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The Actual Status of Undergraduate Training

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Part of the book series: Mental Health and Illness Worldwide ((MHIW))

Abstract

Psychiatry education has evolved over the years in tandem with advances in the care of the mentally ill, population mental health needs, historical developments in specialty practice, and advances in scientific knowledge and treatment discoveries. The need for special skills in psychiatry such as empathy, patience, and understanding are recognized. Evidence in best practices in medical education and new learning theories, and better understanding of students’ learning needs, have transformed psychiatry education. This chapter traces psychiatry education over the years, highlights innovative practices that have been introduced, and also identifies areas for improvement.

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References

  • Abbey S, Charbonneau M, Tranulis C, Moss P, Baici W, Dabby L et al (2011) Stigma and discrimination. Can J Psychiatr 56:1–9

    Article  Google Scholar 

  • American Psychiatric Association (2002) Psychiatric residents as teachers: a practical guide. APA, Arlington

    Google Scholar 

  • Balon R (2008) Does a clerkship affect medical students’ attitudes towards psychiatry? Acad Psychiatry 32:73–75

    Article  Google Scholar 

  • Barrows HS (1993) An overview of the uses of standardized patients for teaching and evaluating clinical skills. AAMC. Acad Med 68:443–451

    Article  CAS  Google Scholar 

  • Barrows HS, Abrahamson S (1964) The programmed patient: a technique for appraising student performance in clinical neurology. Acad Med 39:802–805

    CAS  Google Scholar 

  • Bell K, Boshuizen H, Scherpbier A, Dornan T (2009) When only the real thing will do: junior medical students’ learning from real patients. Med Educ 43:1036–1043

    Article  Google Scholar 

  • Bennett AJ, Arnold LM, Welge JA (2006) Use of standardized patients during a psychiatry clerkship. Acad Psychiatry 30:185–190

    Article  Google Scholar 

  • Bibace R, Catlin RJ, Quirk ME, Beattie KA, Slabaugh RC (1981) Teaching styles in the faculty-resident relationship. J Fam Pract 13:895–900

    CAS  PubMed  Google Scholar 

  • Birndorf CA, Kaye MME (2002) Teaching the mental status examination to medical students by using a standardized patient in a large group setting. Acad Psychiatry 26:180–183

    Article  Google Scholar 

  • Blazek MC, Dantz B, Wright MC, Fiedorowicz JG (2016) Spaced learning using emails to integrate psychiatry into general medical curriculum: keep psychiatry in mind. Med Teach 38(10):1049–1055

    Article  Google Scholar 

  • Bleakley A, Brice J, Bligh J (2008) Thinking the post-colonial in medical education. Med Educ 42:266–270

    Article  Google Scholar 

  • Bokken L, Rethans JJ, Scherpbier AJ, van der Vleuten CP (2008) Strengths and weaknesses of simulated and real patients in the teaching of skills to medical students: a review. Simul Healthc 3:161–169

    Article  Google Scholar 

  • Bomba J (n.d.) Undergraduate and postgraduate mental health education in Poland. Retrieved from: http://www.entermentalhealth.net/publications/bomba02.pdf. Accessed 28 June 2016

  • Brenner AM (2009) Uses and limitations of simulated patients in psychiatric education. Acad Psychiatry 33:112–119

    Article  Google Scholar 

  • Broquet K (2002) Using an objective structured clinical examination in a psychiatry residency. Acad Psychiatry 26:197–201

    Article  Google Scholar 

  • Caruso (n.d.) International suicide statistics. Retrieved from: http://www.suicide.org/international-suicide-statistics.html. Accessed 30 June 2016

  • Chatham-Showalter PE, Silberman EK, Hales RE (1993) Learning priorities of staff, residents and students for a third-year psychiatric clerkship. Acad Psychiatry 17:21–25. https://doi.org/10.1007/BF03341501

    Article  CAS  PubMed  Google Scholar 

  • Cleland JA, Abe K, Rethans JJ (2009) The use of simulated patients in medical education: AMEE guide no 42. Med Teach 31:477–486

    Article  Google Scholar 

  • Crammer J (1996) Training and education in British psychiatry 1770–1970. In: Freeman H, Berrios G (eds) 150 years of British psychiatry. Vol: II: the After-math pp 209–242. London: Athlone

    Google Scholar 

  • Cutting MF, Saks NS (2012) Twelve tips for utilizing principles of learning to support medical education. Med Teach 34:20–24

    Article  Google Scholar 

  • Dale JT, Bhavsar V, Bhugra D (2007) Undergraudate medical education of psychiatry in the west. Indian J Psychiatry 49:166–168. https://doi.org/10.4103/0019-5545.37315

    Article  PubMed  PubMed Central  Google Scholar 

  • Dogra N, Hoschl C, Moussaoui D (2011) Developing a medical student curriculum in psychiatry. In: Gask L, Coskun B, Baron D (eds) Teaching psychiatry: putting theory into practice. Wiley, Chichester

    Google Scholar 

  • Ebaugh FG (1944) The history of psychiatric education in the United States from 1844 to 1944. Am J Psychiatry 100:151–160. https://doi.org/10.1176/ajp.100.6151

    Article  Google Scholar 

  • Eng B (2011) Teaching medical undergraduates: the psychiatrist as medical teacher. Adv Psychiatr Treat 17:104–109

    Article  Google Scholar 

  • Famuyiwa OO, Zachariah MP, Ilechukwu STC (1991) The objective structured clinical examination in undergraduate psychiatry. Med Educ 25:45–50

    Article  CAS  Google Scholar 

  • Feifel D, Moutier CY, Swerdlow NR (1999) Attitudes toward psychiatry as a prospective career among students entering medical school. Am J Psychiatr 156:1397–1402

    CAS  PubMed  Google Scholar 

  • Fido A, Al-Kazemi R (2000) Effective method of teaching psychiatry to undergraduate medical students: the student perspective. Med Princ Pract 9:255–259

    Article  Google Scholar 

  • Flexner A (1910) Medical education in the United States and Canada. A report to the Carnegie foundation for the advancement of teaching. Carnegie Foundation for the Advancement of Teaching. http://archive.carnegiefoundation.org/pdfs/elibrary/Carnegie_Flexner_Report.pdf

  • Fox GS, Stock S, Briscoe GW, Beck GL, Horton R, Hunt JI et al (2012) Improving child and adolescent psychiatry education for medical students: an inter-organizational collaborative action plan. Acad Psychiatry 36:461–464

    Article  Google Scholar 

  • Gaufberg EH, Batalden M, Sands R, Bell SK (2010) The hidden curriculum: what can we learn from third-year medical student narrative reflections? Acad Med 85:1709–1716

    Article  Google Scholar 

  • Gelder MG (1998) A core curriculum in psychiatry for medical students. Curr Opin Psychiatry 11:491–492

    Article  Google Scholar 

  • General Medical Council [GMC] (2009) Tomorrow’s doctors. Retrieved from: http://www.gmc-uk.org/Tomorrow_s_Doctors_1214.pdf_48905759.pdf. Accessed 1 July 2016

  • Goldberg D (1990) Reasons for misdiagnosis. In: Sartorius N, de Girolama G, Goldberg D, Costa SJA, Lecrubier Y, Wittchen HU (eds) Psychological disorders in medical settings. Hogrefe & Huber, Toronto, pp 139–145

    Google Scholar 

  • Gonullu I, Artar M (2014) Metacognition in medical education. Educ Health 27:225–226

    Article  Google Scholar 

  • Hall MJ, Adamo G, McCurry L, Lacy T, Waits W, Chow J et al (2004) Use of standardized patients to enhance a psychiatry clerkship. Acad Med 79:28–31

    Article  Google Scholar 

  • Hanna M, Fins JJ (2006) Viewpoint: power and communication: why simulation training ought to be complemented by experiential and humanist learning. Acad Med 81:265–270

    Article  Google Scholar 

  • Harden RM, Crosby J (2000) MEE guide no 20: the good teacher is more than a lecturer-the twelve roles of the teacher. Med Teach 22:334–347

    Article  Google Scholar 

  • Hays R (2008) Assessment in medical education: roles for clinical teachers. Clin Teach 5:23–27

    Article  Google Scholar 

  • Hodges BD (2006) The objective structured clinical examination: three decades of development. J Vet Med Educ 33:571–577

    Article  Google Scholar 

  • Hodges B, Regehr G, Hanson M, McNaughton N (1998) Validation of an objective structured clinical examination in psychiatry. Acad Med 73:910–912

    Article  CAS  Google Scholar 

  • Hoschl C, van Niekerk J (2011) Recruitment of psychiatrists: the key role of education. In: Gask L, Goskun B, Baron D (eds) Teachng psychiatry: putting theory into practice. Wiley, pp 5–18

    Chapter  Google Scholar 

  • Ikkos G (2003) Engaging patients as teachers of clinical interview skills. Psychiatrist 27:312–315

    Google Scholar 

  • Kallivayalil RA (2012) The importance of psychiatry in undergraduate medical education in India. Indian J Psychiatry 54:208–216. https://doi.org/10.4103/0019-5545.102336

    Article  PubMed  PubMed Central  Google Scholar 

  • Karim K, Edwards R, Dogra N, Anderson I, Davies T, Lindsay J et al (2009) A survey of the teaching and assessment of undergraduate psychiatry in the medical schools of the United Kingdom and Ireland. Med Teach 31:1024–1029

    Article  Google Scholar 

  • Kaufman DM, Mann KV (1998) Comparing achievement on the Medical Council of Canada qualifying examination part I of students in conventional and problem-based learning curricula. Acad Med 73:1211–1213

    Article  CAS  Google Scholar 

  • Kohn R, Saxena S, Levav I, Saraceno B (2004) The treatment gap in mental health care. Bull World Health Organ 82:852–866

    Google Scholar 

  • Krahn LE, Bostwick JM, Sutor B, Olsen MW (2002) The challenge of empathy. Acad Psychiatry 26:26–30

    Article  Google Scholar 

  • Krapf E (1951) The relationship of psychiatry and mental health care to clinical medicine and the sciences of man. Public Health Pap 9:9–13

    Google Scholar 

  • Kuhnigk O, Strebel B, Schilauske J, Jueptner M (2007) Attitudes of medical students towards psychiatry. Adv Health Sci Educ 12:87–101

    Article  Google Scholar 

  • Laffey P (2003) Psychiatric therapy in Georgian Britain. Psychol Med 33:1285–1297. https://doi.org/10.1017/S0033291703008109

    Article  PubMed  Google Scholar 

  • Langsley DG, Freedman AM, Haas M, Grubbs JH (1977) Medical student education in psychiatry. Am J Psychiatry 134:15–20

    Google Scholar 

  • Lewis JM (2002) On the use of standardized patients. Acad Psychiatry 26:193–196

    Article  Google Scholar 

  • Liaison Committee for Higher Education (2007) Scope and purpose of accreditation. Retrieved from: http://lcme.org/about/

  • Lin TY (1961) Evolution of mental health programme in Taiwan. Am J Psychiatr 117:961–971

    Article  CAS  Google Scholar 

  • Loschen EL (1993) Using the objective structured clinical examination in a psychiatry residency. Acad Psychiatry 17:95–100

    Article  CAS  Google Scholar 

  • Lyons Z (2014) Impact of the psychiatry clerkship on medical student attitudes towards psychiatry and to psychiatry as a career. Acad Psychiatry 38:35–42

    Article  Google Scholar 

  • Maguire GP, Julier DL, Hawton KE, Bancroft JHJ (1974) Psychiatric morbidity and referral on two general medical wards. Br Med 1:268–270

    Article  CAS  Google Scholar 

  • Mahendran R, Lim HA, Verma S, Kua EH (2014) Attitudes to psychiatry can change but what about stigma. Ann Acad Med Singap 43:473–474

    PubMed  Google Scholar 

  • Mahendran R, Lim HA, Verma S, Kua EH (2015a) Attitudes towards psychiatry across the globe: a five-country comparison of medical students’ attitudes following a psychiatry clerkship. Med Educ 49:3–29

    Google Scholar 

  • Mahendran R, Lim HA, Verma S, Kua EH (2015b) The impact of the educational environment on career choice and attitudes toward psychiatry. Med Teach 37:494–497

    Article  Google Scholar 

  • Manassis K, Katz M, Lofchy J, Wiesenthal S (2006) Choosing a career in psychiatry: influential factors within a medical school program. Acad Psychiatry 30:325–329

    Article  Google Scholar 

  • Marneros A (2008) Psychiatry’s 200th birthday. Br J Psychiatry 193(1):1–3. https://doi.org/10.1192/bjp.bp.108.051367

    Article  PubMed  Google Scholar 

  • Marton F, Saljo R (1976) On qualitative differences in learning: I – outcome and process. Br J Educ Psychol 46:4–11. https://doi.org/10.1111/j.2044-8279.1976.tb02980x

    Article  Google Scholar 

  • Marwaha S (2011) Objective structured clinical examinations (OSCEs), psychiatry and the clinical assessment of skills and competencies (CASC) same evidence, different judgement. BMC Psychiatry 11:85

    Article  Google Scholar 

  • Masson N (2011) Undergraduate psychiatry education: the challenges ahead. Adv Psychiatr Treat 17:110–113

    Article  Google Scholar 

  • May W, Park JH, Lee JP (2009) A ten-year review of the literature on the use of standardized patients in teaching and learning: 1996–2005. Med Teach 31:487–492

    Article  Google Scholar 

  • McIlwrick J, Nair B, Montgomery G (2006) “How am I doing?”: many problems but few solutions related to feedback delivery in undergraduate psychiatry education. Acad Psychiatry 30:130–135

    Article  Google Scholar 

  • McParland M, Noble LM, Livingston G (2004) The effectiveness of problem-based learning compared to traditional teaching in undergraduate psychiatry. Med Educ 38:859–867

    Article  Google Scholar 

  • Messineo L, Allegra M (2014) An educational model for undergraduate psychiatry students to promote clinical diagnostic reasoning. Procedia Soc Behav Sci 141:1309–1314

    Article  Google Scholar 

  • Miller GE (1990) The assessment of clinical skills/competence/performance. Acad Med 65:563–567

    Article  Google Scholar 

  • Mohanna K, Chambers R, Wall D (2007) Developing your teaching style: increasing effectiveness in healthcare teaching. Postgrad Med J 83:145–147

    Article  Google Scholar 

  • Mohl PC (2002) Of standardized patients and OSCEs. Acad Psychiatry 26:133–133

    Article  Google Scholar 

  • Moran M (2015) Early, consistent exposure to psychiatry attracts more medical students to the field. Psychiatr News. Retrieved from: http://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2015.6a12

  • Neher JO, Gordon KC, Meyer B, Stevens N (1992) A five-step “microskills” model of clinical teaching. J Am Board Fam Pract 5:419–424

    CAS  PubMed  Google Scholar 

  • Niedermier JA, Bornstein R, Brandemihl A (2006) The junior medical student psychiatry clerkship: curriculum, attitudes, and test performance. Acad Psychiatry 30:136–143

    Article  Google Scholar 

  • Oakley C, Oyebode F (2008) Medical students’ views about an undergraduate curriculum in psychiatry before and after clinical placements. BMC Med Educ 8:26

    Article  Google Scholar 

  • Paice E, Heard S, Moss F (2002) How important are role models in making good doctors? Br Med J 325:707

    Article  Google Scholar 

  • Papish A, Kassam A, Modgill G, Vaz G, Zanussi L, Patten S (2013) Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial. BMC Med Educ 13:141

    Article  Google Scholar 

  • Pinfold V, Thornicroft G, Huxley P, Farmer P (2005) Active ingredients in anti-stigma programmes in mental health. Int Rev Psychiatry 17:123–131

    Article  Google Scholar 

  • Prasad SJ, Nair P, Gadhvi K, Barai I, Lami M (2016) Improving the quality of psychiatry teaching within the UK undergraduate medical curriculum. Adv Med Educ Pract 7:163

    Article  Google Scholar 

  • Prideaux D (2003) ABC of learning and teaching in medicine: curriculum design. BMJ 326:268

    Article  Google Scholar 

  • Psychiatric Times (2002) Mental health care in the developing world. Psychiatric Times, 19. Retrieved from: http://www.psychiatrictimes.com/articles/mental-health-care-developing-world

  • Quality Assurance Agency [QAA] (1997) Retrieved from: http://www.qaa.ac.uk/home

  • Ramsden P (1982) How academic departments influence student learning. HERDSA News 4:3–15

    Google Scholar 

  • Riebschleger J, Scheid J, Luz C, Mickus M, Liszewski C, Eaton MM (2008) How are the experiences and needs of families of individuals with mental illness reflected in medical education guidelines? Acad Psychiatry 32:119–126

    Article  Google Scholar 

  • Rollin HR (2003) Psychiatry in Britain one hundred years ago. Br J Psychiatry 183(4):292–298. https://doi.org/10.1192/bjp.183.4.292

    Article  PubMed  Google Scholar 

  • Sanson-Fisher RW, Poole AD (1980) Simulated patients and the assessment of medical students’ interpersonal skills. Med Educ 14:249–253

    Article  CAS  Google Scholar 

  • Sartorius N (1993) WHO’s work on the epidemiology of mental disorders. Soc Psychiatry Psychiatr Epidemol 28:147–155. https://doi.org/10.1007/BF00797316

    Article  CAS  Google Scholar 

  • Sartorius N, Gaebel W, Cleveland HR, Stuart H, Akiyama T, Arboleda-Flórez J et al (2010) WPA guidance on how to combat stigmatization of psychiatry and psychiatrists. World Psychiatry 9:131–144

    Article  Google Scholar 

  • Sawyer MG, Giesen F, Walter G (2008) Child psychiatry curricula in undergraduate medical education. J Am Acad Child Adolesc Psychiatry 47:139–147

    Article  Google Scholar 

  • Schatte DJ, Piemonte N, Clark M (2015) “I started to feel like a ‘real doctor’”: medical students’ reflections on their psychiatry clerkship. Acad Psychiatry 39:267–274

    Article  Google Scholar 

  • Schon DA (1987) Educating the reflective practitioner: toward a new design for teaching and learning in the professions. Jossey-Bass Publishers, San Francisco

    Google Scholar 

  • Semrau M, Barley E, Law A, Thornicroft G (2011) Lessons learnt in developing community health care in Europe. World Psychiatry 10:217–225. https://doi.org/10.1002/j.2051-5545.2011.tb00060.x

    Article  PubMed  PubMed Central  Google Scholar 

  • Shankar R, Laugharne R, Pritchard C, Joshi P, Dhar R (2011) Modified attitudes to psychiatry scale created using principal-components analysis. Acad Psychiatry 35:360–364

    Article  Google Scholar 

  • Sood M, Sharan P (2012) Undergraduate training in psychiatry at AIIMS: integration with community medicine. Indian J Psychiatry 54:93

    Article  Google Scholar 

  • Steel Z, Marnane C, Chey T, Jackson JW, Patel V, Silove D (2014) The global prevalence of common mental disorders: a systematic review and meta-analysis. https://doi.org/10.1093/ijue/dyu038

  • Tharyan P, John T, Tharyan A, Braganza D (2001) Attitudes of ‘tomorrow’s doctors’ towards psychiatry and mental illness. Natl Med J India 14:355–359

    CAS  PubMed  Google Scholar 

  • Thornicroft G, Rose D, Kassam A, Sartorius N (2007) Stigma: ignorance, prejudice or discrimination? Br J Psychiatry 190:192–193

    Article  Google Scholar 

  • Vassilas CA, Brown N, Wall D, Womersley H (2003) ‘Teaching the teachers’ in psychiatry. Adv Psychiatr Treat 9:308–315

    Article  Google Scholar 

  • Vaughn L, Baker R (2001) Teaching in the medical setting: balancing teaching styles, learning styles and teaching methods. Med Teach 23:610–612

    Article  Google Scholar 

  • Vickery A (2008) Teaching psychiatry in general practice. Aust Fam Physician 37:449

    PubMed  Google Scholar 

  • Visotsky HM (2005) Mental health. In: The electronic encyclopedia of Chicago. http://www.encyclopedia.chicagohistory.org/pages/811.html. Accessed 29 Aug 2016

  • Wallace P (1997) Following the threads of an innovation: the history of standardized patients in medical education. Caduceus 13:5–28

    CAS  PubMed  Google Scholar 

  • Walton H, World Psychiatric Association, World Federation for Medical Education (1999) Core curriculum in psychiatry for medical students. Med Educ 33:204–211. https://doi.org/10.1046/j.1365-2923.1999.00390.x

    Article  CAS  PubMed  Google Scholar 

  • Weintraub W, Plaut SM, Weintraub E (1999) Recruitment into psychiatry: increasing the pool of applicants. Can J Psychiatry 44:473–477

    Article  CAS  Google Scholar 

  • Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T (2015) The global burden of mental, neurological and substance use disorders: an analysis from the global burden of disease study 2010. PLOS One 10(2):e0116820. https://doi.org/10.1371/journal.pone.0116820

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wilson JD (1981) Student learning in higher education. Taylor & Francis, London

    Google Scholar 

  • World Psychiatry Association [WPA] (1998) Retrieved from: http://www.wpanet.org/detail.php?section_id=7&content_id=109

  • Wortis J (1950) Soviet psychiatry. Am J Psychiatr 107:144. https://doi.org/10.1176/ajp.107.2.144

    Article  Google Scholar 

  • Yudkowsky R (2002) Should we use standardized patients instead of real patients for high-stakes exams in psychiatry? Acad Psychiatry 26:187

    Article  Google Scholar 

  • Yudkowsky R, Downing SM, Ommert D (2006) Prior experiences associated with residents’ scores on a communication and interpersonal skill OSCE. Patient Educ Couns 62:368–373

    Article  Google Scholar 

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Mahendran, R. (2018). The Actual Status of Undergraduate Training. In: Hermans, M., Hoon, T., Pi, E. (eds) Education about Mental Health and Illness. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-0866-5_2-1

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