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我们准备好了吗?一项探索本科医学生对精神科实习准备情况的定性研究。

Are we ready yet? A qualitative study exploring undergraduate medical students' readiness for psychiatry placements.

作者信息

Davies Ellen, Clark Scott R, Montagu Adam, Chur-Hansen Anna

机构信息

Adelaide Health Simulation, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia.

Discipline of Psychiatry, Adelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia.

出版信息

BMC Med Educ. 2025 Jul 1;25(1):976. doi: 10.1186/s12909-025-07562-4.

Abstract

BACKGROUND

The purpose of this study was to better understand students’ experiences of readiness for their psychiatry clinical placement and eventual clinical practice in mental health units.

METHODS

Interviews with fourth year undergraduate medical students were conducted and analysed using reflexive thematic analysis. Themes were identified that describe participant experiences of preparation and readiness for placements in mental health units.

RESULTS

Eight participants provided detailed accounts of experiences prior to medical school, during medical school and during placements in mental health units that influenced their perceptions and attitudes towards people who experience mental illness and mental distress. Themes identified in this study included: , and, Findings indicate that students do not approach their mental health placements in the same way as they do for other placements. They fear many components of mental health environments, including their own capacity to engage with people without causing further harm. Students had varied attitudes and experiences that shaped their conceptual ideas relating to psychiatry and their procedural readiness to undertaken tasks such as communicating with, and assessment of people experiencing mental distress and mental illnesses.

CONCLUSION

Medical students will encounter people who experience mental illness and mental distress regardless of which discipline they choose to specialise. We have an obligation to support students to feel conceptually, procedurally dispositionally ready to learn and practice when they prepare for clinical placement in mental health units, and indeed for their future practice.

TRIAL REGISTRATION

Not applicable.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1186/s12909-025-07562-4.

摘要

背景

本研究的目的是更好地了解学生对精神科临床实习以及最终在精神卫生单位进行临床实践的准备经历。

方法

对本科四年级医学生进行访谈,并采用反思性主题分析法进行分析。确定了描述参与者在精神卫生单位实习准备和就绪情况的主题。

结果

八名参与者详细讲述了医学院之前、医学院期间以及在精神卫生单位实习期间的经历,这些经历影响了他们对患有精神疾病和精神痛苦的人的看法和态度。本研究确定的主题包括: 以及 研究结果表明,学生对待精神科实习的方式与其他实习不同。他们害怕精神卫生环境的许多方面,包括自己在与他人接触时不会造成进一步伤害的能力。学生们有不同的态度和经历,这些态度和经历塑造了他们与精神病学相关的概念想法以及他们在执行诸如与精神痛苦和精神疾病患者沟通及评估等任务时的程序准备情况。

结论

无论选择哪个专业,医学生都会遇到患有精神疾病和精神痛苦的人。我们有义务支持学生在为精神卫生单位临床实习做准备时,以及在他们未来的实践中,在概念、程序和性情方面做好学习和实践的准备。

试验注册

不适用。

补充信息

在线版本包含可在10.1186/s12909-025-07562-4获取的补充材料。

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