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Senior Medical Students’ Attitudes Toward Psychiatry as a Career Choice Before and After an Undergraduate Psychiatry Internship in Iran

Abstract

Objective

The study aimed to assess 1) the attitudes of medical students in the sixth and seventh years (known as interns in Iran) toward psychiatry as a career choice, and 2) the degree of attractiveness of psychiatry as a career choice, with regard to various defined aspects, before and after an undergraduate psychiatry internship (similar to the medical school psychiatry rotation in the United States, but mandatory in Iran) in three major medical schools in Tehran, the capital of Iran.

Methods

Sixth- and seventh-year medical students (locally called interns, N=347) at Tehran, Shahid Beheshti, and Iran Universities of Medical Sciences were consecutively invited to complete anonymous self-report questionnaires designed to assess their perceptions of careers in psychiatry before and after internship in psychiatry wards. Also, students evaluated psychiatry in terms of the factors that reflected the degree of attractiveness of this specialty.

Results

Positive responses toward choosing psychiatry as a career were seen in 18.8% before and 20.0% after psychiatry rotation. No significant differences were observed in the positive responses before and after psychiatry internship. The students’ opinions changed to a more attractive degree in terms of only 3 out of the 13 defined aspects. There was also no significant difference in the total score on attractiveness of psychiatry before and after the psychiatry internship.

Conclusions

The study indicated that undergraduate psychiatry internship might not induce more students to consider psychiatry

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References

  1. Scully JH: Why be concerned about recruitment? Am J Psychiatry 1995; 152:1413–1414

    CAS  PubMed  Google Scholar 

  2. Weissman SH, Haynes RA, Killian CD, et al: A model to determine the influence of medical school on students’ career choices: psychiatry: a case study. Acad Med 1994; 69:58–59

    CAS  PubMed  Article  Google Scholar 

  3. Wilkinson DG, Greer S, Toone BK: Medical students’ attitudes to psychiatry. Psychol Med 1983; 13:185–192

    CAS  PubMed  Article  Google Scholar 

  4. Syed EU, Siddiqi MN, Dogar I, et al: Attitudes of Pakistani medical students toward psychiatry as a prospective career: a survey. Acad Psychiatry 2008; 32:160–164

    PubMed  Article  Google Scholar 

  5. Holm-Petersen C, Vinge S, Hansen J, et al: The impact of contact with psychiatry on senior medical students’ attitudes toward psychiatry. Acta Psychiatr Scand 2007; 116:308–311

    CAS  PubMed  Article  Google Scholar 

  6. Sierles FS, Taylor MA: Decline of U.S. medical student career choice of psychiatry and what to do about. Am J Psychiatry 1995; 152:1416–1426

    CAS  PubMed  Google Scholar 

  7. Balon R, Franchini GR, Freeman PS, et al: Medical students’ attitudes and views of psychiatry: 15 years later. Acad Psychiatry 1999; 20:30–36

    Google Scholar 

  8. Sierles FS, Dinwiddie SH, Patroi D, et al: Factors affecting medical student career choice of psychiatry from 1999 to 2001. Acad Psychiatry 2003; 27:260–268

    PubMed  Article  Google Scholar 

  9. Koh KB: Medical students’ attitudes toward psychiatry in a Korean medical college. Yonsei Med J 1990; 31:60–64

    CAS  PubMed  Google Scholar 

  10. Samuel-Lajeunesse B, Ichou P: French medical students’ opinion of psychiatry. Am J Psychiatry 1985; 142:1462–1466

    CAS  PubMed  Google Scholar 

  11. Yager J, Lamotte K, Nielsen A 3rd, et al: Medical students’ evaluation of psychiatry: a cross-country comparison. Am J Psychiatry 1982; 139:1003–1009

    CAS  PubMed  Google Scholar 

  12. Lee EK, Kaltreider N, Crouch J: Pilot study of current factors influencing the choice of psychiatry as a specialty. Am J Psychiatry 1995; 152:1066–1069

    CAS  PubMed  Google Scholar 

  13. Pan PC, Lee PW, Lieh-Mak FF: Psychiatry as compared to other career choices: a survey of medical students in Hong Kong. Med Educ 1990; 24:251–257

    CAS  PubMed  Article  Google Scholar 

  14. Soufi HE, Raoof AM: Attitude of medical students towards psychiatry. Med Educ 1992; 26:38–41

    CAS  PubMed  Article  Google Scholar 

  15. Calvert SH, Sharpe M, Power M, et al: Does undergraduate education have an effect on Edinburgh medical students’ attitudes to psychiatry and psychiatric patients? J Nerv Ment Dis 1999; 187:757–761

    CAS  PubMed  Article  Google Scholar 

  16. Malhi GS, Parker GB, Parker K, et al: Attitudes toward psychiatry among students entering medical school. Acta Psychiatr Scand 2003; 107:424–429

    CAS  PubMed  Article  Google Scholar 

  17. Manassis K, Katz M, Lofchy J, et al: Choosing a career in psychiatry: influential factors within a medical school program. Acad Psychiatry 2006; 30:325–329

    PubMed  Article  Google Scholar 

  18. Reddy JP, Tan SM, Azmi MT, et al: The effect of a clinical posting in psychiatry on the attitudes of medical students towards psychiatry and mental illness in a Malaysian medical school. Ann Acad Med Singapore 2005; 34:505–510

    CAS  PubMed  Google Scholar 

  19. Xavier M, Almeida JC: Impact of clerkship in the attitudes toward psychiatry among Portuguese medical students. BMC Med Educ 2010; 10:56

    PubMed Central  PubMed  Article  Google Scholar 

  20. Lampe L, Coulston C, Walter G, et al: Familiarity breeds respect: attitudes of medical students towards psychiatry following a clinical attachment. Australas Psychiatry 2010; 18:348–353

    PubMed  Article  Google Scholar 

  21. Aslam M, Taj T, Ali A, et al: Psychiatry as a career: a survey of factors affecting students’ interest in psychiatry as a career. McGill J Med 2009; 12:7–12

    PubMed Central  PubMed  Google Scholar 

  22. Ndetei DM, Khasakhala L, Ongecha-Owuor F,et al: Attitudes toward psychiatry: a survey of medical students at the University of Nairobi, Kenya. Acad Psychiatry 2008; 32:154–159

    PubMed  Article  Google Scholar 

  23. Niedermier JA, Bornstein R, Brandemihl A: The junior medical student psychiatry clerkship: curriculum, attitudes, and test performance. Acad Psychiatry 2006; 30:136–143

    PubMed  Article  Google Scholar 

  24. Pailhez G, Bulbena A, Coll J, et al: Attitudes and views on psychiatry: a comparison between Spanish and U.S. medical students. Acad Psychiatry 2005; 29:82–91

    PubMed  Article  Google Scholar 

  25. Samimi M, Noroozi A, Mottaghipour Y: The effect of psychiatric clerkship on fifth-year medical. Iran J Psychiatry 2006; 3:98–103

    Google Scholar 

  26. Feifel D, Moutier CY, Swerdlow NR: Attitudes toward psychiatry as a prospective career among students entering medical school. Am J Psychiatry 1999; 156:1397–1402

    CAS  PubMed  Google Scholar 

  27. Parsa S, Aghazadeh A, Nejatisafa AA, et al: Freshmen versus interns’ specialty interests. Arch Iran Med 2010; 13:509–515

    PubMed  Google Scholar 

  28. Nielsen AC 3rd, Eaton JS Jr: Medical students’ attitudes about psychiatry: implications for psychiatric recruitment. Arch Gen Psychiatry 1981; 38:1144–1154

    PubMed  Article  Google Scholar 

  29. Goldacre MJ, Turner G, Fazel S, et al: Career choices for psychiatry: national surveys of graduates of 1974–2000 from U.K. medical schools. Br J Psychiatry 2005; 186:158–164

    PubMed  Article  Google Scholar 

  30. Azizi F: Medical education in the Islamic Republic of Iran: three decades of success. Iran J Public Health 2009; 38(Supp. 1):S19–S26

    Google Scholar 

  31. Abolghassemi F, Mohammad A, Jouyban A: Scientometric analysis of the major Iranian medical universities. Sciento-metrics 2011; 87:205–220

    Article  Google Scholar 

  32. Balon R: Does a clerkship in psychiatry affect medical students’ attitudes toward psychiatry? Acad Psychiatry 2008; 32:73–75

    PubMed  Article  Google Scholar 

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Correspondence to Homayoun Amini M.D., M.P.H..

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Amini, H., Moghaddam, Y., Nejatisafa, AA. et al. Senior Medical Students’ Attitudes Toward Psychiatry as a Career Choice Before and After an Undergraduate Psychiatry Internship in Iran. Acad Psychiatry 37, 196–201 (2013). https://doi.org/10.1176/appi.ap.10120171

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  • DOI: https://doi.org/10.1176/appi.ap.10120171

Keywords

  • Medical Student
  • Career Choice
  • Academic Psychiatry
  • Acad Psychiatry
  • Psychiatry Clerkship