Monash Alfred Psychiatry Research Centre, Melbourne, Victoria, Australia.
Monash University, Melbourne, Victoria, Australia.
Acad Psychiatry. 2020 Oct;44(5):562-565. doi: 10.1007/s40596-020-01281-2. Epub 2020 Jul 15.
This research aimed to investigate the perspectives of junior doctors regarding the psychiatry teaching they received in medical school and to ascertain which areas of psychiatry are relevant to practicing junior doctors.
In 2017 an online survey was sent to junior doctors affiliated with an Australian public health service. Respondents were asked to rate the degree of preparation their medical school education had provided, in regard to the application of psychiatry knowledge/skills in their practice. Respondents were also asked to specify which psychiatry knowledge/skills were relevant to their practice and how psychiatry teaching in medical school could be improved. Authors generated descriptive statistics for the quantitative data and reviewed the open-ended question data to form themes, guided by the general inductive approach.
The responses of 82 junior doctors were included in the analysis. Over half of the respondents believed that their psychiatry teaching in medical school had prepared them well for their current clinical practice. Responses to open-ended questions noted the following areas of psychiatry as most relevant to practice: delirium, mood disorders, risk assessment, and de-escalation. Respondents emphasized the importance of teaching psychiatry knowledge/skills relevant to the management of patients seen outside of psychiatric units.
Psychiatry teaching in medical school appears to be providing adequate preparation for most junior doctors. However, there is still significant room for improvement. Changes to the curriculum should be considered, with a greater emphasis on clinically relevant psychiatry knowledge/skills, increased active learning sessions, and a broader range of clinical placements.
本研究旨在调查初级医生对医学院精神病学教学的看法，并确定哪些精神病学领域与实习初级医生相关。
2017 年，向澳大利亚公共卫生服务机构附属的初级医生发送了在线调查。要求受访者评估他们的医学院教育在实践中应用精神病学知识/技能的准备程度。受访者还被要求指定哪些精神病学知识/技能与他们的实践相关，以及如何改进医学院的精神病学教学。作者针对定量数据生成了描述性统计数据，并根据一般归纳法审查了开放式问题数据以形成主题。
分析中包括 82 名初级医生的回复。超过一半的受访者认为他们在医学院的精神病学教学为他们目前的临床实践做好了充分的准备。对开放式问题的回答指出了以下与实践最相关的精神病学领域：谵妄、情绪障碍、风险评估和降级。受访者强调了教授与精神病科以外的患者管理相关的精神病学知识/技能的重要性。
医学院的精神病学教学似乎为大多数初级医生提供了足够的准备。然而，仍有很大的改进空间。应考虑对课程进行更改，更加注重临床相关的精神病学知识/技能，增加主动学习课程，并扩大临床实习范围。
