Familiarity Breeds Respect: Attitudes of Medical Students Towards Psychiatry Following a Clinical Attachment

Discipline of Psychiatry, University of Sydney, NSW, Australia.
Australasian Psychiatry (Impact Factor: 0.47). 08/2010; 18(4):348-53. DOI: 10.3109/10398561003739612
Source: PubMed


The aim of this paper was to examine the influence of a clinical attachment in psychiatry on medical students' attitudes to psychiatry as a specialty and potential career.
Medical students at Sydney Medical School were surveyed following an 8-week clinical attachment in psychiatry. Secondary analyses sought to identify associations with variables such as age, gender and level of clinical experience as a medical student.
Following a clinical attachment in psychiatry, 80% of students rated their attitude to psychiatry as more positive. Approximately 32% rated themselves as likely or very likely to choose a career in psychiatry. No differences were seen with respect to gender, age or stage of training. The quality of the teaching, enthusiasm of the clinical teachers, the holistic approach and scientific basis of psychiatry were cited by students as factors influencing attitudes.
The clinical rotation in psychiatry is a significant factor influencing medical student attitudes towards psychiatry.

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Available from: Lisa Lampe, Oct 03, 2015
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    • "Initial studies were mostly from high income countries (reviewed here (Brockington & Mumford, 2002; Qureshi et al., 2013)) and confi rmed that factors in the psychiatric clerkship infl uence students ' attitudes towards psychiatry . Relevant factors included quality of patient contact, quality of teaching, enthusiasm of psychiatric teachers, witnessing improvement and recovery of patients, feeling part of the psychiatric team, and gaining a sense of clinical competency (Archdall et al., 2013; Fabrega, 1995; Lampe et al., 2010; McParland et al., 2003; Stagg et al., 2012). There has been a recent increase in similar studies from low "
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    ABSTRACT: Abstract There is a serious shortage of psychiatrists and poor recruitment of new psychiatry trainees worldwide. Low and middle income countries suffer disproportionately on many accounts. A negative attitude towards psychiatry is thought to contribute to poor recruitment of psychiatry trainees. Previous reviews have focused on the attitudes of medical students in high income countries, but factors relevant to attitude and recruitment may be different in lower income countries. Here we review studies of medical students' attitudes towards psychiatry from low and lower-middle income countries, summarize key themes which negatively influence attitudes, and suggest strategies for overcoming them. Major themes include stigma, perceived status of psychiatry, lack of psychiatric trainers, local cultural beliefs, poor working conditions, and quality of patient care.
    International Review of Psychiatry 08/2013; 25(4):385-98. DOI:10.3109/09540261.2013.813838 · 1.80 Impact Factor
    • "So while planning for undergraduate teaching, we need to remember that this essential training/learning experience not only provides knowledge and skills, but makes psychiatry interesting and removes the stigma of being a psychiatrist. The quality of the teaching, enthusiasm of the clinical teachers, the holistic approach and scientific basis of psychiatry are the parameters that influence the students’ attitude toward psychiatry.[1819] "
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    ABSTRACT: Psychiatry is not considered important by most medical students. But knowledge of psychiatry is essential for all doctors as psychiatric problems are prevalent in the population either as part of other physical illnesses or independently. All medical practitioners need skills in communication and forming empathy and the ability to counsel that are learnt in psychiatry. Nearly all medical students feel psychiatry is not scientific enough and psychiatrists are peculiar. We need to make psychiatry interesting, and impart skills and techniques to practice psychiatry at the primary care level and in the process change the misconceptions students have of psychiatry. We present a model to accomplish this.
    Indian Journal of Psychological Medicine 03/2013; 35(1):23-8. DOI:10.4103/0253-7176.112196
    • "It has been recommended to design program for medical students based on policy of ‘catch them young’.[26] The clinical rotation in psychiatry has been found to be an important factor influencing medical student attitudes towards psychiatry.[2728] A one hour supplementary education program in addition to the traditional medical curriculum led to significant improvement in attitude of medical students towards mentally ill in Japan.[2930] "
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    ABSTRACT: A number of studies from the western world have explored the negative beliefs held by individuals towards people with mental illness. The knowledge of attitude and awareness of undergraduate medical students towards psychiatry, mental health and mental disorders is of utmost importance. The current study aims at assessment of attitudes of medical students towards mental illness and mentally ill. The study used a cross-sectional survey design. The instruments used included Beliefs toward Mental Illness (BMI) scale, Attitudes to Mental Illness Questionnaire (AMIQ). ANOVA was carried out to compare the in between group differences for the four study groups. Additionally Bonferroni correction was used to conduct the post hoc analysis. The interns were significantly more likely to agree with the statement that the mental disorders are recurrent; less likely to be of thought that the behavior of people with mental disorders is unpredictable; more likely to disagree with the fact that diagnosis of depression as described in the case vignette was going to damage the career of the individual; more likely to agree with the option of inviting a depressed person to a party; more likely to believe in fact that mentally ill individuals are more likely to be criminals as compared to medical students in different professional years. Adequate modifications to existing medical curriculum would help improve attitude of medical students towards mentally ill.
    Industrial psychiatry journal 03/2012; 21(1):22-31. DOI:10.4103/0972-6748.110944
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