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The Clerk Crisis Clinic: a novel educational program.

Jodi Lofchy1

  • 1UHN, 399 Bathurst St., Edith Cavell Wing 3C-036, Toronto, Ontario, M5T 2S8. jodi.lofchy@uhn.on.ca

Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
|June 26, 2003
PubMed
Summary

Medical students can provide effective crisis therapy to emergency department patients. Both patients and students reported positive experiences, indicating the value of this training in clinical settings.

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Area of Science:

  • Medical Education
  • Psychiatry
  • Emergency Medicine

Background:

  • Limited literature exists on medical students providing crisis therapy.
  • Medical students often gain psychotherapy experience, but not typically in emergency settings.
  • A specific program at the University of Toronto trains third-year students in crisis therapy for emergency department patients.

Purpose of the Study:

  • To describe a crisis therapy program for medical students.
  • To evaluate patient and student satisfaction with the program.
  • To assess the capability of medical students in delivering crisis intervention.

Main Methods:

  • Third-year medical students completed a rotation in the Clerk Crisis Clinic.
  • Students provided six individual therapy sessions to preselected emergency department patients.

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  • Supervision was provided twice weekly in group sessions by senior residents or staff psychiatrists.
  • Patient satisfaction was assessed using a modified Consumer Satisfaction Questionnaire.
  • Student experiences were evaluated using a therapist evaluation form.

    • Main Results:

    • Patient feedback was positive, with satisfaction reported regarding therapy and interaction with student therapists.
    • Medical students found the crisis therapy rotation to be a useful and relevant training experience.
    • No difficulties were reported by patients when working with student therapists.

    Conclusions:

    • Medical students are capable of providing crisis therapy to selected patient populations.
    • The Clerk Crisis Clinic program demonstrates a viable model for training medical students in emergency crisis intervention.
    • Positive outcomes suggest that such programs can enhance both student training and patient care.