Kalindjian Nina, Hourantier Christelle, Ludot Maude, Gilles de la Londe Julie, Corcos Maurice, Cadwallader Jean-Sebastien, Moro Marie Rose, Lachal Jonathan, Piot Marie-Aude
Institut Mutualiste Montsouris, Adolescent Mental Health Department, 42 Boulevard Jourdan, 75014, Paris, France.
Université de Paris Cité- Health faculty, medical school, 15, rue de l'école de médecine, 75006, Paris, France.
Eur Child Adolesc Psychiatry. 2023 Aug;32(8):1443-1451. doi: 10.1007/s00787-021-01940-1. Epub 2022 Feb 16.
The epidemiology of adolescent psychiatric disorders and the relational complexity of their management make exposure to adolescent psychiatry essential during medical school. However, some clinical particularities can complicate the students' learning experiences. Our work aimed to explore the experience of being a medical student during clerkships in adolescent psychiatry. Following the Interpretative Phenomenological Analysis qualitative approach, 20 semi-structured face-to-face interviews were conducted with medical students at the end of their clerkship in adolescent psychiatry. Three super-ordered themes emerged to describe their experience: in-depth self-exploration calling on emotions, thoughts and experiences; changes in the view of adolescent mental health; better understanding of the role and meaning of adolescent psychiatric care and how to approach it. Identification between students and patients could result from time-related factors (the end of adolescent brain remodeling, long, demanding studies, and financial and material dependence). In addition, the predominant use of non-analytical clinical reasoning processes-less valued in the rest of the graduate curriculum-poses a challenge for students. Indeed, for a student to find his or her place in adolescent psychiatry requires the student to reinvent him or herself, because the codes are different (no gown, less well-defined tasks, etc.). Finally, the excess prevalence of mental disorders among medical students requires increased vigilance on the part of tutors. For all these reasons, close, attentive tutoring seems essential to support students, while these clerkships afford a real opportunity for students to broaden their interpersonal skills.
青少年精神障碍的流行病学及其管理的关系复杂性使得在医学院期间接触青少年精神病学至关重要。然而，一些临床特殊性可能会使学生的学习经历变得复杂。我们的研究旨在探索医学生在青少年精神病学实习期间的经历。遵循解释现象学分析的定性方法，在医学生结束青少年精神病学实习时，对他们进行了20次半结构化的面对面访谈。出现了三个超序主题来描述他们的经历：深入的自我探索，唤起情感、思想和经历；对青少年心理健康看法的改变；更好地理解青少年精神科护理的作用和意义以及如何进行护理。学生与患者之间的认同可能源于与时间相关的因素（青少年大脑重塑的结束、漫长而艰巨的学业以及经济和物质依赖）。此外，在研究生课程的其他部分不太受重视的非分析性临床推理过程的主要使用对学生构成了挑战。事实上，一名学生要在青少年精神病学领域找到自己的位置，需要重塑自我，因为规则不同（没有白大褂、任务定义不明确等）。最后，医学生中精神障碍的过高患病率要求导师提高警惕。出于所有这些原因，密切、专注的指导对于支持学生似乎至关重要，而这些实习为学生提供了一个真正拓展人际交往技能的机会。
