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医学学生对精神病学职业生涯的态度:一个现实的评估
Lucy Hollands1, Elizabeth McCulloch2, Jessica Scott2,3
1University of Exeter, Exeter, UK. lucy.jd.hollands@gmail.com.
概括
医学院的学生 医学院的学生
科学领域:
- 医学教育 医学教育
- 精神病学培训 精神病学培训
- 选择职业的因素 选择职业的因素
背景情况:
- 全球精神病学招聘危机由于医学学生的兴趣不足.
- 现有的研究确定了影响职业选择的因素,但缺乏对互动和背景的深度.
- 需要一个全面的理论来解释对精神病学态度的复杂性.
研究的目的:
- 开发一种理论,解释影响医学学生对精神病学职业生涯的态度的多方面的因素.
- 确定塑造职业观念的关键上下文和机制因素.
- 为改善精神病学招聘提供基于证据的建议.
主要方法:
- 在三个阶段采用现实的评估方法.
- 第一个阶段:从文献评论开始开发初始程序理论.
- 第2阶段:通过对31名英国医学学生进行现实面试,完善最终的课程理论.
主要成果:
- 确定了七个关键背景:积极的心理健康经验,多样化的子专业暴露,积极的临床安置,感知工作与生活平衡,感知患者危险,感知不良预后和感知情绪负担.
- 确定了六个关键机制:灵感,对精神病学的兴趣,生活方式的调整,安全问题,感知到无法帮助,以及情绪负担的担忧.
- 在塑造职业态度时,文本和机制之间的交互已被证明.
结论:
- 建议增加临床前精神病学实习,以促进早期兴趣.
- 强调热情的精神病学教育者的影响,特别是在临床实习期间.
- 倡导专注于留住那些对精神病学表达兴趣的医学学生的战略.
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