The views of medical students about psychiatry clerkship education

Abstract

Objectives: Psychiatry education in medical schools seems to be given little attention and has not been fully integrated into curriculum. In this study our purpose was to get feedback about all phases of psychiatry clerkship from medical students, who completed psychiatry clerkship. Methods: A 31 item questionnaire investigating the views of medical students about psychiatry clerkship and a socio-demographic survey were given to the medical students, who completed psychiatry clerkship and signed informed consent prior to study procedures. Results: A total of 208 students agreed and signed consent to participate in the study. The number of female and male students were 114 & 94, respectively and mean age was 22.7±1.02. Most of the students (89%) expected from the lecturers “to teach how to manage aggressive patients.” Seventy six percent of students specified the requirement of consultation liasion education because “psychiatric symptoms could be seen in general medical conditions.” Seventy percent of students reported that they wanted to watch and discuss standart patient video records. Fifty three percent of the students emphasized that “Psychiatry examination was only assessing knowledge, but not the skills.” Seventy eight percent of students reported that “they wished to follow up the patients along a resident’’ and 64% “with an attending.” Also, 54% of students supported to participate in a research project or seminar related to psychiatry (e.g. neuroimmunology, neuroanatomy, psychoendocrinology) in previous years. Conclusion: The efforts to increase interest and improve outcome and effectiveness in psychiatry clerkship education have become more important. This is the first study on this topic in our country. To improve outcome and effectiveness in psychiatry clerkship education, the educators should find the balance between the views of medical students and experienced faculty members about the topics to be taught during the rotation.

Keywords

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Psikiyatri Stajını Tamamlamış Tıp Fakültesi Öğrencilerinin Staj Eğitimi Hakkındaki Görüşleri

Öz

Amaç: Tıp fakültelerinde psikiyatri eğitimine az önem verilmiş ve müfredata çok iyi entegre edilmemiş gibidir. Bu çalışmada psikiyatri stajını bitirmiş öğrencilerin stajın hemen bütün safhaları hakkında düşüncelerini geri bildirimle bize aktarmalarını amaçladık. Yöntem: Bu çalışmaya fakültemizde okuyan, psikiyatri stajını bitiren ve çalışmaya katılmayı kabul eden tıp öğrencilerin bilgilendirilmiş onamı alındıktan sonra, sosyo-demografik özellik anketinin ardından, ekibimizin hazırladığı 31 sorudan oluşan, psikiyatri stajına öğrencilerin bakışını araştıran bir anket verildi. Bulgular: Çalışmaya 208 öğrenci katılmayı kabul etmiştir. Bu öğrencilerin 114’ü kadın iken 94’ü erkekti ve ortalama yaşları 22.7±1.02 idi. Öğrenciler, en yüksek oranda eğitimcilerden saldırgan hasta karşısında neler yapabileceğinin öğretilmesini beklemekteydi (%89). Yüzde 76 öğrenci psikiyatrik belirtilerin genel tıbbi durumlarda da görülebileceğine inandığı için eğitimde konsültasyon ve liyezona ağırlık verilmesi gerektiğini belirtmişti. Yüzde 70 öğrenci standart hasta video kayıtlarını izlemek ve tartışmak istediklerini bildirmişti. Yüzde 53 öğrenci psikiyatri sınavının yalnızca bilgiyi ölçtüğüne ve beceriyi ölçmediğine vurgu yapmıştı. Öğrencilerin %78’i araştırma görevlisi ile ve %64’ü bir hocayla hasta takip etmek istediğini söylemişti. Ayrıca, %54 öğrenci daha önceki sınıflarda iken psikiyatri ile ilgili (nöroimmünoloji, nöroanatomi, psikoendokrinoloji gibi) seminer/araştırma projelerine katılmayı doğru bulmuştu. Sonuç: Psikiyatri stajyer eğitiminde ilgiyi ve verimi artırma çabaları giderek önem kazanmaktadır. Bu çalışma ülkemizde bu amaçla yapılan ilk çalışma olması nedeniyle önemlidir. Ancak eğiticiler eğitimde verim almak için öğrencilerin görüşünü göz önünde bulundururuken, deneyimli bir klinisyen olarak da öğretilmesi gerekenler arasında dengeyi gözetmelidir.

Anahtar Kelimeler

• psikiyatri, teorik stajyer eğitimi, müfredat, klinik uygulama

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