Education Research: A Qualitative Study on Student Perceptions of Neurology and Psychiatry Clerkship Integration
Education Research: A Qualitative Study on Student Perceptions of Neurology and Psychiatry Clerkship Integration
复制标题
教育研究：学生对神经病学和精神病学实习整合认知的定性研究
作者：
Justin J. Mowchun;J. Frew;G. Shoop
目的探讨学生对神经病学和精神病学实习整合的可行性的看法，包括临床教育和能力评估，因为有人呼吁改善本科医学教育的学科整合，以更好地培养能够解决神经系统疾病的医生。方法通过建构主义扎根理论方法，我们在2016-2017年与28名完成独立实习的医学生进行了5个焦点小组。研究者三角测量与迭代解释比较一起使用，并使用恒定比较分析确定主题。结果出现了三个主要主题：（1）结合实习是不有利的，因为学生需要足够的时间深入研究每个学科;（2）学生没有观察到教师的综合临床方法;（3）有积极的价值，使神经病学和精神病学之间的联系，有效的病人护理。结论学生强调了加强两个学科之间的联系，以提高他们的学习和病人护理的重要性，但是，他们没有观察到这种临床方法在工作场所。学生认为，神经病学和精神病学见习的整合应通过增加每个专业的学员和教师的互补学科的亲和力发生。
Objective To explore student perceptions of the feasibility of neurology and psychiatry clerkship integration, including clinical education and competency evaluation, as there has been a call to improve undergraduate medical education integration of the disciplines to better develop physicians that can address nervous system disorders. Method Via a constructivist grounded theory approach, we carried out 5 focus groups in 2016–2017 with 28 medical students who completed both independent clerkships. Investigator triangulation was used with iterative interpretation comparisons, and themes were identified using constant comparative analysis. Results Three major themes arose: (1) combining the clerkships was not favorable as students need sufficient time to delve deeper into each discipline; (2) students did not observe an integrated clinical approach by faculty; (3) there is positive value to making links between neurology and psychiatry for effective patient care. Conclusions Students emphasized the importance of making stronger links between the 2 disciplines for their learning and to improve patient care; however, they did not observe this clinical approach in the workplace. Students perceived that integration of neurology and psychiatry clerkships should occur via increased affinity of the complementary discipline by trainees and faculty in each specialty.
DOI：
10.1176/appi.neuropsych.17100200
发表时间：
2018
期刊：
The Journal of neuropsychiatry and clinical neurosciences
影响因子：
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作者：
Perez DL;Keshavan MS;Scharf JM;Boes AD;Price BH
通讯作者：
Price BH