Volpe Tiziana, Boydell Katherine M, Pignatiello Antonio
Community Health Systems Resource Group, The Hospital for Sick Children, Toronto, Ontario.
J Can Acad Child Adolesc Psychiatry. 2013 Nov;22(4):260-7.
To examine the factors influencing medical students to choose child and adolescent psychiatry as a career specialty.
Quantitative and qualitative methods were used. A web-based survey was distributed to child and adolescent psychiatrists at the University of Toronto. In-depth interviews were held with select child and adolescent psychiatrists as well as a focus group with psychiatry residents. Retrospective accounts of the factors that influenced their decision to choose psychiatry and/or child and adolescent psychiatry as a specialty were collected.
Ninety-two percent of participants indicated that recruitment of child psychiatrists in Canada is a problem. The recent decision by the Royal College of Physicians and Surgeons to recognize child and adolescent psychiatry as a subspecialty and introduce an extra year of training was identified as a further challenge to recruitment efforts. Other deterrents included lower salary than other subspecialties, lack of exposure during training, stigma, and lack of interest in treating children. Recruitment into psychiatry was enhanced by good role modeling, early exposure in medical school, an interest in brain research, and career and lifestyle issues.
A rebranding of the role and perception of psychiatry is needed to attract future psychiatrists. Early exposure to innovations in child and adolescent psychiatry and positive role models are critical in attracting medical students. Recruitment should begin in the first year of medical school and include an enriched paediatric curriculum.
探讨影响医学生选择儿童与青少年精神病学作为职业专科的因素。
采用定量和定性方法。向多伦多大学的儿童与青少年精神科医生发放了基于网络的调查问卷。对部分儿童与青少年精神科医生进行了深入访谈，并与精神科住院医师进行了焦点小组讨论。收集了关于影响他们选择精神病学和/或儿童与青少年精神病学作为专科的因素的回顾性描述。
92%的参与者表示，加拿大儿童精神科医生的招募是个问题。医师和外科医生皇家学院最近决定将儿童与青少年精神病学认定为一个亚专科，并增加一年培训时间，这被认为是招募工作面临的又一挑战。其他阻碍因素包括薪资低于其他亚专科、培训期间接触机会少、污名化以及对治疗儿童缺乏兴趣。良好的榜样作用、医学院校早期接触、对脑研究的兴趣以及职业和生活方式问题，增强了对精神病学的招募吸引力。
需要重塑精神病学的角色和认知，以吸引未来的精神科医生。早期接触儿童与青少年精神病学的创新内容和正面榜样，对于吸引医学生至关重要。招募工作应在医学院校的第一年就开始，并包括丰富的儿科课程。
