Department of Psychiatry, Daegu Catholic University School of Medicine, Daegu, Republic of Korea.
Seoul Regional Military Manpower Administration, Seoul, Republic of Korea.
Asian J Psychiatr. 2022 Jan;67:102919. doi: 10.1016/j.ajp.2021.102919. Epub 2021 Nov 5.
The purpose of this study was to identify the attitude of South Korean medical school students towards psychiatry and to analyze how lectures and clinical clerkship in psychiatry effect changes in students' attitudes. A total of 100 medical school students were recruited as subjects in the study, 86 of whom completed psychiatry lectures and underwent psychiatry clerkship from March 2015 to August 2018. The participating students completed a survey, which included demographic data, specialty choice, and attitude towards psychiatry. Subjects who completed lectures and clinical clerkship in psychiatry showed positive changes in attitude towards psychiatry in the following items: "Among mental health professionals, psychiatrists have the most authority and influence" (p = 0.002), "Psychiatrists frequently abuse their legal power to hospitalize patients against their will" (p < 0.001), and "Many people who could not obtain a residency position in other specialties eventually enter psychiatry" (p = 0.028). However, negative changes in attitude towards psychiatry were shown in the following item: "On average, psychiatrists make as much money as most other doctors" (p = 0.008). Also, specific medical school factors scored positively overall. Although it was not statistically significant, the questionnaire item "During my psychiatry rotation, psychiatry residents were good role models" was more positively observed by students after completion of psychiatry lectures and clerkship. After each curriculum, certain attitudes toward psychiatry were positively changed, but others either remained unchanged or were negatively changed. By using these study results to revise the current curriculum, medical school students' attitude towards psychiatry can be improved.
本研究旨在了解韩国医学生对精神医学的态度，并分析精神医学讲座和临床实习对学生态度变化的影响。共有 100 名医学生被选为研究对象，其中 86 名学生于 2015 年 3 月至 2018 年 8 月完成了精神医学讲座和精神科实习。参与学生完成了一项调查，其中包括人口统计学数据、专业选择以及对精神医学的态度。完成精神医学讲座和临床实习的学生在以下项目中对精神医学的态度表现出积极变化：“在心理健康专业人员中，精神科医生拥有最多的权威和影响力”（p=0.002），“精神科医生经常滥用其法律权力，强行将患者住院治疗”（p<0.001），以及“许多无法在其他专业获得住院医师职位的人最终进入精神科”（p=0.028）。然而，对精神医学的态度也出现了消极变化：“平均而言，精神科医生的收入与大多数其他医生相当”（p=0.008）。此外，特定的医学院因素总体上得分较高。尽管没有统计学意义，但“在我的精神科轮转期间，精神科住院医师是很好的榜样”这一问卷项目在完成精神医学讲座和实习后，更被学生积极观察到。在每门课程结束后，学生对精神医学的某些态度有所改善，但其他态度则保持不变或变得消极。通过使用这些研究结果来修改当前的课程，医学生对精神医学的态度可以得到改善。
