Psychiatry

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Trevor W Lambert - One of the best experts on this subject based on the ideXlab platform.

  • choice and rejection of Psychiatry as a career surveys of uk medical graduates from 1974 to 2009
    British Journal of Psychiatry, 2013
    Co-Authors: Michael J Goldacre, Seena Fazel, Fay Smith, Trevor W Lambert
    Abstract:

    Background Recruitment of adequate numbers of doctors to Psychiatry is difficult. Aims To report on career choice for Psychiatry, comparing intending psychiatrists with doctors who chose other clinical careers. Method Questionnaire studies of all newly qualified doctors from all UK medical schools in 12 qualification years between 1974 and 2009 (33 974 respondent doctors). Results One, three and five years after graduation, 4–5% of doctors specified Psychiatry as their first choice of future career. This was largely unchanged across the 35 years. Comparing intending psychiatrists with doctors who chose other careers, factors with a greater influence on psychiatrists’ choice included their experience of the subject at medical school, self-appraisal of their own skills, and inclinations before medical school. In a substudy of doctors who initially considered but then did not pursue specialty choices, 72% of those who did not pursue Psychiatry gave ‘job content’ as their reason compared with 33% of doctors who considered but did not pursue other specialties. Historically, more women than men have chosen Psychiatry, but the gap has closed over the past decade. Conclusions Junior doctors’ views about Psychiatry as a possible career range from high levels of enthusiasm to antipathy, and are more polarised than views about other specialties. Shortening of working hours and improvements to working practices in other hospital-based specialties in the UK may have reduced the relative attractiveness of Psychiatry to women doctors. The extent to which views of newly qualified doctors about Psychiatry can be modified by medical school education, and by greater exposure to Psychiatry during student and early postgraduate years, needs investigation.

  • career choices for Psychiatry national surveys of graduates of 1974 2000 from uk medical schools
    British Journal of Psychiatry, 2005
    Co-Authors: Michael J Goldacre, Gill Turner, Seena Fazel, Trevor W Lambert
    Abstract:

    Background Concerns continue about recruitment levels of junior doctors into Psychiatry in the UK. Aims To report career choices for and career progression in Psychiatry. Method Postal questionnaire surveys of qualifiers from all UK medical schools in eight qualification years since 1974. Results Totals of 75% (21 845 out of 28 980) and 74% (17 741 out of 24 044) of doctors responded at one and three years after qualification. One and three years after qualification, 4-5% of doctors chose Psychiatry. This has changed very little between 1974 and 2000. Most doctors who chose Psychiatry one and three years after qualification were working in Psychiatry at year 10. Hours and conditions of work, the doctor's personal assessment of their aptitudes and skills and their experience of the subject as a student influenced long-term career choices for Psychiatry. Conclusions Greater exposure to Psychiatry for clinical students and in junior hospital jobs might improve recruitment.

Par Strindhall - One of the best experts on this subject based on the ideXlab platform.

Michael J Goldacre - One of the best experts on this subject based on the ideXlab platform.

  • choice and rejection of Psychiatry as a career surveys of uk medical graduates from 1974 to 2009
    British Journal of Psychiatry, 2013
    Co-Authors: Michael J Goldacre, Seena Fazel, Fay Smith, Trevor W Lambert
    Abstract:

    Background Recruitment of adequate numbers of doctors to Psychiatry is difficult. Aims To report on career choice for Psychiatry, comparing intending psychiatrists with doctors who chose other clinical careers. Method Questionnaire studies of all newly qualified doctors from all UK medical schools in 12 qualification years between 1974 and 2009 (33 974 respondent doctors). Results One, three and five years after graduation, 4–5% of doctors specified Psychiatry as their first choice of future career. This was largely unchanged across the 35 years. Comparing intending psychiatrists with doctors who chose other careers, factors with a greater influence on psychiatrists’ choice included their experience of the subject at medical school, self-appraisal of their own skills, and inclinations before medical school. In a substudy of doctors who initially considered but then did not pursue specialty choices, 72% of those who did not pursue Psychiatry gave ‘job content’ as their reason compared with 33% of doctors who considered but did not pursue other specialties. Historically, more women than men have chosen Psychiatry, but the gap has closed over the past decade. Conclusions Junior doctors’ views about Psychiatry as a possible career range from high levels of enthusiasm to antipathy, and are more polarised than views about other specialties. Shortening of working hours and improvements to working practices in other hospital-based specialties in the UK may have reduced the relative attractiveness of Psychiatry to women doctors. The extent to which views of newly qualified doctors about Psychiatry can be modified by medical school education, and by greater exposure to Psychiatry during student and early postgraduate years, needs investigation.

  • career choices for Psychiatry national surveys of graduates of 1974 2000 from uk medical schools
    British Journal of Psychiatry, 2005
    Co-Authors: Michael J Goldacre, Gill Turner, Seena Fazel, Trevor W Lambert
    Abstract:

    Background Concerns continue about recruitment levels of junior doctors into Psychiatry in the UK. Aims To report career choices for and career progression in Psychiatry. Method Postal questionnaire surveys of qualifiers from all UK medical schools in eight qualification years since 1974. Results Totals of 75% (21 845 out of 28 980) and 74% (17 741 out of 24 044) of doctors responded at one and three years after qualification. One and three years after qualification, 4-5% of doctors chose Psychiatry. This has changed very little between 1974 and 2000. Most doctors who chose Psychiatry one and three years after qualification were working in Psychiatry at year 10. Hours and conditions of work, the doctor's personal assessment of their aptitudes and skills and their experience of the subject as a student influenced long-term career choices for Psychiatry. Conclusions Greater exposure to Psychiatry for clinical students and in junior hospital jobs might improve recruitment.

Amanda I Goldstein - One of the best experts on this subject based on the ideXlab platform.

  • the geriatric forensic Psychiatry rotation at university of chicago utilization and educational benefit of a subspecialty rotation in psychiatric residency training
    Frontiers in Psychology, 2019
    Co-Authors: Carolyn Shima, Sanford I Finkel, Deborah Spitz, Amanda I Goldstein
    Abstract:

    Ten years ago, the University of Chicago Medical School Department of Psychiatry and Behavioral Neuroscience established a geriatric forensic Psychiatry rotation for fourth-year residents as one option in a required experience in forensic Psychiatry. The rotation’s emphasis was to learn about cases of testamentary capacity and undue influence. The program was supervised by a senior faculty member, an experienced clinician, board-certified in Geriatric Psychiatry. RESULTS Over the past decade, three of the 11 residents have pursued careers in forensic Psychiatry, while another has become a geriatric psychiatrist. More than half of the respondents have pursued geriatric and/or forensic work following their graduations, and all believe that what they learned in the rotation applied to their general practice work. All 11 indicated that the rotation increased their interest in and understanding of forensic work. Ten “strongly agreed” that the geriatric forensic Psychiatry rotation was a valuable learning experience. On average, trainees worked on 4.64 forensic cases over the course of the rotation and attended 2–3 trials or depositions. Over the last three years of the program, all three of the participating residents have chosen to complete a forensic fellowship following the rotation. CONCLUSION Residents affirm that a geriatric forensic Psychiatry rotation is a valuable learning experience, one that has utility after their graduation. The University of Chicago Department of Psychiatry and Behavioral Neuroscience is committed to continuing this rotation as an important part of their forensic experience in resident education and to encourage more interest in the area of geriatric Psychiatry.

Theodore A Stern - One of the best experts on this subject based on the ideXlab platform.

  • advancing the mission of consultation liaison Psychiatry through innovation in teaching
    Psychosomatics, 2019
    Co-Authors: Patrick A Ho, Christina Girgis, James K Rustad, Douglas L Noordsy, Theodore A Stern
    Abstract:

    Background Consultation-liaison (C-L) Psychiatry, similar to other medical specialties, relies on the education of students, residents, fellows, and life-long learners for growth of the field. C-L Psychiatry is unique as it exists at the intersection of Psychiatry with other medical subspecialties. Traditional teaching methods have been used in C-L Psychiatry programs for more than 50 years, while technology has recently advanced as available resources and the learning styles of today's learners have evolved. A growing number of younger trainees are taking advantage of new ways to learn. Objectives We sought to examine both traditional and novel teaching methodologies and how each of these educational methodologies fits within adult learning theory and in the context of how digital natives learn about C-L Psychiatry. Methods In this narrative review, we drew upon the experiences of the authors as both life-long learners and educators. We then reviewed the literature pertaining to teaching methods that have been used in C-L Psychiatry as well as emerging methods that could potentially be used in C-L Psychiatry. Results C-L Psychiatry has used traditional teaching methods such as readings, didactic lectures, case-based rounds, and problem-based learning. Novel teaching methodologies such as teaching rotations, simulations, social media, podcasts, movie clubs, and the use of mobile tablet computers have been used in general Psychiatry and other medical specialties, while literature specific to C-L Psychiatry was sparse. Conclusions Opportunities abound to make use of new teaching methodologies and technologies to appeal to future generations of C-L psychiatrists.

  • teaching trainees about the practice of consultation liaison Psychiatry in the general hospital
    Psychiatric Clinics of North America, 2011
    Co-Authors: John Querques, Theodore A Stern
    Abstract:

    Learning about the scope of psychiatric practice in the general hospital is essential for trainees and their patients. Consultation-liaison (C-L) Psychiatry (officially named psychosomatic medicine), the subspecialty of Psychiatry that deals with the care of patients with comorbid psychiatric and medical/surgical illness, is taught through formal didactics, teaching and bedside rounds, and demonstration of specific skills (eg, critical thinking, autognosis [self-knowledge]). Both the process and the content f these educational forums are equally important. In this article, we discuss the heory, place, techniques, and challenges of teaching the craft of consultation sychiatry.