OBJECTIVE: Russia's invasion of Ukraine in February 2022 triggered a huge wave of migration, with thousands of refugees arriving at Prague's Central Station. With no medical service available, medical students started to volunteer and were running an infirmary available around the clock. The research aimed to explore medical students' professional experiences, emotionally challenging situations, and coping strategies in this demanding setting. METHODS: The authors used a qualitative analysis of semi-structured in-depth interviews with 19 participants recruited through purposive sampling. Interviews took place between April and May 2022. Data were recorded, transcribed, and processed by using thematic qualitative analysis. RESULTS: The research identified five emotionally challenging situations: caring for traumatized refugees, refusal of treatment, disruption of everyday life, independent decision-making, and complexity of voluntary work. Students adopted both adaptive and maladaptive coping strategies for dealing with stress and trauma. Almost half the students reported signs of secondary traumatization and moral distress; however, no one asked for psychological help. CONCLUSIONS: Medical school curricula should cover trauma-informed approaches, healthy coping strategies, and destigmatization of psychological problems.
- MeSH
- dobrovolní pracovníci psychologie MeSH
- kurikulum MeSH
- kvalitativní výzkum MeSH
- lidé MeSH
- studenti lékařství * psychologie MeSH
- uprchlíci * psychologie MeSH
- zdravotní stav MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články 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.
- MeSH
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- postoj zdravotnického personálu MeSH
- postoj MeSH
- průzkumy a dotazníky MeSH
- psychiatrie * MeSH
- studenti lékařství * MeSH
- volba povolání MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
- MeSH
- lidé MeSH
- psychiatrie výchova MeSH
- rodina psychologie MeSH
- vzdělávání pacientů jako téma metody MeSH
- zdraví - znalosti, postoje, praxe * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- úvodníky MeSH
- MeSH
- kurikulum MeSH
- kurzy a stáže v nemocnici metody MeSH
- lidé MeSH
- paliativní péče * MeSH
- péče o umírající MeSH
- studium lékařství pregraduální metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- úvodníky MeSH
OBJECTIVE: The authors examined current knowledge about psychoeducation for schizophrenia in Czech Republic. METHODS: The authors sent a screening survey to 550 mental health-care facilities and administered a detailed questionnaire to 113 providers of mental health and social services and to 200 service users. The authors also carried out 14 focus groups and 16 individual interviews. RESULTS: Forty-six departments provided some type of psychoeducation for schizophrenia; of these, 16 provided family psychoeducation for patients and relatives and 1 provided psychoeducation only for relatives. Service users who received psychoeducation performed significantly better in the test of knowledge than did service users who did not receive psychoeducation. CONCLUSION: The authors propose a service user-driven curriculum based on information delivery followed by skills training. Psychiatrists should learn to explain schizophrenia relapse neurobiology to laypeople and to address relatives' frustrations.
- MeSH
- emoční inteligence MeSH
- klinické kompetence MeSH
- lidé MeSH
- odhad potřeb MeSH
- osoby pečující o pacienty výchova MeSH
- postoj zdravotnického personálu MeSH
- prognóza MeSH
- průzkumy a dotazníky MeSH
- psychiatrie výchova MeSH
- sběr dat MeSH
- schizofrenie * diagnóza terapie MeSH
- služby péče o duševní zdraví MeSH
- sociální práce psychiatrická výchova metody MeSH
- vzdělávání pacientů jako téma metody MeSH
- zdraví - znalosti, postoje, praxe MeSH
- zjišťování skupinových postojů MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
OBJECTIVE: Psychiatrists and other physicians sometimes read publications superficially, relying excessively on abstracts. The authors addressed this problem by teaching critical appraisal of individual articles. METHOD: The authors developed a 23-item appraisal instrument to assess articles in the area of psychopharmacology. The results were collected with an electronic voting system. A discussion of each of the item followed; tutors shared their views and provided key ratings. RESULTS: Six publications were evaluated in the course of three workshops by a total of 58 trainees. Evaluation of the papers yielded varying results, reflecting variations of the participants' theoretical background as well as varied quality of the publications. The authors present detailed analysis of one paper as an illustrative example. CONCLUSION: The discussion format and voting stimulated active participation of the trainees. Active involvement, facilitated by the structured assessment tool, followed by feedback with discussion, may enhance the learning process.
- MeSH
- lidé MeSH
- periodika jako téma MeSH
- psychofarmakologie výchova MeSH
- učení MeSH
- zpětná vazba MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH