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Adverse experiences in psychiatric training. Part 2

K Kozlowska1, K Nunn, P Cousens

  • 1Arndell Children's Unit, Royal North Shore Hospital, North Ryde, New South Wales, Australia.

The Australian and New Zealand Journal of Psychiatry
|December 24, 1997
PubMed
Summary

Psychiatric trainees in New South Wales (NSW) reported patient assault and suicide as most stressful training adversities. Improved consultant relationships and targeted training are recommended for better psychiatric education.

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Area of Science:

  • Psychiatry
  • Medical Education

Background:

  • Psychiatric training involves significant stressors.
  • The consultant-registrar relationship is crucial for effective training.

Purpose of the Study:

  • To assess NSW psychiatric trainees' perceptions of training.
  • To identify adverse events experienced during training.
  • To evaluate the consultant-registrar relationship quality.

Main Methods:

  • A self-report questionnaire was administered to 138 NSW psychiatric trainees and 95 recent consultants.
  • Participants rated the frequency and impact of 20 adverse experiences.
  • Trainee perceptions of consultant interactions regarding adversities were assessed.

Main Results:

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  • Patient assault and suicide were the most stressful adversities.
  • Educational/emotional neglect, observing consultant maltreatment, exam failure, and consultant conflict were also significant concerns.
  • Trainee experiences with consultants in relation to these adversities were documented.

Conclusions:

  • High response rates ensure the validity of findings.
  • Recommendations include specific training for managing patient assault and supporting trainees post-incident.
  • Enhanced support and education regarding patient suicide and improved teacher training are advised.