Changes in Attitudes and Confidence in the Integration of Psychiatry in Other Areas of Medicine

Nicholas Fabiano; Stanley Wong; Anthony Miller; Zhuangzhuang Liu; Jess G Fiedorowicz

doi:10.1007/s40596-022-01670-9

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Changes in Attitudes and Confidence in the Integration of Psychiatry in Other Areas of Medicine

Journal article

Peer reviewed

Changes in Attitudes and Confidence in the Integration of Psychiatry in Other Areas of Medicine

Nicholas Fabiano, Stanley Wong, Anthony Miller, Zhuangzhuang Liu and Jess G Fiedorowicz

Academic psychiatry, Vol.46(5), pp.593-598

10/2022

DOI: 10.1007/s40596-022-01670-9

PMID: 35701712

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Abstract

The authors describe how attitudes and confidence in the integration of psychiatry into other areas of medicine change over time during clinical clerkship in medical school. From January 2015 to December 2016, medical students from the University of Iowa were recruited for a prospective study of changes in the Attitudes and Confidence in the Integration of Psychiatry Scale (ACIP) scale. The survey instrument was completed before their psychiatry clerkship, after the clerkship, and at the end of the year following that and other clinical clerkships. Other information such as gender, time spent in clerkship, USMLE Step 1 score, and clerkship grades was also collected. A total of 172 surveys were completed by 138 students. The ACIP score was significantly higher at the end of the participants' clinical clerkship (67.2 to 76.6; t=-7.72, p<0.0001). Of the two ACIP subscales, confidence increased significantly (25.6 to 33.3; t=-9.82, p<0.0001), but attitudes toward integration of psychiatry did not (41.7 to 43.4; t=-1.96, p=0.059). Similar findings were seen in the subset of 34 students for whom pre- and post-clerkship data could be matched. At the end of their clinical clerkship, medical students feel more confident providing psychiatric care. The lack of significant increase in the ACIP scale's attitude subscale either demonstrates that attitude scores going into clerkship were already high and did not deteriorate, or highlights an area for clerkship curriculum development.

Attitude of Health Personnel

Clinical Clerkship

Humans

Prospective Studies

Psychiatry - education

Students, Medical - psychology

Details

Title: Subtitle: Changes in Attitudes and Confidence in the Integration of Psychiatry in Other Areas of Medicine
Creators: Nicholas Fabiano - University of Ottawa
Stanley Wong - University of Ottawa
Anthony Miller - University of Iowa
Zhuangzhuang Liu - University of Iowa
Jess G Fiedorowicz - Ottawa Hospital Research Institute
Resource Type: Journal article
Publication Details: Academic psychiatry, Vol.46(5), pp.593-598
DOI: 10.1007/s40596-022-01670-9
PMID: 35701712
NLM abbreviation: Acad Psychiatry
ISSN: 1042-9670
eISSN: 1545-7230
Language: English
Date published: 10/2022
Academic Unit: Psychiatry; Epidemiology
Record Identifier: 9985136588102771

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