Teaching Psychiatry in Poor Countries: Priorities and Needs. A Description of How Mental Health is Taught to Medical Students in Malawi, Central Africa

Herzig, Hugh

doi:10.1080/1357628031000066787

Cited by 8 publications

(8 citation statements)

References 6 publications

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“…Herzig (2003) developed a new psychiatry curriculum to enable Malawi's medical students (Central Africa) to address mental health issues and, as a result, observed an improved performance among medical doctors in promoting mental and behavioral health (Herzig 2003). Promoting psychiatric, pediatrics and neurology education, with an emphasis on training in general psychiatry, child psychiatry, and neurology in medical school curricula, might help improve the knowledge of GPs regarding autism (Gadit 2007;Herzig 2003;Walton and Gelder 1999). Some private medical schools in Pakistan have recognized the importance of structured training in Psychiatry (Gadit 2007) and included this training in their undergraduate medical curriculum with the resources available.…”

Section: Medical School Curriculummentioning

confidence: 97%

“…This shortage of psychiatrists and neurologists in Pakistan may have an impact on the quality of medical education received in both private and public medical schools and the knowledge and practice of GPs regarding autism (Gadit 2006(Gadit , 2007Usman 2009). Herzig (2003) developed a new psychiatry curriculum to enable Malawi's medical students (Central Africa) to address mental health issues and, as a result, observed an improved performance among medical doctors in promoting mental and behavioral health (Herzig 2003). Promoting psychiatric, pediatrics and neurology education, with an emphasis on training in general psychiatry, child psychiatry, and neurology in medical school curricula, might help improve the knowledge of GPs regarding autism (Gadit 2007;Herzig 2003;Walton and Gelder 1999).…”

Section: Medical School Curriculummentioning

confidence: 98%

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Knowledge and Attitude of General Practitioners Regarding Autism in Karachi, Pakistan

Rahbar

Ibrahim

Assassi

2010

J Autism Dev Disord

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General practitioners (GPs) could have an important role in early diagnosis of autism. There have been no studies evaluating the knowledge of GPs regarding autism in Pakistan. We aimed to fill that gap by assessing knowledge and attitude of GPs in Karachi regarding autism. We conducted a cross-sectional survey of 348 GPs; only 148 (44.6%) had heard of "autism." Our results show that GPs less than 30 years of age and those who obtained their Medical Degree in the last 5 years are more likely to report knowledge about autism: OR = 3.0; 95% CI: 1.71, 5.31, and OR = 2.56; 95% CI: 1.48, 4.42, respectively. In addition, among those reporting knowledge about autism, many held misconceptions regarding the signs and symptoms and etiology.

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Section: Medical School Curriculummentioning

confidence: 97%

Section: Medical School Curriculummentioning

confidence: 98%

Knowledge and Attitude of General Practitioners Regarding Autism in Karachi, Pakistan

Rahbar

Ibrahim

Assassi

2010

J Autism Dev Disord

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“…This is in line with recommendations from Malawi. 15 Long term sustainability will require integration of mental health into national health and social sector reform plans, and integration of mental health into primary health care if the mental health needs of the population are to be met. 42,24 Future Work The educational partnership with Somaliland is now planning further specific activity to meet the continuing needs of the newly qualified interns, supervision of nursing working on the mental health ward, and integration of mental health teaching into general health systems strengthening projects.…”

Section: Discussionmentioning

confidence: 99%

“…[15][16][17] And such tailoring needs to be carried out in partnership with local professionals and other stakeholders. 18 However, there was a lack of local mental health specialists to inform curricula development and teaching in Somaliland.…”

Section: Considerations In Introducing Psychiatry Training In Somalilandmentioning

confidence: 99%

Use of interactive teaching techniques to introduce mental health training to medical schools in a resource poor setting

et al. 2013

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Objective: There are currently no practising psychiatrists in Somaliland. In 2007 the first medical students graduated from universities in Somaliland without mental health training. We aimed to pilot an intensive but flexible package of mental health training to all senior medical students and interns using interactive training techniques and to evaluate its effectiveness by assessing knowledge, skills and attitudes. Methods: Teaching techniques included didactic lectures, case based discussion groups and role playing. Informal feedback informed a flexible teaching package. Assessment tools designed specifically for this course included a pre and post course MCQ exam and an OSCE. Changes in students' attitudes were evaluated using a questionnaire administered before and after the course. In addition, a questionnaire administered following the course evaluated the changes students perceived in their knowledge and attitudes to mental health. Results: The MCQ improved from 50.7% pre course to 64.4% post course (p=9.73 E-08). Students achieved an average overall OSCE mark of 71%. The pre and post attitudes questionnaire was most significantly different for statements relevant to aetiology, stigma and the overlap between mental and physical health. The statement most strongly agreed with after the course was 'I now understand more about the overlap between mental and physical health'. Conclusion: Interactive teaching provided a learning experience for both students and trainers. On site and distance learning based on the teaching described here has widened the scope of the training possible in psychiatry and allowed the provision of regular teaching, supervision and peer support in Somaliland. However, the current lack of local expertise means that important issues of sustainability need to be considered in future work

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“…[11] Medical schools are forced to opt for localised practical courses rather than internationally acceptable scientific training in the discipline (e.g. in Malawi [12] ).…”

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confidence: 99%

Designing an educational programme in mental health for general practitioners in South Africa

et al. 2014

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Background. With the new Mental Health Care Act in use, additional demands will be placed on general practitioners to provide adequate care for mental health patients. The College of Psychiatry of the Colleges of Medicine of South Africa awards a Postgraduate Diploma in Mental Health (PGDipMH) to medical doctors, but there is no standardised formal tuition or curriculum available to potential candidates. Objectives. A study was undertaken to design a postgraduate programme using a six-step process to assist medical practitioners in preparing for the PGDipMH. Methods. The Delphi research method, a nomi nal group technique for developing forecasts and trends based on the collective opinion of knowledgeable experts, was used. Data, obtained by means of closed items in a questionnaire, were analysed, and the opinions and ideas of the expert respondents were used to adapt the formulated set of criteria for each subsequent round of Delphi. This process was repeated until 80% consensus or stability had been reached. After the last round, a framework and final set of criteria were compiled. Results. The preferred mode of teaching was online distance learning utilising electronic learning and limited formal learning. The content of the curriculum was based on the findings of the Delphi study experts. The programme as a complete entity contains six steps. Conclusion. Using the recommendations and findings of the Delphi panel, a comprehensive programme was developed, which shows an appreciation for the interfaces between the different role-players (the patient/so-called mental healthcare user and the doctor as learner), outcomes-based education and distance learning.

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Teaching Psychiatry in Poor Countries: Priorities and Needs. A Description of How Mental Health is Taught to Medical Students in Malawi, Central Africa

Abstract: This training strategy accords with a shift of attention among health service planners world-wide from specialist services towards primary care, and may generalize to other settings in which specialist clinical services are poorly developed.

Cited by 8 publications

References 6 publications

Knowledge and Attitude of General Practitioners Regarding Autism in Karachi, Pakistan

Knowledge and Attitude of General Practitioners Regarding Autism in Karachi, Pakistan

Use of interactive teaching techniques to introduce mental health training to medical schools in a resource poor setting

Designing an educational programme in mental health for general practitioners in South Africa

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