Frank D, Propst A, Goldhamer P
Res Med Educ. 1984;23:117-23.
We have described a psychiatric clerkship which is highlighted by a clinical exposure for the students to the practice of psychodynamic psychotherapy on relatively well-functioning outpatients. Students assigned this rotation are shown to opt for psychiatry significantly more often and rate the educational experience as significantly more positive when compared to psychiatry clerks other teaching hospitals which do not emphasize this clinical experience in outpatient psychotherapy. In addition, students undergoing this type of clerkship are shown to significantly improve in their ability to the histories and interact with medically ill patients, suggesting a further beneficial effect of the experience in conducting psychotherapy during the clerkship.
我们描述了一种精神科实习，其亮点在于让学生在临床中接触对功能相对良好的门诊患者进行心理动力心理治疗的实践。与其他未强调门诊心理治疗临床经验的教学医院的精神科实习生相比，分配到这一轮转的学生明显更常选择精神科，且对教育体验的评价明显更积极。此外，接受这种实习的学生在记录病史和与内科疾病患者互动的能力方面有显著提高，这表明在实习期间进行心理治疗的经历还有进一步的有益效果。
