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Do medical students feel career ready after their psychiatry clinical rotation?
South African Journal of Psychiatry ( IF 1 ) Pub Date : 2019-11-29 , DOI: 10.4102/sajpsychiatry.v25i0.1397
Kim Ives 1 , Piet J Becker 2 , Gian Lippi 1 , Christina Krüger 1
Affiliation  

Background In the South African healthcare system, mentally ill patients first come into contact with primary care physicians who then refer these patients for specialised care if needed. Medical students therefore need to acquire the knowledge, skills and confidence to treat mentally ill patients. Aim To evaluate the perceptions of medical students regarding their career readiness as doctors after their clinical rotation in psychiatry. Setting The University of Pretoria, South Africa. Methods Data were collected retrospectively from questionnaires completed by final year medical students from 2011 to 2015. These data were analysed overall and by year using Chi-square tests and regression analyses (N = 770). Results Overall, 93.10% of medical students felt adequately prepared for their role as medical practitioners after their clinical rotation in psychiatry. The proportion of medical students exposed to post-traumatic stress disorder (p = 0.012), obsessive-compulsive disorder (p = 0.006) and alcohol-use disorder (p = 0.046) was found to vary significantly by year. Exposure to any one psychiatric condition did not influence perceptions of career preparedness. Students perceived themselves to be career ready if they had sufficient exposure to mentally ill patients, knowledge about prescribing appropriate psychiatric medication and especially psychiatric interviewing skills. Conclusion Students who completed practical and clinical training in psychiatry perceived themselves to be career ready.

中文翻译:

医学生在精神病学临床轮转后是否感到职业准备好?

背景 在南非的医疗保健系统中,精神病患者首先会与初级保健医生联系,然后在需要时将这些患者转诊至专科护理。因此,医学生需要获得治疗精神病患者的知识、技能和信心。目的 评估医学生在精神病学临床轮转后对作为医生的职业准备情况的看法。设置南非比勒陀利亚大学。方法 从 2011 年至 2015 年最后一年医学生完成的问卷中回顾性收集数据。使用卡方检验和回归分析 (N = 770) 对这些数据进行整体和按年分析。结果 总体而言,93。10% 的医科学生在精神病学临床轮转后感到为他们作为医生的角色做好了充分的准备。发现暴露于创伤后应激障碍 (p = 0.012)、强迫症 (p = 0.006) 和酒精使用障碍 (p = 0.046) 的医学生比例每年都有显着变化。接触任何一种精神疾病都不会影响对职业准备的看法。学生认为,如果他们有足够的接触精神病患者的机会、关于开出适当的精神科药物的知识,尤其是精神科访谈技巧,他们就会为自己的职业做好准备。结论 完成精神病学实践和临床培训的学生认为自己已做好职业准备。发现暴露于创伤后应激障碍 (p = 0.012)、强迫症 (p = 0.006) 和酒精使用障碍 (p = 0.046) 的医学生比例每年都有显着变化。接触任何一种精神疾病都不会影响对职业准备的看法。学生认为,如果他们有足够的接触精神病患者的机会、关于开出适当的精神科药物的知识,尤其是精神科访谈技巧,他们就会为自己的职业做好准备。结论 完成精神病学实践和临床培训的学生认为自己已做好职业准备。发现暴露于创伤后应激障碍 (p = 0.012)、强迫症 (p = 0.006) 和酒精使用障碍 (p = 0.046) 的医学生比例每年都有显着变化。接触任何一种精神疾病都不会影响对职业准备的看法。学生认为,如果他们有足够的接触精神病患者的机会、关于开出适当的精神科药物的知识,尤其是精神科访谈技巧,他们就会为自己的职业做好准备。结论 完成精神病学实践和临床培训的学生认为自己已做好职业准备。接触任何一种精神疾病都不会影响对职业准备的看法。学生认为,如果他们有足够的接触精神病患者的机会、关于开出适当的精神科药物的知识,尤其是精神科访谈技巧,他们就会为自己的职业做好准备。结论 完成精神病学实践和临床培训的学生认为自己已做好职业准备。接触任何一种精神疾病都不会影响对职业准备的看法。学生认为,如果他们有足够的接触精神病患者的机会、关于开出适当的精神科药物的知识,尤其是精神科访谈技巧,他们就会为自己的职业做好准备。结论 完成精神病学实践和临床培训的学生认为自己已做好职业准备。
更新日期:2019-11-29
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