In Australia and internationally, psychiatry has struggled to fill training places to keep up with demand for service. The objective of this study was to review the components of psychiatry terms and placements that determine a positive experience and potentially influence interest in vocational training in psychiatry.
Method:
A literature review and narrative synthesis was undertaken on 20 papers identified as meeting inclusion criteria.
Results:
The top themes contributing to positive experiences during the psychiatry term were: receiving high quality supervision; supported autonomy; and witnessing patient recovery. There was a paucity of Australian literature preventing investigation of the Australian context alone.
Conclusions:
There is a need to better understand how the junior doctor and medical student psychiatry experience influences perceptions of psychiatry and intention to specialise, especially in the Australian context.
BrockingtonIMumfordD. Recruitment into psychiatry. Br J Psychiatry2002; 180: 307–312.
2.
HenfreyH. Psychiatry – Recruitment crisis or opportunity for change?Br J Psychiatry2015; 207: 1–2.
3.
CaccavaleJReevesJLWigginsJ. The impact of psychiatric shortage on patient care and mental health policy: The silent shortage that can no longer be ignored. Report prepared for the American Board of Behavioural Healthcare Practice. 2012; http://ww.abbhp.org/survey.pdf.
4.
HawthorneLBirrellB. Doctor shortages and their impact on the quality of medical care in Australia. People Place2002; 10: 55–67.
5.
SierlesFSTaylorMA. Decline of U.S. medical student career choice of psychiatry and what to do about it. Am J Psychiatry1995; 152: 1416–1426.
6.
LyonsZ. Attitudes of medical students toward psychiatry and psychiatry as a career: A systematic review. Acad Psychiatry2013; 37: 150–157.
7.
FarooqKLydallGMalikANdeteiDGroupIBhugraD. Why medical students choose psychiatry – a 20 country cross-sectional survey. BMC Med Educ2014; 14: 12–19.
8.
GoldacreMJFazelSSmithFLambertT. Choice and rejection of psychiatry as a career: Surveys of UK medical graduates from 1974 to 2009. Br J Psychiatry2013; 202: 228–234.
9.
SartoriusNGaebelWClevelandH-R. WPA guidance on how to combat stigmatization of psychiatry and psychiatrists. World Psychiatry2010; 9: 131–144.
10.
KuzmanMRLovrecPSmoljanM. Experience of psychiatry teaching at medical school influences Croatian medical students’ attitudes towards choosing psychiatry as a career. Psychiatr Danubina2013; 25: 188–193.
11.
AndlauerOGuicherdWHaffenE. Factors influencing French medical students towards a career in psychiatry. Psychiatr Danubina2012; 24: S185–S190.
12.
McParlandMNobleLMLivingstonGMcManusC. The effect of a psychiatric attachment on students’ attitudes to and intention to pursue psychiatry as a career. Med Educ2003; 37: 447–454.
13.
MalhiGSMalhiGSParkerGB. Shrinking away from psychiatry? A survey of Australian medical students’ interest in psychiatry. Aust N Z J Psychiatry2002; 36: 416–423.
14.
FeifelDMoutierCSwerdlowN. Attitudes toward psychiatry as a prospective career among students entering medical school. Am J Psychiatry1999; 156: 1397– 1402.
15.
WeintraubWPlautSMWeintraubE. Medical school electives and recruitment into psychiatry. Acad Psychiatry1996; 20: 220–225.
16.
CohenMLlewellynADitton-PharePSandhuHVamosM. Hunter New England Training (HNET): How to effect culture change in a psychiatry medical workforce. Australas Psychiatry2011; 19: 531–534.
17.
LyonsZ. Impact of the psychiatry clerkship on medical student attitudes towards psychiatry and to psychiatry as a career. Acad Psychiatry2014; 38: 35–42.
18.
MaysNPopeCPopayJ. Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Policy2005; 10: S6–S20.
19.
GreenhalghTRobertGMacfarlaneFBatePKyriakidouOPeacockR. Storylines of research in diffusion of innovation: A meta-narrative approach to systematic review. Soc Sci Med2005; 61: 417–430.
20.
BraunVClarkeV. Using thematic analysis in psychology. Qual Res Psychol2006; 3: 77–101.
21.
DawesKVellaSCPaiNB. Listening to the learners: Medical student perspectives of their first psychiatry rotation. In: AMPEC 2012: 9th Asia Pacific Medical Education Conference, Sinapore, 11–15 January 2012, Medical Education, 44 (s2), 16–16.
22.
PaiNVellaSCDawesK. A qualitative analysis of medical students views of their first psychiatry rotation. Online J Health Allied Sci2012; 11: 1–5.
23.
WelchJBridgeCFirthDForrestA. Improving psychiatry training in the foundation programme. Psychiatrist2011; 35: 389–393.
24.
BoyleAMChalonerDAMillwardTRaoVMesserC. Recruitment from Foundation Year 2 posts into specialty training: A potential success story?Psychiatr Bull2009; 33: 306–308.
25.
ArchdallCAtapattuTAndersonE. Qualitative study of medical students’ experiences of a psychiatric attachment. Psychiatrist2013; 37: 21–24.
26.
LampeLCoulstonCWalterGMalhiG. Up close and personal: Medical students prefer face-to-face teaching in psychiatry. Australas Psychiatry2010; 18: 354–360.
27.
CouperJHawthorneLHawthorneGTanE-SRobertsA. Communication skills and undergraduate psychiatry: A description of an innovative approach to prepare Australian medical students for their clinical psychiatry attachment. Acad Psychiatry2005; 29: 297–300.
28.
ClardyJThrushCGuttenbergerVGoodrichMBurtonR. The junior psychiatric clerkship and medical students’ interest in psychiatry. Acad Psychiatry2000; 24: 6–9.
29.
BuddSKelleyRDayRVariendHDograN. Student attitudes to psychiatry and their clinical placements. Med Teach2011; 33: e586–e592.
30.
CheemaFLeuvenninkJEeCMacklinJGrahamJ. P03-537 – How medical student placements at a psychiatry hospital can be utilised to make psychiatry a popular career choice. Eur Psychiatry2011; 26: 1707–1707.
31.
SeedKLydallGMalikAHowardRBhugraD. P02-118 – Student career choice in psychiatry – phase 1 – a systematic review. Eur Psychiatry2010; 25: S722–S722.
32.
YakeleyJShoenbergPHeadyA. Who wants to do psychiatry? The influence of a student psychotherapy scheme – a 10-year retrospective study. Psychiatrist2004; 28: 208–212.
33.
MereshERaoMSchillingDNiedzwieckiMHalarisA. Medical students’ interest in pursuing psychiatry residency: A 5-year analysis of a consultation psychiatry clerkship educational module. Acad Psychiatry2014; 38: 104–105.
34.
BeattieSListerCKhanJMCornwallPL. Effectiveness of a summer school in influencing medical students’ attitudes towards psychiatry. Psychiatrist2013; 37: 367–371.
35.
StuartHSartoriusNLiinamaaT. Images of psychiatry and psychiatrists. Acta Psychiatry Scand2015; 131: 21–28.
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