Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA; Department of Psychiatry, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Department of Psychiatry and Human Behavior, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.
Psychosomatics. 2018 Jan-Feb;59(1):75-80. doi: 10.1016/j.psym.2017.07.011. Epub 2017 Aug 2.
Consultation-liaison (C-L) psychiatry clerkship rotations may improve medical students' understanding of psychiatric principles relevant to the settings in which they will ultimately practice. This study aimed to characterize students' experiences on C-L rotations.
This cross-sectional survey study, sponsored by the Academy of Psychosomatic Medicine Subcommittee on Medical Student Education, was conducted at 5 US medical schools between 2012 and 2016. After the C-L rotation, students completed a voluntary 17-item survey.
A total of 235 surveys were collected (mean response rate = 92%). The most frequently endorsed benefit of C-L was learning to manage psychiatric disorders in the context of medical illness (89%). The most frequently endorsed drawback was inconsistent/excessively variable workload (40%). Overall, 82% of respondents recommended C-L to other students; 80% reported that the ideal clerkship would include exposure to both C-L and inpatient psychiatry. Overall, 38% reported that their C-L experience increased their interest in psychiatry as a career. Effect of C-L on interest in psychiatry did not differ by study site, age, sex, clerkship length, or time spent on C-L. Respondents who noted more positive role-modeling on C-L compared to other clerkship rotations were more likely to report increased interest in a psychiatry career (odds ratio = 2.70).
Most medical students perceive C-L rotations favorably. Positive role modeling may increase their consideration of psychiatry specialization. The findings that C-L rotation length did not correlate with attitudes and that most students preferred exposure to both inpatient and C-L psychiatry suggest that C-L exposure can beneficially be integrated into core clerkships containing other elements.
联络精神病学实习轮转可能会提高医学生对其最终实践环境中相关精神科原则的理解。本研究旨在描述学生在联络精神病学轮转中的体验。
这项由身心医学协会学生教育小组委员会赞助的横断面调查研究于 2012 年至 2016 年在 5 所美国医学院进行。在联络精神病学轮转结束后，学生们完成了一份 17 项的自愿调查。
共收集了 235 份调查（平均回复率为 92%）。联络精神病学最常被认可的益处是学习在患有内科疾病的情况下管理精神障碍（89%）。最常被认可的缺点是工作量不一致/变化过大（40%）。总体而言，82%的受访者向其他学生推荐联络精神病学；80%的人报告说，理想的实习应该包括接触联络精神病学和住院精神病学。总体而言，38%的人报告说，他们的联络精神病学经验增加了他们对精神科作为职业的兴趣。联络精神病学对精神科兴趣的影响与研究地点、年龄、性别、实习时长或在联络精神病学上花费的时间无关。与其他实习轮转相比，在联络精神病学上注意到更多积极榜样的受访者更有可能报告对精神科职业的兴趣增加（优势比=2.70）。
大多数医学生对联络精神病学实习轮转持肯定态度。积极的榜样作用可能会增加他们对精神科专业的考虑。实习时长与态度不相关，且大多数学生更喜欢接触住院精神病学和联络精神病学，这表明可以将联络精神病学暴露有益地整合到包含其他元素的核心实习中。
