Video cases as tricksters, in medical students´ transition to psychiatric clerkship. A liminal perspective

Abstract Background This study explored how a preparatory teaching format using patient cases portrayed in videos influenced medical students’ clinical learning and practice experiences in their psychiatric clerkship.Methods The study applied a qualitative explorative design. We asked the students to draw their experience with a patient encounter in real clinical setting. Subsequently we interviewed the students unfold the students’ perspectives on how they navigated learning from the preparatory teaching in their clerkship. Data was transcribed verbatim and coded by an inductive thematic analysis.ResultsThe results demonstrated that students’ use of learning from the video cases varied according to their roles in patient encounter situations in their clerkship. Students having active roles in the diagnostic interview adopted a patient-centred focus demonstrated by empathic engagement with the patient and self-reflexivity related to the video cases. Students with passive roles, observing a doctor, described a self-centred focus on how to adopt an appropriate appearance and copied the surface behaviour of the simulated doctors in the video cases.Conclusion Our study findings contribute to broadening the understanding of how video cases in preparatory teaching formats affect students’ approach to patient encounters and their clinical learning experience. The results also reflect the importance of active engagement of students in the clinical learning context if preparatory teaching should have an effect.

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The Potential Effect of the Psychiatric Clerkship and Contact-Based Hypothesis on Explicit and Implicit Stigmatizing Attitudes of Canadian Medical Students Towards Mental Illness

Academic Psychiatry ◽

10.1007/s40596-019-01090-2 ◽

2019 ◽

Vol 43 (6) ◽

pp. 605-609 ◽

Cited By ~ 2

Author(s):

Anish Arora ◽

Harman S. Sandhu ◽

Jennifer Brasch

Keyword(s):

Mental Illness ◽

Medical Students ◽

Potential Effect ◽

Stigmatizing Attitudes ◽

Psychiatric Clerkship

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The Effects of Teaching Medical Students Psychotherapy Skills in the Outpatient Department

The Canadian Journal of Psychiatry ◽

10.1177/070674378703200305 ◽

1987 ◽

Vol 32 (3) ◽

pp. 185-189 ◽

Cited By ~ 6

Author(s):

Daniel Frank ◽

Arthur Propst ◽

Paul Goldhamer

Keyword(s):

Medical Students ◽

Psychodynamic Psychotherapy ◽

Interpersonal Skills ◽

Learning Experience ◽

Medical Patients ◽

Outpatient Psychotherapy ◽

Educational Value ◽

Clinical Exposure ◽

The Impact ◽

Psychiatric Clerkship

A psychiatric clerkship which emphasizes a clinical exposure to the conduct of outpatient psychodynamic psychotherapy is described and evaluated. Compared to more traditional inpatient based clerkships, an outpatient psychotherapy-oriented clerkship attracts significantly greater numbers of students. In addition, medical students taking such a rotation rate its educational value on its completion significantly more positively compared to other clerkship sites. Finally, students taking the psychotherapy oriented clerkship opt for psychiatry as a specialty significantly more frequently than students taking the more traditional clerkships. The impact of such a learning experience on interpersonal skills with non-psychiatric, medical patients is also discussed.

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Medical students' learning as primary therapists or as participant/observers in a psychiatric clerkship

American Journal of Psychiatry ◽

10.1176/ajp.140.12.1615 ◽

1983 ◽

Vol 140 (12) ◽

pp. 1615-1618 ◽

Cited By ~ 6

Keyword(s):

Medical Students ◽

Psychiatric Clerkship

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The Effect of Psychiatric Clerkship on Medical Students’ Attitudes Toward Psychiatry and Their Intention to Pursue Psychiatry as a Career

European Psychiatry ◽

10.1016/s0924-9338(09)71202-7 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1

Author(s):

S.M. Samimi-Ardestani

Keyword(s):

Medical Students ◽

Positive Attitude ◽

Positive Impact ◽

Psychological Needs ◽

Favorable Attitude ◽

Undergraduate Level ◽

Students Attitudes ◽

Teaching Psychiatry ◽

The Relationship ◽

Psychiatric Clerkship

Background:The attitudes of medical students toward psychiatry have been studied extensively in other countries. A positive attitude to psychiatry may make future doctors more responsive to the psychological needs and comorbidity of patients in all branches of medicine.Purpose:The purpose of this study was to examine whether attitudes toward psychiatry improved during psychiatric attachment as well as the relationship between attitudes to psychiatry and intention to pursue psychiatry as a career.Methods:On the first and last day of their psychiatric attachment 109 fifth year medical students of SBMU were asked to participate in the study. They completed a demographic form and “Attitude toward Psychiatry Questionnaire”. They also responded to two questions which measured their intention to pursue psychiatry as a prospective career.Results:Students had favorable attitude toward psychiatry before the attachment with mean score of 84.14 on Attitude to Psychiatry Questionnaire (neutral score 72). These attitudes become more positive after attachment. Students’ intention to pursue psychiatry as a career increased during attachment (t=-4.85 df =107 p=0.000). Improvement in attitudes was related to an increased intention to pursue psychiatry as a career (rho=0.170 n=109 p=0.032).Conclusions:The study confirms earlier reports of a significant positive impact of undergraduate psychiatric attachment on medical students’ attitudes toward psychiatry and their intention to pursue psychiatry. Thus, teaching psychiatry at an undergraduate level may well have important implications.

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