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Medical Student Experiences on Consultation-Liaison Psychiatry Rotations: A Nationwide Survey.

Abstract：

BACKGROUND:Consultation-liaison (C-L) psychiatry clerkship rotations may improve medical students' understanding of psychiatric principles relevant to the settings in which they will ultimately practice. This study aimed to characterize students' experiences on C-L rotations. METHODS:This cross-sectional survey study, sponsored by the Academy of Psychosomatic Medicine Subcommittee on Medical Student Education, was conducted at 5 US medical schools between 2012 and 2016. After the C-L rotation, students completed a voluntary 17-item survey. RESULTS:A total of 235 surveys were collected (mean response rate = 92%). The most frequently endorsed benefit of C-L was learning to manage psychiatric disorders in the context of medical illness (89%). The most frequently endorsed drawback was inconsistent/excessively variable workload (40%). Overall, 82% of respondents recommended C-L to other students; 80% reported that the ideal clerkship would include exposure to both C-L and inpatient psychiatry. Overall, 38% reported that their C-L experience increased their interest in psychiatry as a career. Effect of C-L on interest in psychiatry did not differ by study site, age, sex, clerkship length, or time spent on C-L. Respondents who noted more positive role-modeling on C-L compared to other clerkship rotations were more likely to report increased interest in a psychiatry career (odds ratio = 2.70). CONCLUSIONS:Most medical students perceive C-L rotations favorably. Positive role modeling may increase their consideration of psychiatry specialization. The findings that C-L rotation length did not correlate with attitudes and that most students preferred exposure to both inpatient and C-L psychiatry suggest that C-L exposure can beneficially be integrated into core clerkships containing other elements.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Meyer F,Abbasi O,Kasick D,Lee K,Pelic C,Zinser J,Harris T,Funk M,Academy of Psychosomatic Medicine’s Medical Student Education Subcommittee.

doi

10.1016/j.psym.2017.07.011

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

75-80

issue

1

eissn

0033-3182

issn

1545-7206

pii

S0033-3182(17)30176-7

journal_volume

59

pub_type

杂志文章

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