VA North Texas Health Care System and University of Texas - Southwestern Medical Center, Dallas, TX, USA.
University of South Carolina School of Medicine-Greenville, Greenville, SC, USA.
Acad Psychiatry. 2021 Apr;45(2):174-179. doi: 10.1007/s40596-020-01373-z. Epub 2021 Jan 7.
One possible factor associated with choosing psychiatry as a career is students rating their psychiatry clerkship as excellent. Although this suggests that an excellent clerkship may improve recruitment into psychiatry, to our knowledge there has never been a multi-site survey study of graduating medical students that identify what factors lead to an excellent clerkship rating. The purpose of this study was to determine factors that medical student find important for an excellent psychiatry clerkship experience.
A total of 1457 graduating medical students at eight institutions were sent a 22-item Likert-type survey about what clinical and administrative factors they considered when rating their psychiatry clerkship via email in the fall of their last year. 357 (24.5%) responded and Z-test, t-tests, and multiple regression analyses were carried out.
The factors which students rated higher than the mean included planned application to psychiatry residency, clear expectations, a transparent grading process, feeling part of a team, timely feedback by faculty, and a competent clerkship coordinator and director. Lectures, active learning, and self-study were rated as less pertinent, and the overall clerkship rating did differ between students going into psychiatry versus other specialties.
Although the low response undermines the validity of findings, by improving the administration of the clerkship with clear expectations, grading, feedback, and by encouraging clinical teams to fully integrate students clerkship ratings might improve which could potentially improve recruitment. Future research could further quantify and qualify these parameters and compare psychiatric clerkships to other clerkships.
选择精神科作为职业的一个可能因素是学生将他们的精神科实习评为优秀。尽管这表明优秀的实习可能会改善精神科的招聘，但据我们所知，从未有过一项针对毕业医学生的多地点调查研究，确定导致优秀实习评分的因素。本研究的目的是确定医学生认为优秀精神科实习体验的重要因素。
通过电子邮件向八所机构的 1457 名毕业医学生发送了一份 22 项李克特量表调查，询问他们在评价精神科实习时认为哪些临床和行政因素重要。共有 357 名（24.5%）学生做出了回应，并进行了 Z 检验、t 检验和多元回归分析。
学生评分高于平均值的因素包括计划申请精神科住院医师实习、明确的期望、透明的评分过程、感觉是团队的一部分、及时得到教师的反馈、以及有能力的实习协调员和主任。讲座、主动学习和自学的评分较低，而且进入精神科与其他专业的学生的总体实习评分确实存在差异。
尽管低响应率削弱了研究结果的有效性，但通过明确期望、评分、反馈来改善实习管理，并鼓励临床团队充分整合学生的实习评分，可能会提高招聘效果。未来的研究可以进一步量化和定性这些参数，并将精神科实习与其他实习进行比较。
