Skip to main content
Log in

Medical School Factors Associated with Higher Rates of Recruitment into Psychiatry

  • In Brief Report
  • Published:
Academic Psychiatry Aims and scope Submit manuscript

Abstract

Objective

The medical school a student attends appears to be a factor in whether students eventually match into psychiatry. Knowledge of which factors are associated with medical schools with higher recruitment rates into psychiatry may assist in developing strategies to increase recruitment.

Methods

Psychiatry leaders in medical student education in the 25 highest and lowest recruiting US allopathic schools were surveyed concerning various factors that could be important such as curriculum, educational leadership, and presence of anti-psychiatry stigma. The relationship between the survey results of high recruiting schools versus those of low recruiting schools was evaluated using Mann-Whitney U tests.

Results

Factors significantly associated (p < .05) with higher recruiting schools included better reputation of the psychiatry department and residents, perceived higher respect for psychiatry among non-psychiatry faculty, less perception that students dissuaded other students from pursuing psychiatry, and longer clerkship length.

Conclusions

Educational culture and climate factors may have a significant impact on psychiatry recruitment rates. Clerkship length was associated with higher recruiting schools, but several previous studies with more complete samples have not shown this.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Brockington I, Mumford D. Recruitment into psychiatry. Brit J Psychiatry. 2002;180(4):307–12.

    Article  Google Scholar 

  2. Davies T. Recruitment into psychiatry: quantitative myths and qualitative challenges. Brit J Psychiatry. 2013;202:163–5.

    Article  Google Scholar 

  3. Goldacre M, Fazel S, Smith F, Lambert T. Choice and rejection of psychiatry as a career: surveys of UK medical graduates from 1974 to 2009. Brit J Psychiatry. 2013;202:228–34.

    Article  Google Scholar 

  4. Mukherjee K, Maier M, Wessely S. UK crisis in recruitment into psychiatric training. Psychiatrist. 2013;37:210–4.

    Article  Google Scholar 

  5. Henfrey H. Psychiatry—recruitment crisis or opportunity for change? Brit J Psychiatry. 2015;207:1–2.

    Article  Google Scholar 

  6. Barton M, Eagles J. Factors that discourage medical students from pursuing a career in psychiatry. Psychiatrist. 2011;35:425–9.

    Article  Google Scholar 

  7. Halder N, Hadjidemetriou C, Pearson R, Farooq K, Lydall G, Malik A, et al. Student career choice in psychiatry: findings from 18 UK medical schools. Int Rev Psychiatry. 2013;25:438–44.

    Article  PubMed  Google Scholar 

  8. Wiesenfeld L, Abbey S, Takahashi SG, Abrahams C. Choosing psychiatry as a career: motivators and deterrence at a critical decision-making juncture. Can J Psychiatry. 2014;59(8):450–4.

    PubMed  PubMed Central  Google Scholar 

  9. Lau T, Zamani D, Lee EK, Asli KD, Gill J, Brager N, et al. Factors affecting recruitment into psychiatry: a Canadian experience. Acad Psychiatry. 39:246-252.

  10. Farooq K et al. Why medical students choose psychiatry—a 20 country cross-sectional survey. BMC Med Educ. 2014;14:12.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Farooq K, Lydall G, Bhugra D. What attracts medical students towards psychiatry? A review of factors before and during medical school. Int Rev Psychiatry. 2013;25:371–7.

    Article  PubMed  Google Scholar 

  12. Fiorillo A, Malik A, Luciano M, Del Vecchio V, Sampogna G, Del Gaudio L, et al. Challenges for trainees in psychiatry and early career psychiatrists. Int Rev Psychiatry. 2013;25(4):431–7.

    Article  PubMed  Google Scholar 

  13. Katschnig H. Are psychiatrists an endangered species? Observations on internal and external challenges to the profession. World Psychiatry. 2010;9(1):21–8.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Lydall G, Farooq K, Malik A, Bhugra D. Medical students in psychiatry. Int Rev Psychiatry. 2013;25(4):365.

    Article  PubMed  Google Scholar 

  15. Recent studies and reports on physician shortages in the US. American Association of Medical Colleges, August 2011. https://www.aamc.org/download/100598/data/. Accessed 18 May 2015.

  16. Roberts LW, Ohayon M, Coverdale J, et al. Strengthening psychiatry’s numbers. Acad Psychiatry. 2013;37(5):293–6.

    Article  PubMed  Google Scholar 

  17. Sielres F, Taylor M. Decline of U.S. medical student career choice of psychiatry and what to do about it. Am J Psychiatry. 1995;152:1416–26.

    Article  Google Scholar 

  18. National Resident Matching Program, Results and Data: 2015 Main Residency MatchSM. National Resident Matching Program, Washington, DC. 2001-15. http://www.nrmp.org/wp-content/uploads/2015/03/ADT2015_final.pdf. Accessed 18 May 2015.

  19. Leung K, Awani T, Chima C. What can qualitative studies reveal about recruitment into psychiatry? Acad Psychiatry. 2015;39:286–92.

    Article  PubMed  Google Scholar 

  20. Lyons A, Janca A. Impact of a psychiatry clerkship on stigma, attitudes toward psychiatry, and psychiatry as a career choice. BMC Med Educ. 2015;15:34.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Balon R, Franchini G, Freeman P, et al. Medical students’ attitudes and views of psychiatry: 15 years later. Acad Psychiatry. 1999;23:30–6.

    Article  Google Scholar 

  22. Weissman SH. Recommendations from the May 1992 conference to enhance recruitment of U.S. medical graduates into psychiatry. Acad Psychiatry. 1993;17:180–5.

    Article  CAS  PubMed  Google Scholar 

  23. Weissman S, Haynes R, Killian C, Robinowitz C. A model to determine the influence of medical students’ career choices: psychiatry, a case study. Acad Med. 1994;69:58–9.

    Article  CAS  PubMed  Google Scholar 

  24. Resident Census and GME Survey. 2000-14. http://www.psychiatry.org/learn/research--training/resident-census. Accessed 18 May 2015.

  25. Sierles FS. Medical school factors and career choice of psychiatry. Am J Psychiatry. 1982;139:1040–2.

    Article  CAS  PubMed  Google Scholar 

  26. Sierles FS, Dinwiddie SH, Patroi D, Atre-Vaidya N, Schrift MJ, Woodard JL. Factors affecting medical student career choice of psychiatry from 1999 to 2001. Acad Psychiatry. 2003;27:260–8.

    Article  PubMed  Google Scholar 

  27. Brown T, Addie K, Eagles J. Recruitment into psychiatry: views of consultants in Scotland. Psychiatr Bull. 2007;31:411–3.

    Article  Google Scholar 

  28. Lambert T, Turner G, Fazel S, Goldacre M. Reasons why some UK medical graduates who initially choose psychiatry did not pursue it as a long-term career. Psychol Med. 2006;36:679–84.

    Article  PubMed  Google Scholar 

  29. Bhugra D, Sartorius N, Fiorillo A, Evans-Lacko S, Ventriglio A, Hermans MH, et al. EPA guidance on how to improve the image of psychiatry and of the psychiatrist. Eur Psychiatry. 2015;30:423–30.

    Article  CAS  PubMed  Google Scholar 

  30. Serby M, Schmeideler J, Smith J. Acad Psychiatry. 2002;26(2):102–4.

    Article  PubMed  Google Scholar 

  31. Year Two Questionnaire (Y2Q). https://www.aamc.org/data/y2q/. Accessed 15 November 2015.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John J. Spollen.

Ethics declarations

Disclosure

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Spollen, J.J., Beck Dallaghan, G.L., Briscoe, G.W. et al. Medical School Factors Associated with Higher Rates of Recruitment into Psychiatry. Acad Psychiatry 41, 233–238 (2017). https://doi.org/10.1007/s40596-016-0522-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40596-016-0522-2

Keywords

Navigation