University of Minnesota Medical School, Minneapolis, MN, USA.
Washington University School of Medicine, St. Louis, MO, USA.
Acad Psychiatry. 2021 Apr;45(2):164-168. doi: 10.1007/s40596-020-01267-0. Epub 2020 Jul 7.
Medical schools' departments reflect changes in health care and medical school organization. The authors reviewed psychiatry department name categories associated with school age, research, and primary care focus.
Department names were identified and categorized for US allopathic and osteopathic medical schools. A multinomial regression model analyzed the relationship between department name category and established year, adjusted for school type. Fisher's exact tests analyzed the relationships between name category and research/primary care foci.
Among 147 allopathic schools, 52% had departments with names limited to psychiatry, 42% had names with psychiatry plus other terminology, and 5% had no identified psychiatry department. In 34 osteopathic schools, 12% had psychiatry departments, 12% had departments named psychiatry plus other terminology, and 75% had no identified psychiatry department. Age of school was related to departmental name: for a 1-year increase in the school's established year, the odds of having a department name other than psychiatry were 1.02 times the odds (p < 0.001) of having the name psychiatry. Newer schools were less likely to have departments with "psychiatry" in their name. Associations were found between department name and research and primary care rankings.
Variability in the names of psychiatry departments in medical schools may suggest changing views within and about academic psychiatry. The limited presence of formal psychiatry departments in newer schools raises questions about psychiatry's impact on educational pathways, the future workforce, and participation in schools' research mission and clinical enterprise.
医学院系反映了医疗保健和医学院校组织的变化。作者回顾了与学校年龄、研究和初级保健重点相关的精神病学部名称类别。
确定并分类了美国的全科学和骨科学医学院的系名。使用多项回归模型分析了系名类别与建立年份之间的关系，并针对学校类型进行了调整。Fisher 精确检验分析了名称类别与研究/初级保健重点之间的关系。
在 147 所全科学学校中，有 52%的学校有仅以精神病学命名的系，42%的学校有以精神病学加其他术语命名的系，5%的学校没有确定的精神病学系。在 34 所骨科学学校中，有 12%的学校有精神病学部，12%的学校有以精神病学加其他术语命名的系，75%的学校没有确定的精神病学系。学校的年龄与系名有关：学校建立年份每增加 1 年，以精神病学以外的术语命名系的几率是命名为精神病学的几率的 1.02 倍（p<0.001）。较新的学校不太可能以“精神病学”命名其系。系名与研究和初级保健排名之间存在关联。
医学院精神病学部名称的变化可能表明学术精神病学内部和外部观点的变化。在较新的学校中，正式的精神病学部的存在有限，这引发了关于精神病学对教育途径、未来劳动力以及参与学校的研究使命和临床企业的影响的问题。
