The Efficacy of the Psychiatry Clerkship in Developing Students' Comprehensive Clinical Skills.

IF 2.2 4区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH Academic Psychiatry Pub Date : 2024-11-07 DOI:10.1007/s40596-024-02082-7
Jacob Ney, Charles Smoller, Jake Kwon, Suma Chand
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Abstract

Objective: This study investigates the impact of the psychiatry rotation in developing students' clinical skills that are applicable across various medical specialties.

Methods: Medical students at Saint Louis University completed the same survey before and after completing a 3½-week psychiatry rotation. Students rated 18 statements on a Likert scale. Statements were grouped into six categories to assess students' confidence in (1) managing medical issues of psychiatric patients, (2) addressing injurious behaviors, (3) gathering a clinical history, (4) de-escalating crises, (5) self-regulating emotions, and (6) empathizing with patients. Students' pre- and post-survey numerical responses were added within the six categories and compared using paired t-tests.

Results: Forty-three students completed both the pre-clerkship and post-clerkship surveys. For all six clinical skills categories, post-survey composite scores significantly increased. Managing medical complaints had a 7-point median score increase. Addressing injurious behavior had a 3-point median increase. Gathering a clinical history had a 4-point median increase. De-escalating crises had a 4-point median increase. Emotional self-regulation had a 2-point median increase. Empathizing with patients had a 2-point median increase. All six paired t-tests between pre- and post-surveys showed p-values < 0.001, indicating subjective improvement in students' performance for each clinical competency.

Conclusion: The psychiatry rotation effectively increased medical students' perceived acquisition of essential clinical skills. These competencies, including gathering a history, emotionally self-regulating, and de-escalating crises, apply to nearly all medical specialties. Further research is needed to investigate which specific opportunities helped students develop these skills and the broader strengths of the psychiatry clerkship.

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精神病学实习在培养学生综合临床技能方面的功效。
目的本研究调查了精神病学轮转对培养学生临床技能的影响,这些技能适用于不同的医学专业:方法:圣路易斯大学的医学生在完成为期 3 周半的精神病学轮转前和轮转后填写了相同的调查问卷。学生用李克特量表对 18 个陈述进行评分。这些陈述被分为六类,以评估学生在以下方面的信心:(1)处理精神病患者的医疗问题;(2)处理伤害行为;(3)收集临床病史;(4)缓和危机;(5)自我调节情绪;(6)与患者共情。学生在调查前和调查后对六个类别的数字回答相加,并通过配对 t 检验进行比较:43名学生完成了实习前和实习后的调查。在所有六个临床技能类别中,实习后调查的综合得分都有显著提高。处理医疗投诉的得分中位数提高了 7 分。处理伤害行为的中位数分数提高了 3 分。收集临床病史的中位数增加了 4 分。缓解危机的中位数增加了 4 分。情绪自我调节的中位数增加了 2 分。与病人共情的中位数增加了 2 分。前后调查之间的六次配对 t 检验均显示 p 值 结论:精神病学轮转有效地提高了医学生对基本临床技能的掌握程度。这些能力包括收集病史、情绪自我调节和化解危机,几乎适用于所有医学专业。需要进一步研究哪些具体机会有助于学生发展这些技能,以及精神病学实习的更广泛优势。
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来源期刊
CiteScore
3.60
自引率
20.00%
发文量
157
期刊介绍: Academic Psychiatry is the international journal of the American Association of Chairs of Departments of Psychiatry, American Association of Directors of Psychiatric Residency Training, Association for Academic Psychiatry, and Association of Directors of Medical Student Education in Psychiatry. Academic Psychiatry publishes original, scholarly work in psychiatry and the behavioral sciences that focuses on innovative education, academic leadership, and advocacy. The scope of the journal includes work that furthers knowledge and stimulates evidence-based advances in academic psychiatry in the following domains: education and training, leadership and administration, career and professional development, ethics and professionalism, and health and well-being.
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