Medical Student Perceptions of the Value of Learning Psychiatry in Primary Care Settings in Penang, Malaysia
| Autor: | Mary Clarke, Umadevi Vasudevan, Susan M Smith, Vincent Russell, Ching Ee Loo, Arokiamary Bharathy, Elaine Byrne |
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| Rok vydání: | 2018 |
| Předmět: |
Clinical clerkship
Adult Male medicine.medical_specialty Students Medical 020205 medical informatics education 02 engineering and technology Computer-assisted web interviewing Education 03 medical and health sciences Young Adult 0302 clinical medicine Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering medicine Humans 030212 general & internal medicine Psychiatry Referral and Consultation Service (business) Academic year Primary Health Care Clinical Clerkship Malaysia General Medicine Focus Groups Focus group Psychiatry and Mental health Active learning Liaison psychiatry Female Perception Curriculum Thematic analysis Psychology Education Medical Undergraduate |
| Zdroj: | Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry. 43(2) |
| ISSN: | 1545-7230 |
| Popis: | The study’s objective was to determine the educational value of participation in a consultation/liaison psychiatry service to primary care clinics, from the perspective of Malaysian medical undergraduates. A mixed method design was used. Fourth-year medical students participated in a consultation/liaison psychiatry service to two government-operated primary care clinics. Each student attended two half-day consultations to the clinics during the psychiatry clinical clerkship. Students joined in discussions with primary care clinicians, performed supervised clinical assessments, and administered a depression screening instrument. The learning experience was evaluated through four focus groups, each with 9–10 participants, held throughout the academic year. An end-of-year, anonymous, online questionnaire survey was administered to the entire class. Thematic analysis of focus group transcripts was performed and quantitative statistics were calculated (Stata version 13). Focus group themes included the following: (a) active learning opportunities in primary care psychiatry consultation had perceived added educational value, (b) students benefited from contact with patients with previously undiagnosed common mental disorders, and (c) students’ primary care experience raised their awareness of societal and professional responsibilities. Of the class of 113 students, 93 (82%) responded to the questionnaire. The survey responses reflected the qualitative themes, with 79 respondents (85%) stating that the learning experience met or exceeded their expectations. Academic psychiatry has been criticized for its overreliance on secondary care settings in undergraduate clinical teaching. Our findings suggest that supervised clinical placements in primary care are feasible and provide added educational value as a routine component of the undergraduate psychiatry clinical clerkship. |
| Databáze: | OpenAIRE |
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