Three-Year Longitudinal Follow-up of the Psychiatry Early Experience Program (PEEP): Gaining and Sustaining Positive Attitudes Towards Psychiatry in Students at a UK Medical School

Holt, Clare; Mirvis, R.; Bao, Jianan; Cross, S.; Hussain, Osman; Hutchings, H.; Marshall, Emily; Qureshi, Henna; Turner, Francesca; Wilson-Jones, Charlotte

doi:10.1007/s40596-019-01092-0

Cited by 11 publications

(18 citation statements)

References 19 publications

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“…The Psychiatry Early Experience Programme (PEEP) has previously demonstrated the benefits of increased psychiatry exposure for young medical students, including sustained positive attitudes towards the specialty. 8 It is unclear whether such positive attitudes extend beyond those students who engage in psychiatry enrichment programmes, but over 80% of mentees felt that PsychStart had created positive publicity for the specialty within the wider medical school, suggesting that these may permeate throughout the student body. Ajaz et al previously reported that medical students often experience ‘badmouthing’ or ‘bashing’ of psychiatry, 26 which can deter them from entering the specialty; this highlights the importance of fostering positive attitudes and prompted the Ban the Bash campaign by the RCPsych, which aimed to identify and discourage disparaging comments about psychiatry.…”

Section: Discussionmentioning

confidence: 99%

“…7 Prior research has demonstrated that regular early undergraduate exposure to psychiatry (through the Psychiatry Early Experience Programme, PEEP) can sustain positive attitudes towards psychiatry and challenge preconceptions about the specialty. 8 However, little is known about the value of mentorship for medical students interested in psychiatry, despite this demonstrating clear value for students and doctors in other specialties and the broader literature. [9][10][11][12] This paper describes and evaluates the establishment of an undergraduate enrichment programme that combines opportunities for mentorship with additional clinical exposure to psychiatry.…”

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PsychStart: a novel mentoring scheme for supporting and valuing medical students interested in psychiatry

et al. 2020

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Summary We describe the establishment and evaluation of a career-based mentoring scheme (PsychStart) for medical students interested in psychiatry. Medical students reported multiple benefits of mentoring, including enhanced personal and professional development, increased career and clinical knowledge, and broadened exposure to psychiatry. The mentoring scheme was also found to promote and sustain interest in the specialty. Further evaluation is required to determine the long-term effects of mentoring and how this may compare with other undergraduate enrichment activities. We conclude that mentoring in psychiatry could offer innovative solutions for improving recruitment and retention, and for supporting and valuing medical students who demonstrate an early interest in the specialty.

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Section: Discussionmentioning

confidence: 99%

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PsychStart: a novel mentoring scheme for supporting and valuing medical students interested in psychiatry

et al. 2020

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“…Ein [21]. Vergleichbare Ergebnisse zeigte eine breit angelegte Online-Studie aus Deutschland, Schweiz, Österreich und Ungarn an über 1300 Medizinstudent*innen, welche ebenfalls die persönliche Erfahrung sowie die curriculumbasierte Erfahrung mit Psychiatrie als wichtigste beeinflussende Faktoren darstellte [22].…”

Section: Diskussionunclassified

“…Ähnliche Erkenntnisse brachte eine kürzlich publizierte Untersuchung an 40 Medizinstudent*innen, welche im Rahmen eines speziellen Programms Erfahrungen in der Psychiatrie sammeln durften. Die Ergebnisse zeigten deutliche Verbesserung der Einstellung nach persönlichem Kennenlernen von psychiatrisch Erkrankten [21]. Vergleichbare Ergebnisse zeigte eine breit angelegte Online-Studie aus Deutschland, Schweiz, Österreich und Ungarn an über 1300 Medizinstudent*innen, welche ebenfalls die persönliche Erfahrung sowie die curriculumbasierte Erfahrung mit Psychiatrie als wichtigste beeinflussende Faktoren darstellte [22].…”

Section: Diskussionunclassified

„Die Psychiatrie nimmt sich Zeit …“ Warum Psychiater*in werden? – Eine qualitative Studie

et al. 2021

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Zusammenfassung Ziel Identifikation von intrinsischen Motivatoren, die bei der Berufswahl Psychiatrie eine Rolle spielen. Methodik 14 leitfadengestützte Tiefeninterviews wurden mithilfe von Codierungsrahmen systematisch ausgewertet. Ergebnisse Positive Aspekte waren der zwischenmenschliche Fokus und der ganzheitliche Ansatz. Negative Dimensionen waren das schlechte Image unter Kolleg*innen, Vorurteile und Stigma. Die Entstigmatisierung der Psychiatrie und die Gleichstellung psychiatrischer mit somatischen Aspekten in Fallberichten wurden als Möglichkeiten vorgeschlagen, das Interesse am Fach Psychiatrie zu erhöhen. Schlussfolgerung Um die Beliebtheit der Psychiatrie bei Mediziner*innen zu steigern, bedarf es Maßnahmen zur Bekämpfung von mit Psychiatrie verbundenem Stigma im Gesundheitswesen. Im Rahmen der medizinischen Lehre müssen psychiatrische Störungen, welche durch ihre hohe Prävalenz alle medizinischen Disziplinen betreffen, entsprechende Gewichtung erhalten.

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“…This program succeeded in recruiting 76/178 (43%) participants from 1994-2005 to psychiatry residency programs [11]. The Psychiatry Early Experience Program (PEEP), a more intense program developed in Kings College in London, England, paired students in their rst year with trainee psychiatrists and had them visit 2 days every 6 months throughout the 5 years of students' medical training [12]. Although unable to determine whether their learners ended up becoming psychiatrists, the authors showed that after a 3 year follow up, improved positive attitudes towards psychiatry were sustained among 22/40 respondents.…”

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confidence: 99%

A Week Long “PEP” Talk – Initial and 2-3 Year Longitudinal Data on the Ottawa Psychiatry Enrichment Program (OPEP)

Lee

Morra

Bazaid

et al. 2021

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Background: Recruitment to psychiatry has been challenging in Canada and abroad. Historically 4-6% of medical students match to psychiatry in Canada. Novel and innovative measures to increase interest in psychiatry among medical students are needed to meet the increasing demand for psychiatrists given the increasing burden of mental health issues globally. Common barriers include negative attitudes and stigma towards psychiatry and a paucity of knowledge about the field. The study goal was to evaluate the efficacy of the Ottawa Psychiatry Enrichment Program (OPEP), a one-week extracurricular program about psychiatry as a career, developed for 1st and 2nd year medical students to improve medical students’ attitudes towards psychiatry, and increase recruitment.Methods: 1st and 2nd year medical students from Canada applied to OPEP. Attendees completed the Attitudes Towards Psychiatry Questionnaire (ATP-30) 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: 29 students were selected for OPEP from 2017-2018 from across Canada. 100%, 93.1% and 75.8% of 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. Additional strategies to boost/retain these improvements during clerkship years may be beneficial.

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Three-Year Longitudinal Follow-up of the Psychiatry Early Experience Program (PEEP): Gaining and Sustaining Positive Attitudes Towards Psychiatry in Students at a UK Medical School

Cited by 11 publications

References 19 publications

PsychStart: a novel mentoring scheme for supporting and valuing medical students interested in psychiatry

PsychStart: a novel mentoring scheme for supporting and valuing medical students interested in psychiatry

„Die Psychiatrie nimmt sich Zeit …“ Warum Psychiater*in werden? – Eine qualitative Studie

A Week Long “PEP” Talk – Initial and 2-3 Year Longitudinal Data on the Ottawa Psychiatry Enrichment Program (OPEP)

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