Stigma in Psychiatry: Impact of a Virtual and Traditional Psychiatry Clerkship on Medical Student Attitudes

Bazaid, Khalid; Simas, Kevin; Bezzahou, Abdellah

doi:10.1007/s40596-021-01541-9

Cited by 4 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These students provided informed consent. This latter sample was part of a separate project that has since been published [ 20 ] and was incorporated into this analysis to serve as a comparison to the OPEP students. The University of Ottawa Office of Research and Integrity provided ethics approval and approved all experimental methods for use of these data.…”

Section: Methodsmentioning

confidence: 99%

A week long “pep” talk – initial and 2–3-year longitudinal data on the Ottawa Psychiatry Enrichment Program (OPEP)

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Recruitment to psychiatry as a career has been challenging in Canada and abroad despite the known shortage and increasing burden of psychiatric issues globally. Deterrents to choosing psychiatry as a career include its negative stigma and paucity of knowledge about the field. The study goal was to evaluate the Ottawa Psychiatry Enrichment Program (OPEP), a one-week extracurricular program about psychiatry as a career for 1st and 2nd year medical students. We hypothesized OPEP would improve students’ attitudes towards psychiatry, and positive changes would be sustained 2–3 years later following their residency match. We hypothesized there would be a high recruitment of OPEP attendees to psychiatry programs. Methods 1st and 2nd year medical students from Canada applied to OPEP. Attendees completed the Attitudes Towards Psychiatry Questionnaire (ATP-30) at three times: before OPEP (PreOPEP), after OPEP (PostOPEP) and after their Canadian Residency Matching Service (CaRMs) match 2–3 years later. OPEP ATP-30 scores were compared to third-year student ATP-30 scores before and after their psychiatry rotation. Data were analysed using Friedman non-parametric ANOVA and post hoc testing by either Wilcoxon rank sum test, Wilcoxon matched pairs signed rank test, or parametric Welch independent t-test as appropriate. Effect sizes of group mean differences were calculated using Cohen’s “d”. Results Between 2017–2018, 29/53 Canadian applicants were selected for OPEP. 100%, 93.1% and 75.8% of OPEP students completed the PreOPEP, PostOPEP, and CaRMs ATP-30 surveys respectively. 43% of OPEP attendees matched to psychiatry. PostOPEP ATP-30 scores (mean = 133, median = 137, SD = 10.6) were significantly higher than PreOPEP ATP-30 (mean score = 121, median = 122, SD = 9.3, p < 0.001) and CaRMS ATP-30 (mean = 126, median = 127, SD = 12.3, p < 0.02) scores. OPEP effect size on ATP-30 scores was large (d = 1.2) but decreased 2–3 years later (p = 0.078, d = 0.44). 97/202 students completed the ATP-30 before and after their psychiatry rotation (clerkship). Clerkship effect size on improvement in ATP-30 was moderate (d = 0.39). There was a non-significant difference between OPEP CaRMS ATP-30 and post clerkship ATP-30 scores (median 127 vs 121, p = 0.056). Conclusions OPEP ameliorated attitudes toward Psychiatry, but improvement deteriorated longitudinally. Strategies for program design, and innovations to boost/retain improvements during clerkship years are discussed.

show abstract

Section: Methodsmentioning

confidence: 99%

A week long “pep” talk – initial and 2–3-year longitudinal data on the Ottawa Psychiatry Enrichment Program (OPEP)

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Four articles in the December 2021 issue of Academic Psychiatry [3,4,7,8] add to the existing literature on medical student attitudes toward psychiatry worldwide. "Revisiting the ATP 30: The Factor Structure of a Scale Measuring Medical Students' Attitudes Towards Psychiatry" [4] reexamines the ATP-30 [5], which was originally found to have no meaningful subscales.…”

mentioning

confidence: 99%

“…Finally, in "Stigma in Psychiatry: Impact of a Virtual and Traditional Psychiatry Clerkship in Medical Student Attitudes" [8], the ATP-30 is utilized to examine changes in attitudes toward psychiatry in a virtual versus in-person clerkship experience. Although the authors admit that existing literature has not revealed a consensus on the "influential nature clerkships have on students and their attitudes toward psychiatry as a specialty," they hypothesized that the virtual model would have a detrimental impact on attitudes.…”

mentioning

confidence: 99%

The Importance of Exploring Attitudes Toward Psychiatry, Past, and Present

et al. 2021

View full text Add to dashboard Cite

Impact of Psychiatry Posting on Attitudes Toward Mental Illness: A Prospective Cohort Study of Medical Students From Three Universities

Akanni,

Eboreime-Oikeh,

Oyeyemi

et al. 2024

Journal of Medical Education and Curricular Development

View full text Add to dashboard Cite

INTRODUCTION Negative attitudes towards mental illness are known to exist among medical students in Nigeria. However, the effect of undergoing a rotation in psychiatry on their attitudes is uncertain. OBJECTIVES It aimed to determine the effect of psychiatry posting during medical training on medical students’ attitudes toward mental illness and examine the association of posting-related and demographic factors with their attitudes. METHODS It is a prospective cohort study in which 187 medical students from three different universities were followed up during their psychiatry postings in two different posting sites. Questionnaires containing basic demography, posting-related variables, and the Community Attitude to Mental Illness (CAMI) scale were administered to all available students before and after the rotation in psychiatry. A paired t-test was applied to test the differences in the CAMI scores before and after posting, while ANOVA and hierarchical regression were utilized to determine the association of variables with the CAMI scores. RESULTS There were significant differences between the pre-and post-rotation CAMI scores in CAMI's social restrictiveness (SR) and community mental health ideology (CMHI) domains, indicating improved attitudes. Demographic factors had no significant influence on the students’ attitudes, but the length of posting, university of the students, and posting sites had varying impacts. CONCLUSION Psychiatry rotation has a positive impact on students’ attitudes toward mental illness in both posting sites, particularly in the domains of SR and CMHI. This underscores the importance of psychiatry training in medical education in changing the attitudes of future healthcare professionals.

show abstract

Stigma in Psychiatry: Impact of a Virtual and Traditional Psychiatry Clerkship on Medical Student Attitudes

Cited by 4 publications

References 13 publications

A week long “pep” talk – initial and 2–3-year longitudinal data on the Ottawa Psychiatry Enrichment Program (OPEP)

A week long “pep” talk – initial and 2–3-year longitudinal data on the Ottawa Psychiatry Enrichment Program (OPEP)

The Importance of Exploring Attitudes Toward Psychiatry, Past, and Present

Impact of Psychiatry Posting on Attitudes Toward Mental Illness: A Prospective Cohort Study of Medical Students From Three Universities

Contact Info

Product

Resources

About