Links P S
Can J Psychiatry. 1981 Apr;26(3):145-50. doi: 10.1177/070674378102600301.
The concept of psychiatric clerkships as part of undergraduate medical education was examined. All relevant English literature from the last eight years was surveyed and discussed in four parts: 1) The goals and objectives of psychiatric clerkships were examined. The author concluded that there is a need to further differentiate educational goals of the clinical years from the pre-clinical years. Two major requirements for a successful clerkship were patient responsibility and adequate faculty supervision. 2) The significance of the clerkship setting was evident from the survey as settings were found to influence the students' attitudinal development and also the development of clinical judgement. 3) The effects of psychiatric clerkships on the students, patients, and faculty were discussed and felt to be an requiring further exploration. 4) The problems of evaluation were addressed. From the survey, it appeared that the clerkship experience was of particular value in modifying student attitudes to mental illness. Attempts to evaluate the acquisition of clinical skills and judgement were reviewed. The paper concluded by outlining areas requiring further exploration and research so that the concept of psychiatric clerkships can be further developed.
对精神科实习作为本科医学教育一部分的概念进行了研究。对过去八年所有相关英文文献进行了调查，并分为四个部分进行讨论：1）研究了精神科实习的目标。作者得出结论，有必要进一步区分临床阶段与临床前阶段的教育目标。成功实习的两个主要要求是对患者负责和有足够的教师监督。2）实习环境的重要性在调查中很明显，因为发现环境会影响学生的态度发展以及临床判断力的发展。3）讨论了精神科实习对学生、患者和教师的影响，认为这需要进一步探索。4）探讨了评估问题。从调查中可以看出，实习经历在改变学生对精神疾病的态度方面具有特殊价值。对评估临床技能和判断力的获得情况的尝试进行了回顾。本文最后概述了需要进一步探索和研究的领域，以便精神科实习的概念能够得到进一步发展。
