你为什么选择精神病学？一项对精神病学实习生的定性研究，调查医学院校的精神病学教学对职业选择的影响。
Why did you choose psychiatry? a qualitative study of psychiatry trainees investigating the impact of psychiatry teaching at medical school on career choice.
作者信息
Appleton A, Singh S, Eady N, Buszewicz M
机构信息
Research Department of Primary Care and Population Health, University College London, London, NW3 2PF, UK.
East London NHS Foundation Trust, 9 Alie Street, London, E1 8DE, UK.
出版信息
BMC Psychiatry. 2017 Jul 28;17(1):276. doi: 10.1186/s12888-017-1445-5.
BACKGROUND
There is no consensus regarding the optimal content of the undergraduate psychiatry curriculum as well as factors contributing to young doctors choosing a career in psychiatry. Our aim was to explore factors which had influenced psychiatry trainees' attitudes towards mental health and career choice.
METHOD
Qualitative in-depth interviews with 21 purposively sampled London psychiatry trainees analysed using the Framework method.
RESULTS
Early exposure and sufficient time in undergraduate psychiatry placements were important in influencing psychiatry as a career choice and positive role models were often very influential. Integration of psychiatry with teaching about physical health was viewed positively, although concerns were raised about the potential dilution of psychiatry teaching. Foundation posts in psychiatry were very valuable in positively impacting career choice. Other suggestions included raising awareness at secondary school level, challenging negative attitudes amongst all medical educators, and promoting integration within medical specialties.
CONCLUSIONS
Improvements in teaching psychiatry could improve medical attitudes and promote recruitment into psychiatry.
背景
关于本科精神病学课程的最佳内容以及促使年轻医生选择精神病学职业的因素，目前尚无共识。我们的目的是探讨影响精神病学实习生对心理健康态度和职业选择的因素。
方法
采用框架法对21名有目的地抽取的伦敦精神病学实习生进行定性深入访谈并分析。
结果
本科精神病学实习中的早期接触和充足时间对于影响将精神病学作为职业选择很重要，积极的榜样往往很有影响力。精神病学与身体健康教学的整合受到积极评价，尽管有人担心这可能会稀释精神病学教学。精神病学基础岗位对积极影响职业选择非常有价值。其他建议包括在中学阶段提高认识、挑战所有医学教育工作者的消极态度以及促进医学专业内部的整合。
结论
改进精神病学教学可以改善医学态度并促进精神病学领域的人才招募。
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