非研究生和研究生入学医学生对精神病学的态度。

Non-graduate and graduate entry medical students attitudes to psychiatry.

作者信息

Pillay S M, Sundram F, Mullins D, Rizvi N, Grant T, Boohan M, Murphy K C

机构信息

1 Department of Psychiatry, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland.

2 CSTAR, School of Public Health and Population Science, University College Dublin, Belfield, Dublin, Ireland.

出版信息

Ir J Psychol Med. 2013 Dec;30(4):245-254. doi: 10.1017/ipm.2013.49.

DOI:10.1017/ipm.2013.49

PMID:30189477

Abstract

OBJECTIVE

Graduate entry medical students' views of psychiatry may differ from those of school leavers. This study hypothesised that (i) exposure to a psychiatry attachment is associated with a positive change in attitudes towards psychiatry in both graduate entry and non-graduate entry students, (ii) graduate entry students exhibit a more positive attitude to psychiatry compared to non-graduate entry students and (iii) graduate entry students are more interested in a career in psychiatry than non-graduate entry students.

METHODS

In this study 247 medical students (118 females and 129 males) completing their psychiatry rotation were invited to complete questionnaires examining career choice, attitudes to psychiatry and career attractiveness for a range of specialties including surgery, medicine, general practice and psychiatry before and after their psychiatry attachment. Questionnaires were distributed prior to commencement of their attachment and redistributed on the final day of the attachment.

RESULTS

Of the 165 participants in the study, 75 students entered medicine via the traditional route (without a primary degree), 49 entered via the graduate entry programme and 41 had a primary degree. Overall, medical students displayed positive attitudes towards psychiatry. However, while there was an improvement in attitudes towards psychiatry and the career attractiveness of psychiatry on completion of the rotation, no differences were found between graduate and non-graduate entry students. Psychiatry and general practice had lower ratings for career attractiveness than other specialities. No significant changes were found in the first and second choice of specialty.

CONCLUSION

Our results show that improvements in attitude and career attractiveness do not necessarily correlate with increased choice of psychiatry as a specialty. Graduate entry has been considered a possible opportunity for increasing recruitment in psychiatry but our results suggest that this may not be the case. Follow-up studies are required to determine whether career attractiveness correlates with future career choice.

摘要

目的

本科毕业入学的医学生对精神病学的看法可能与高中毕业生不同。本研究假设：（i）接触精神病学实习经历与本科毕业入学和非本科毕业入学的学生对精神病学态度的积极转变相关；（ii）与非本科毕业入学的学生相比，本科毕业入学的学生对精神病学表现出更积极的态度；（iii）与非本科毕业入学的学生相比，本科毕业入学的学生对精神病学领域的职业更感兴趣。

方法

在本研究中，邀请了247名完成精神病学轮转的医学生（118名女性和129名男性）在其精神病学实习前后完成问卷，调查职业选择、对精神病学的态度以及包括外科、内科、全科医学和精神病学在内的一系列专业的职业吸引力。问卷在实习开始前发放，并在实习的最后一天重新发放。

结果

在该研究的165名参与者中，75名学生通过传统途径（无本科学位）进入医学专业，49名通过本科毕业入学项目进入，41名拥有本科学位。总体而言，医学生对精神病学表现出积极态度。然而，尽管轮转结束时对精神病学的态度以及精神病学的职业吸引力有所改善，但本科毕业入学和非本科毕业入学的学生之间未发现差异。精神病学和全科医学在职业吸引力方面的评分低于其他专业。在首选和次选专业方面未发现显著变化。