Malloy Erin, Hollar David, Lindsey B Anthony
Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7160, USA.
Acad Psychiatry. 2008 Sep-Oct;32(5):350-6. doi: 10.1176/appi.ap.32.5.350.
The authors aimed to determine whether a structured clinical experience in child and adolescent psychiatry (CAP) during the third-year psychiatry clerkship would impact interest in pursuing careers in psychiatry and CAP.
The authors constructed and administered a postrotation survey, the Child and Adolescent Psychiatry Experiences Questionnaire (CAPE-Q), to evaluate clinical experiences and career interest in psychiatry and CAP both before and after a clerkship in psychiatry. The value of specific aspects of the clerkship to students' career decisions was also assessed. The students completed the surveys at the end of their psychiatry clerkship in the 2005-2006 academic year and in their first rotation of 2006-2007.
Of the 98 respondents, the majority reported no change in interest in general psychiatry or in CAP after the clerkship. However, exposure to inpatient CAP correlated with increased interest in the field and in its influence on pursuing a CAP career. Interest in CAP positively correlated with agreement that the CAP clinical experience influenced their career decision. The influence of the CAP clinical experience on career decision was associated with interest in both psychiatry and CAP, as well as with change in CAP interest after the clerkship.
These preliminary results suggest that the CAPE-Q may be useful for assessing students' clerkship experiences and the impact of these experiences on their decision to pursue a career in child psychiatry. Here, inpatient CAP experience led to increased interest in the field. The CAPE-Q could be used to identify students for whom electives and mentoring opportunities could be arranged. It could also be used in assessment of clerkship experiences.
作者旨在确定在精神病学三年级见习期间的儿童与青少年精神病学（CAP）结构化临床体验是否会影响学生从事精神病学及儿童与青少年精神病学职业的兴趣。
作者编制并实施了一项轮转后调查问卷，即儿童与青少年精神病学体验问卷（CAPE-Q），以评估在精神病学见习前后学生在精神病学及儿童与青少年精神病学方面的临床体验和职业兴趣。同时还评估了见习特定方面对学生职业决策的价值。学生们在2005 - 2006学年精神病学见习结束时以及2006 - 2007年的首次轮转时完成了这些调查。
在98名受访者中，大多数人表示见习后对普通精神病学或儿童与青少年精神病学的兴趣没有变化。然而，接触儿童与青少年精神病学住院患者的经历与对该领域兴趣的增加及其对从事儿童与青少年精神病学职业的影响相关。对儿童与青少年精神病学的兴趣与认为儿童与青少年精神病学临床体验影响其职业决策的认同呈正相关。儿童与青少年精神病学临床体验对职业决策的影响与对精神病学和儿童与青少年精神病学的兴趣以及见习后儿童与青少年精神病学兴趣的变化相关。
这些初步结果表明，CAPE-Q可能有助于评估学生的见习体验以及这些体验对他们从事儿童精神病学职业决策的影响。在此，儿童与青少年精神病学住院患者体验导致对该领域兴趣增加。CAPE-Q可用于识别那些可以安排选修课程和指导机会的学生。它还可用于评估见习体验。
