Choosing a Career in Psychiatry: Influential Factors Within a Medical School Program

Manassis, Katharina; Katz, Mark R.; Lofchy, Jodi; Wiesenthal, Stephanie

doi:10.1176/appi.ap.30.4.325

Cited by 51 publications

(28 citation statements)

References 15 publications

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“…Current literature highlights several contributors to the recruitment challenge, including medical and pre-medical school influences, financial imperatives, patient and discipline stigma, and lifestyle implications 5. The psychiatry recruitment literature largely includes retrospective perspectives of current psychiatry resident trainees and junior undergraduate medical students earlier in their training 6–8…”

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confidence: 99%

Choosing Psychiatry as a Career: Motivators and Deterrents at a Critical Decision-Making Juncture

2014

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ObjectiveTo examine factors influencing the choice of psychiatry as a career between residency program application and ranking decision making.Methods:Using an online questionnaire, applicants to the largest Canadian psychiatry residency program were surveyed about the impact of various factors on their ultimate decision to enter psychiatry residency training.Results:Applicants reported that patient-related stigma was a motivator in considering psychiatry as a career, but that negative comments from colleagues, friends, and family about choosing psychiatry was a deterrent. Training program length, limited treatments, and insufficient clerkship exposure were noted as deterrents to choosing psychiatry, though future job prospects, the growing role of neuroscience, and diagnostic complexity positively influenced choosing psychiatry as a specialty. Research and elective time away opportunities were deemed relatively unimportant to ranking decisions, compared with more highly weighted factors, such as program flexibility, emphasis on psychotherapy, service– training balance, and training program location. Most applicants also reported continuing to fine tune ranking decisions between the application and ranking submission deadline.Conclusions:Stigma, exposure to psychiatry, diagnostic complexity, and an encouraging job market were highlighted as positive influences on the choice to enter psychiatry residency. Interview and information days represent opportunities for continued targeted recruitment activity for psychiatry residency programs.

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confidence: 99%

Choosing Psychiatry as a Career: Motivators and Deterrents at a Critical Decision-Making Juncture

2014

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“…Previous research has suggested that clinical encounters are pivotal in influencing students and changing career intentions. 10 However, our carefully designed programme suggests that patient contact in this type of event is not essential. We believe this is because the programme compensated by focusing on bringing to life patient experiences through cases, highlighting recovery, emphasising an empathic approach and having workshops that included case studies that embodied the role of the psychiatrist in patient journeys.…”

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confidence: 99%

Effectiveness of a summer school in influencing medical students' attitudes towards psychiatry

et al. 2013

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Aims and methodSummer schools are advocated as part of the national recruitment initiative despite little evidence of their impact. This study evaluates the effectiveness of a 3-day non-clinical initiative. Change in attitudes and career intention were measured by administering a questionnaire, which included the 30-item Attitudes Toward Psychiatry (ATP-30) survey, at the start and end of the event.ResultsMean ATP-30 scores increased from 119 to 128, which represented a highly statistically significant change (t = 5.40, d.f. = 18, P < 0.001). A positive shift in intention to pursue psychiatry as a career was demonstrated.Clinical implicationsThese results suggest well-planned summer schools can have a significant impact on students' attitudes. Despite high initial ATP-30 scores a positive shift in attitudes and career intentions was still seen. Further evaluation of the longitudinal impact is needed. Events such as this are important and likely produce a cumulative effect alongside other recruitment strategies.

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“…The primary UPE objective at UT also includes producing students who can meet national standards [12]. A parallel objective at UT is also to provide a competitive, wellsupported curriculum in order to stimulate interest and motivate students to pursue a career in psychiatry [13][14][15].…”

Section: Upe At Gxmu and Utmentioning

confidence: 99%

Comparison Between a Typical Undergraduate Psychiatry Program in China and Canada—an Approach to Inform Psychiatry Education Reform in China

Law

Dang

et al. 2014

Acad Psychiatry

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Examination of the existing, multi-sourced information reveals some fundamental differences in the current UPE between the representative Chinese and western programs, reflecting historical, political, cultural, and socioeconomic circumstances of the respective settings. The current analyses show some areas worthy of further exploration to inform Chinese UPE reform. The current research is a practical beginning to the development of a deeper collaborative dialogue about psychiatry and its educational underpinnings between China and the West.

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Choosing a Career in Psychiatry: Influential Factors Within a Medical School Program

Abstract: Although limited by small sample size and potential recall biases, this study suggests that positive clerkship experiences and participation in psychiatry electives may be modifiable programmatic factors that could enhance recruitment to psychiatry.

Cited by 51 publications

References 15 publications

Choosing Psychiatry as a Career: Motivators and Deterrents at a Critical Decision-Making Juncture

Choosing Psychiatry as a Career: Motivators and Deterrents at a Critical Decision-Making Juncture

Effectiveness of a summer school in influencing medical students' attitudes towards psychiatry

Comparison Between a Typical Undergraduate Psychiatry Program in China and Canada—an Approach to Inform Psychiatry Education Reform in China

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