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与实习医生就精神科实习安排进行焦点小组讨论。

Focus group discussion with the medical interns regarding psychiatry posting.

作者信息

Deshpande Sharmishtha, Agawane Shubhangi, Zachariah Aaron, Innamuri Raviteja, Menon Vikas

机构信息

Department of Psychiatry, Smt. Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India.

Department of Community Medicine, Smt. Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India.

出版信息

Indian J Psychiatry. 2024 Sep;66(9):859-862. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_698_22. Epub 2024 Sep 19.

DOI:10.4103/indianjpsychiatry.indianjpsychiatry_698_22
PMID:39502590
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11534122/
Abstract

BACKGROUND

Medical interns have 2 weeks compulsory internship in psychiatry.

AIM

We tried to explore their learning and views about psychiatry during these 2 weeks. To document verbatim their account about the knowledge gained and their experiences during the psychiatry internship posting and derive prominent themes.

METHODS

Focus group discussion was conducted at the end of the posting using a semistructured questionnaire for seven consecutive batches of interns posted in psychiatry. To enhance trustworthiness, we utilized member checking, data triangulation, and peer debriefing. Their routine during posting, competencies, expectations from the posting, and frustrations were the main points discussed. The interns willingly participated and discussed their views about psychiatry posting.

RESULTS

They were aware of psychiatry as an important medical discipline and had a fair degree of knowledge about it. Most of them found the posting useful. The interns had not attained the required competencies in handling emergencies and use of psychiatric drugs.

CONCLUSION

Involvement of senior faculty and formative assessments will be necessary in the training of medical interns. This can ensure that they gain the required competencies.

摘要

背景

医学实习生有两周的精神病学强制实习。

目的

我们试图探索他们在这两周内对精神病学的学习情况和看法。逐字记录他们在精神病学实习岗位上获得的知识和经历,并提炼出突出的主题。

方法

在实习结束时,对连续七批在精神病学岗位实习的实习生使用半结构化问卷进行焦点小组讨论。为提高可信度,我们采用了成员核对、数据三角验证和同行汇报。讨论的要点包括他们实习期间的日常、能力、对实习岗位的期望以及挫折。实习生们自愿参与并讨论了他们对精神病学实习岗位的看法。

结果

他们意识到精神病学是一门重要的医学学科,并且对其有一定程度的了解。他们中的大多数人认为实习岗位很有用。实习生们在处理紧急情况和使用精神科药物方面尚未达到所需的能力水平。

结论

在医学实习生培训中,资深教员的参与和形成性评估将是必要的。这可以确保他们获得所需的能力。

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本文引用的文献

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Challenges and opportunities in the implementation of competency-based medical education - A cross-sectional survey among medical faculty in India.基于能力的医学教育实施中的挑战与机遇——印度医学教师的横断面调查
J Educ Health Promot. 2022 Jun 30;11:206. doi: 10.4103/jehp.jehp_1130_21. eCollection 2022.
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Competency-based medical education: Relevance to psychiatry.基于能力的医学教育:与精神病学的相关性。
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Competency-based medical curriculum: Psychiatry, training of faculty, and Indian Psychiatric Society.基于能力的医学课程:精神病学、教师培训与印度精神病学协会
Indian J Psychiatry. 2020 Mar-Apr;62(2):207-208. doi: 10.4103/psychiatry.IndianJPsychiatry_81_20. Epub 2020 Mar 17.
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J Educ Health Promot. 2018 Apr 3;7:50. doi: 10.4103/jehp.jehp_87_17. eCollection 2018.
5
"Why not psychiatry??" Interns of a medical college in Northern Kerala responds.喀拉拉邦北部一所医学院的实习生回应道:“为什么不是精神病学呢??”
Indian J Psychiatry. 2016 Apr-Jun;58(2):204-7. doi: 10.4103/0019-5545.183785.
6
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Indian J Psychiatry. 2015 Oct-Dec;57(4):431-3. doi: 10.4103/0019-5545.171850.
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