Lau A Y, Offord D R
J Med Educ. 1976 Nov;51(11):919-28. doi: 10.1097/00001888-197611000-00005.
Sixty-seven third-year medical students at the University of Ottawa were interviewed at the beginning and end of a month-long clerkship in psychiatry. Two attitude categories were designated: "attitude-positive" (AP) differentiated subjects with positive clerkship expectations or attitudes for "attitude-negative" (AN) subjects who had negative expectations or attitudes. Differences between preclerkship APs and ANs are described. Postclerkship interviews revealed a general improvement in attitudes toward psychiatry and the psychiatric clerkship. Statistically significant differences were noted between postclerkship APs and ANs in the following: attitudes toward psychiatry, attainment of preclerkship objectives, reduction of anxiety levels, and nature of supervisory experiences. Postclerkship attitudes may be predicted to some extent prior to the clerkship. The potential for a negative postclerkship attitude may be modified by positive clerkship experiences. The importance of identifying students vulnerable to the stresses of psychiatric clerkship is emphasized.
渥太华大学的67名三年级医学生在为期一个月的精神病学实习开始和结束时接受了访谈。指定了两种态度类别：“积极态度”（AP）区分出对实习有积极期望或态度的受试者，以及“消极态度”（AN）有消极期望或态度的受试者。描述了实习前AP组和AN组之间的差异。实习后的访谈显示，对精神病学和精神病学实习的态度总体有所改善。在以下方面，实习后AP组和AN组之间存在统计学上的显著差异：对精神病学的态度、实习前目标的达成、焦虑水平的降低以及监督体验的性质。实习后的态度在一定程度上可以在实习前进行预测。积极的实习经历可能会改变产生消极实习后态度的可能性。强调了识别易受精神病学实习压力影响的学生的重要性。
