system, all residents must undertake rotation in psychiatry, including those who are not interested in psychiatry, and those who are strongly interested in another career.…”

Section: Introductionmentioning

confidence: 99%

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Subjective achievement from psychiatry rotation in the Japanese postgraduate residency system: a longitudinal questionnaire study

et al. 2022

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Background Psychiatry rotation has been mandatory in the Japanese postgraduate residency system since 2020. Some psychiatry-related competency items are stipulated as mandatory for residents. The current study aimed to clarify whether psychiatry rotation affected residents’ subjective achievement of these competency items. Methods This longitudinal study was conducted among postgraduate residents who completed a rotation in the psychiatry department at Nagasaki University Hospital across two academic years (2020–2021). The survey was administered at the start and at the end of the psychiatry rotation. Residents evaluated their subjective understanding and confidence regarding initiating treatment for these competency items using a six-point Likert scale. The average scores for each item were compared between pre-rotation and post-rotation. Results In total, 99 residents (91.7%) responded to this survey. Residents had significantly higher scores at post-rotation compared with pre-rotation in all psychiatry-related competency items in both subjective understanding and confidence in initiating treatment. Additionally, strong effect sizes were found for many items. Conclusion Residents improved learning about psychiatry-related competency items through psychiatry rotation. This finding suggests that it is reasonable for psychiatry rotation to be mandatory in the current Japanese postgraduate residency system. The importance of psychiatry is likely to increase in both undergraduate and postgraduate medical education in the future. It is necessary to continuously update educational strategies to meet changing social needs over time. As this study was conducted at a single institution, a multi-center study is needed to expand the current findings.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%