出版社：Association for Medical Education in Europe (AMEE)
摘要：Objective: To determine the experience of prevocational junior doctors during psychiatry terms in New South Wales, Australia, and the impact on career intention and perception of psychiatry.Method: A cross-sectional mixed-methods survey was sent to 197 prevocational junior doctors (PGY1-PGY2 ) undertaking a psychiatry or drug and alcohol term across New South Wales in 2015 – 2016, and referred here as psychiatry terms.Results: Seventy-seven junior doctors (39% response rate) participated. The psychiatry term was rated as a positive experience by 82% (n=63), with several key influences identified. The proportion of respondents interested in a psychiatry career increased by 19%, pre-term to post-term (p=0.004). Qualitative data point to improved perceptions of psychiatry post-term due to improved mental health literacy, applicability of skills across vocations, and psychiatrist role models. Challenging clinical situations were considered positive influences if managed effectively by senior staff. Poorer perceptions of psychiatry post-term were rare.Conclusions: Our findings suggest that both career intention and overall perceptions of psychiatry are influenced by factors specific to the junior doctor role (as opposed to medical student). In addition, exposure to effective management and good supervision of challenging situations has a positive influence on some junior doctors.
