Department of Neuropsychiatry, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki city, 852-8501, Japan.
Medical Education Development Center, Nagasaki University Hospital, Nagasaki city, Japan.
BMC Med Educ. 2022 Aug 27;22(1):646. doi: 10.1186/s12909-022-03712-0.
Psychiatry rotation has been mandatory in the Japanese postgraduate residency system since 2020. Some psychiatry-related competency items are stipulated as mandatory for residents. The current study aimed to clarify whether psychiatry rotation affected residents' subjective achievement of these competency items.
This longitudinal study was conducted among postgraduate residents who completed a rotation in the psychiatry department at Nagasaki University Hospital across two academic years (2020-2021). The survey was administered at the start and at the end of the psychiatry rotation. Residents evaluated their subjective understanding and confidence regarding initiating treatment for these competency items using a six-point Likert scale. The average scores for each item were compared between pre-rotation and post-rotation.
In total, 99 residents (91.7%) responded to this survey. Residents had significantly higher scores at post-rotation compared with pre-rotation in all psychiatry-related competency items in both subjective understanding and confidence in initiating treatment. Additionally, strong effect sizes were found for many items.
Residents improved learning about psychiatry-related competency items through psychiatry rotation. This finding suggests that it is reasonable for psychiatry rotation to be mandatory in the current Japanese postgraduate residency system. The importance of psychiatry is likely to increase in both undergraduate and postgraduate medical education in the future. It is necessary to continuously update educational strategies to meet changing social needs over time. As this study was conducted at a single institution, a multi-center study is needed to expand the current findings.
自 2020 年以来，精神科轮转已成为日本研究生住院医师制度中的必修课。一些与精神医学相关的能力项目被规定为住院医师的必修课。本研究旨在阐明精神科轮转是否会影响住院医师主观上达到这些能力项目的要求。
本纵向研究在长崎大学医院完成精神科轮转的两个学年（2020-2021 年）的研究生住院医师中进行。在精神科轮转前后进行了问卷调查。住院医师使用六点 Likert 量表评估他们对这些能力项目开始治疗的主观理解和信心。比较了每个项目在轮转前后的平均得分。
共有 99 名住院医师（91.7%）对这项调查做出了回应。在所有与精神医学相关的能力项目中，无论是在开始治疗的主观理解还是信心方面，住院医师在轮转后的得分均显著高于轮转前。此外，许多项目的效应量都很大。
住院医师通过精神科轮转提高了对精神医学相关能力项目的学习。这一发现表明，在当前日本研究生住院医师制度中，精神科轮转是合理的。在未来，精神医学在本科和研究生医学教育中的重要性可能会增加。随着时间的推移，有必要不断更新教育策略，以满足不断变化的社会需求。由于本研究仅在一家机构进行，因此需要进行多中心研究来扩展当前的发现。
