Medical Students' Career Choice and Attitudes Toward Psychiatry: Case of the Czech Republic
Language English Country United States Media print-electronic
Document type Journal Article
Grant support
Progres Q35
Univerzita Karlova v Praze
PubMed
33000447
DOI
10.1007/s40596-020-01311-z
PII: 10.1007/s40596-020-01311-z
Knihovny.cz E-resources
- Keywords
- Career choice, Child and adolescent psychiatry, Psychiatry, Stigma, Undergraduate training,
- MeSH
- Child MeSH
- Humans MeSH
- Adolescent MeSH
- Attitude of Health Personnel MeSH
- Attitude MeSH
- Surveys and Questionnaires MeSH
- Psychiatry * MeSH
- Students, Medical * MeSH
- Career Choice MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Adolescent MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
OBJECTIVE: A survey among medical students of all medical schools in the Czech Republic was conducted to investigate attitudes and views of psychiatry and career choice of psychiatry. METHODS: A Czech version of the Attitudes to Psychiatry Scale (APS) and a questionnaire surveying demographic characteristics and choices of future specialty were distributed to all medical students of eight medical schools in the Czech Republic via the schools' internal communication systems in the form of an anonymous online questionnaire. RESULTS: Out of a total of 10,147 medical students in the Czech Republic (academic year 2019/2020), 2418 students participated in the survey (response rate 23.8%). Psychiatry as a non-exclusive career choice was considered by 31.3% respondents; child and adolescent psychiatry was considered by 15.4% respondents. Psychiatry as the only choice was considered by 1.6%, and child and adolescent psychiatry was not considered at all. The interest in both specialties was declining since the first year of study. The status of psychiatry among other medical specialties was perceived as low; students were rather discouraged from entering psychiatry by their families. They did not feel encouraged by their teachers to pursue career in psychiatry despite the fact that they were interested in psychiatry. They also felt uncomfortable with patients with mental illness. CONCLUSIONS: Despite high enthusiasm for psychiatry in the first year of medical school, only a small proportion of medical students consider to choose psychiatry, and especially child and adolescent psychiatry, as a career at the end of medical school.
Charles University 1st Medical Faculty Prague Czech Republic
Charles University 2nd Medical Faculty Prague Czech Republic
Charles University 3rd Medical Faculty Prague Czech Republic
Charles University Faculty of Medicine in Hradec Králové Hradec Králové Czech Republic
Charles University Faculty of Medicine in Pilsen Pilsen Czech Republic
Masaryk University Faculty of Medicine Brno Czech Republic
National Institute of Mental Health Klecany Czech Republic
Psychiatric Hospital Bohnice Prague Czech Republic
University of Ostrava Faculty of Medicine Ostrava Czech Republic
University Palacky Olomouc Faculty of Medicine and Dentistry Olomouc Czech Republic
See more in PubMed
Mukherjee K, Maier M, Wessely S. UK crisis in recruitment into psychiatric training. Psychiatrist. 2013;37:210–4. DOI
Cutler JL, Harding KJ, Mozian SA, Wright LL, Pica AG, Masters SR, et al. Discrediting the notion “working with ‘crazies’ will make you ‘crazy’”: addressing stigma and enhancing empathy in medical student education. Adv Health Sci Educ. 2009;14:487–502. DOI
Curtis-Barton MT, Eagles JM. Factors that discourage medical students from pursuing a career in psychiatry. Psychiatrist. 2011;35:425–9. DOI
Ay P, Save D, Fidanoglu O. Does stigma concerning mental disorders differ through medical education? A survey among medical students in Istanbul. Soc Psychiatry Psychiatr Epidemiol. 2006;41:63–7. DOI
Magliano L, Read J, Sagliocchi A, Patalano M, D’Ambrosio A, Oliviero N. Differences in views of schizophrenia during medical education: a comparative study of 1st versus 5th-6th year Italian medical students. Soc Psychiatry Psychiatr Epidemiol. 2013;48:1647–55. DOI
Adewuya AO, Makanjuola ROA. Social distance towards people with mental illness amongst Nigerian university students. Soc Psychiatry Psychiatr Epidemiol. 2005;40:865–8. DOI
Janoušková M, Weissová A, Formánek T, Pasz J, Bankovská ML. Mental illness stigma among medical students and teachers. Int J Soc Psychiatry. 2017;63:744–51. DOI
Balon R, Franchini GR, Freeman PS, Hassenfeld IN, Keshavan MS, Yoder E. Medical students’ attitudes and views of psychiatry. Acad Psychiatry. 1999;23:30–6. DOI
Farooq K, Lydall GJ, Malik A, Ndetei DM, Bhugra D, Alemu YB, et al. Why medical students choose psychiatry - a 20 country cross-sectional survey. BMC Med Educ. 2014;14:12. DOI
Warnke I, Gamma A, Buadze M, Schleifer R, Canela C, Strebel B, et al. Predicting medical students’ current attitudes toward psychiatry, interest in psychiatry, and estimated likelihood of working in psychiatry: a cross-sectional study in four European countries. Front Psychiatry. 2018;9:49. DOI
Goldenberg MN, Williams DK, Spollen JJ. Stability of and factors related to medical student specialty choice of psychiatry. Am J Psychiatry. 2017;174:859–66. DOI
Pailhez G, Bulbena A, Coll J, Ros S, Balon R. Attitudes and views on psychiatry: a comparison between Spanish and US medical students. Acad Psychiatry. 2005;29:82–91. DOI
Winkler P, Mladá K, Janoušková M, Weissová A, Tušková E, Csémy L, et al. Attitudes towards the people with mental illness: comparison between Czech medical doctors and general population. Soc Psychiatry Psychiatr Epidemiol. 2016;51:1265–73. DOI
Winkler P, Csémy L, Janoušková M, Mladá K, Bankovská Motlová L, Evans-Lacko S. Reported and intended behaviour towards those with mental health problems in the Czech Republic and England. Eur Psychiatry. 2015;30:801–6. DOI
Pessar LF, Pristach CA, Leonard KE. What troubles clerks in psychiatry? A strategy to explore the question. Acad Psychiatry. 2008;32:194–8. DOI
Yakeley J, Hale R, Johnston J, Kirtchuk G, Shoenberg P. Psychiatry, subjectivity and emotion–deepening the medical model. Psychiatr Bull. 2014;38:97–101. DOI
Yakeley J, Shoenberg P, Heady A. Who wants to do psychiatry?: the influence of a student psychotherapy scheme–a 10-year retrospective study. Psychiatr Bull. Cambridge University Press. 2004;28:208–12. DOI
Lyons Z, Janca A. Impact of a psychiatry clerkship on stigma, attitudes towards psychiatry, and psychiatry as a career choice. BMC Med Educ. 2015;15:34. DOI
Feeney L, Jordan I, McCarron P. Teaching recovery to medical students. Psychiatr Rehabil J. 2013;36:35–41. DOI
Deb T, Lempp H, Bakolis I, Vince T, Waugh W, Henderson C. Responding to experienced and anticipated discrimination (READ): anti -stigma training for medical students towards patients with mental illness – study protocol for an international multisite non-randomised controlled study. BMC Med Educ. 2019;19:41. DOI
Self-compassion in medical students: a pilot study of its association with professionalism pressure