Why medical students choose psychiatry - A 20 country cross-sectional survey

ISOSCCIP Group

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Background: Recruitment to psychiatry is insufficient to meet projected mental health service needs world-wide. We report on the career plans of final year medical students from 20 countries, investigating factors identified from the literature which influence psychiatric career choice. Methods. Cross sectional electronic or paper survey. Subjects were final year medical students at 46 medical schools in participating countries. We assessed students' career intentions, motivations, medical school teaching and exposure to psychiatry. We assessed students' attitudes and personality factors. The main outcome measure was likelihood of specializing in psychiatry. Multilevel logistic regression was used to examine the joint effect of factors upon the main outcome. Results: 2198 of 9135 (24%) of students responded (range 4 to 91%) across the countries. Internationally 4.5% of students definitely considered psychiatry as a career (range 1 to 12%). 19% of students (range 0 to 33%) were "quite likely", and 25% were "definitely not" considering psychiatry. Female gender, experience of mental/physical illness, media portrayal of doctors, and positive attitudes to psychiatry, but not personality factors, were associated with choosing psychiatry. Quality of psychiatric placement (correlation coefficient = 0.22, p < 0.001) and number of placements (correlation coefficient =0.21, p < 0.001) were associated with higher ATP scores. During medical school, experience of psychiatric enrichment activities (special studies modules and university psychiatry clubs), experience of acutely unwell patients and perceived clinical responsibility were all associated with choice of psychiatry. Multilevel logistic regression revealed six factors associated with students choosing psychiatry: importance of own vocation, odds ratio (OR) 3.01, 95% CI 1.61 to 5.91, p < 0.001); interest in psychiatry before medical school, OR 10.8 (5.38 to 21.8, p < 0.001); undertaking a psychiatry special study module, OR 1.45 (1.05 to 2.01, p = 0.03) or elective OR 4.28 (2.87- 6.38, p < 0.001); membership of a university psychiatry club, OR 3.25 (2.87 to 6.38, p < 0.001); and exposure to didactic teaching, OR 0.54 (0.40 to 0.72, p < 0.001). Conclusions: We report factors relevant to medical student selection and psychiatry teaching which affect career choice. Addressing these factors may improve recruitment to psychiatry internationally.

Original languageEnglish
Article number12
JournalBMC Medical Education
Volume14
Issue number1
DOIs
Publication statusPublished - 15-01-2014

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psychiatry
medical student
career
student
personality traits
school
Teaching
logistics
regression
experience
university
clubs
club
didactics
health service
illness
mental health

All Science Journal Classification (ASJC) codes

  • Education

Cite this

@article{a4c62eb7fc2c4f859bdeb5c528df9463,
title = "Why medical students choose psychiatry - A 20 country cross-sectional survey",
abstract = "Background: Recruitment to psychiatry is insufficient to meet projected mental health service needs world-wide. We report on the career plans of final year medical students from 20 countries, investigating factors identified from the literature which influence psychiatric career choice. Methods. Cross sectional electronic or paper survey. Subjects were final year medical students at 46 medical schools in participating countries. We assessed students' career intentions, motivations, medical school teaching and exposure to psychiatry. We assessed students' attitudes and personality factors. The main outcome measure was likelihood of specializing in psychiatry. Multilevel logistic regression was used to examine the joint effect of factors upon the main outcome. Results: 2198 of 9135 (24{\%}) of students responded (range 4 to 91{\%}) across the countries. Internationally 4.5{\%} of students definitely considered psychiatry as a career (range 1 to 12{\%}). 19{\%} of students (range 0 to 33{\%}) were {"}quite likely{"}, and 25{\%} were {"}definitely not{"} considering psychiatry. Female gender, experience of mental/physical illness, media portrayal of doctors, and positive attitudes to psychiatry, but not personality factors, were associated with choosing psychiatry. Quality of psychiatric placement (correlation coefficient = 0.22, p < 0.001) and number of placements (correlation coefficient =0.21, p < 0.001) were associated with higher ATP scores. During medical school, experience of psychiatric enrichment activities (special studies modules and university psychiatry clubs), experience of acutely unwell patients and perceived clinical responsibility were all associated with choice of psychiatry. Multilevel logistic regression revealed six factors associated with students choosing psychiatry: importance of own vocation, odds ratio (OR) 3.01, 95{\%} CI 1.61 to 5.91, p < 0.001); interest in psychiatry before medical school, OR 10.8 (5.38 to 21.8, p < 0.001); undertaking a psychiatry special study module, OR 1.45 (1.05 to 2.01, p = 0.03) or elective OR 4.28 (2.87- 6.38, p < 0.001); membership of a university psychiatry club, OR 3.25 (2.87 to 6.38, p < 0.001); and exposure to didactic teaching, OR 0.54 (0.40 to 0.72, p < 0.001). Conclusions: We report factors relevant to medical student selection and psychiatry teaching which affect career choice. Addressing these factors may improve recruitment to psychiatry internationally.",
author = "{ISOSCCIP Group} and Kitty Farooq and Lydall, {Gregory J.} and Amit Malik and Ndetei, {David M.} and Dinesh Bhugra and Alemu, {Yonas Baheretibeb} and Sammy Ohene and Muthoni Mathai and Benson Gakinya and Richard Uwakwa and Femi Olugbile and Kiyeti Hauli and Joyce Mugaza and Gad Kilonzo and Seggane Musisi and Samuel Maling and Paul Ravi and Fernandes, {Rubens Luis Folchini} and Nogueira-Martins, {Luiz Antonio} and Mari, {Jair de Jesus} and Sergio Baldassin and {da Silva}, {Nilson Rodrigues} and Karen Saperson and {Rojnic Kuzman}, Martina and Petra Lovrec and Mia Smoljan and Benjamin Vicente and Leonardo Rosel and Alexander Nawka and Lucie Nawkova and Boris Dvoracek and Olivier Andlauer and Emmanuel Haffen and Daniel Sechter and William Guicherd and Bernard Bonin and {Tatjana Calliess}, Iris and Volkhard Fischer and Anke Mittelst{\"a}dt and Vanessa Wong and Sharma, {P. S.V.N.} and Sumit Deora and Suma Udupa and Yasiri, {A. Rasoul} and Basil Al-Chalabi and Ali Al-Hamzawi and Sirwan Ali and Akeel Al-Sabbagh and Eyal Dahan and Karin Schlossberg",
year = "2014",
month = "1",
day = "15",
doi = "10.1186/1472-6920-14-12",
language = "English",
volume = "14",
journal = "BMC Medical Education",
issn = "1472-6920",
publisher = "BioMed Central",
number = "1",

}

Why medical students choose psychiatry - A 20 country cross-sectional survey. / ISOSCCIP Group.

In: BMC Medical Education, Vol. 14, No. 1, 12, 15.01.2014.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Why medical students choose psychiatry - A 20 country cross-sectional survey

AU - ISOSCCIP Group

AU - Farooq, Kitty

AU - Lydall, Gregory J.

AU - Malik, Amit

AU - Ndetei, David M.

AU - Bhugra, Dinesh

AU - Alemu, Yonas Baheretibeb

AU - Ohene, Sammy

AU - Mathai, Muthoni

AU - Gakinya, Benson

AU - Uwakwa, Richard

AU - Olugbile, Femi

AU - Hauli, Kiyeti

AU - Mugaza, Joyce

AU - Kilonzo, Gad

AU - Musisi, Seggane

AU - Maling, Samuel

AU - Ravi, Paul

AU - Fernandes, Rubens Luis Folchini

AU - Nogueira-Martins, Luiz Antonio

AU - Mari, Jair de Jesus

AU - Baldassin, Sergio

AU - da Silva, Nilson Rodrigues

AU - Saperson, Karen

AU - Rojnic Kuzman, Martina

AU - Lovrec, Petra

AU - Smoljan, Mia

AU - Vicente, Benjamin

AU - Rosel, Leonardo

AU - Nawka, Alexander

AU - Nawkova, Lucie

AU - Dvoracek, Boris

AU - Andlauer, Olivier

AU - Haffen, Emmanuel

AU - Sechter, Daniel

AU - Guicherd, William

AU - Bonin, Bernard

AU - Tatjana Calliess, Iris

AU - Fischer, Volkhard

AU - Mittelstädt, Anke

AU - Wong, Vanessa

AU - Sharma, P. S.V.N.

AU - Deora, Sumit

AU - Udupa, Suma

AU - Yasiri, A. Rasoul

AU - Al-Chalabi, Basil

AU - Al-Hamzawi, Ali

AU - Ali, Sirwan

AU - Al-Sabbagh, Akeel

AU - Dahan, Eyal

AU - Schlossberg, Karin

PY - 2014/1/15

Y1 - 2014/1/15

N2 - Background: Recruitment to psychiatry is insufficient to meet projected mental health service needs world-wide. We report on the career plans of final year medical students from 20 countries, investigating factors identified from the literature which influence psychiatric career choice. Methods. Cross sectional electronic or paper survey. Subjects were final year medical students at 46 medical schools in participating countries. We assessed students' career intentions, motivations, medical school teaching and exposure to psychiatry. We assessed students' attitudes and personality factors. The main outcome measure was likelihood of specializing in psychiatry. Multilevel logistic regression was used to examine the joint effect of factors upon the main outcome. Results: 2198 of 9135 (24%) of students responded (range 4 to 91%) across the countries. Internationally 4.5% of students definitely considered psychiatry as a career (range 1 to 12%). 19% of students (range 0 to 33%) were "quite likely", and 25% were "definitely not" considering psychiatry. Female gender, experience of mental/physical illness, media portrayal of doctors, and positive attitudes to psychiatry, but not personality factors, were associated with choosing psychiatry. Quality of psychiatric placement (correlation coefficient = 0.22, p < 0.001) and number of placements (correlation coefficient =0.21, p < 0.001) were associated with higher ATP scores. During medical school, experience of psychiatric enrichment activities (special studies modules and university psychiatry clubs), experience of acutely unwell patients and perceived clinical responsibility were all associated with choice of psychiatry. Multilevel logistic regression revealed six factors associated with students choosing psychiatry: importance of own vocation, odds ratio (OR) 3.01, 95% CI 1.61 to 5.91, p < 0.001); interest in psychiatry before medical school, OR 10.8 (5.38 to 21.8, p < 0.001); undertaking a psychiatry special study module, OR 1.45 (1.05 to 2.01, p = 0.03) or elective OR 4.28 (2.87- 6.38, p < 0.001); membership of a university psychiatry club, OR 3.25 (2.87 to 6.38, p < 0.001); and exposure to didactic teaching, OR 0.54 (0.40 to 0.72, p < 0.001). Conclusions: We report factors relevant to medical student selection and psychiatry teaching which affect career choice. Addressing these factors may improve recruitment to psychiatry internationally.

AB - Background: Recruitment to psychiatry is insufficient to meet projected mental health service needs world-wide. We report on the career plans of final year medical students from 20 countries, investigating factors identified from the literature which influence psychiatric career choice. Methods. Cross sectional electronic or paper survey. Subjects were final year medical students at 46 medical schools in participating countries. We assessed students' career intentions, motivations, medical school teaching and exposure to psychiatry. We assessed students' attitudes and personality factors. The main outcome measure was likelihood of specializing in psychiatry. Multilevel logistic regression was used to examine the joint effect of factors upon the main outcome. Results: 2198 of 9135 (24%) of students responded (range 4 to 91%) across the countries. Internationally 4.5% of students definitely considered psychiatry as a career (range 1 to 12%). 19% of students (range 0 to 33%) were "quite likely", and 25% were "definitely not" considering psychiatry. Female gender, experience of mental/physical illness, media portrayal of doctors, and positive attitudes to psychiatry, but not personality factors, were associated with choosing psychiatry. Quality of psychiatric placement (correlation coefficient = 0.22, p < 0.001) and number of placements (correlation coefficient =0.21, p < 0.001) were associated with higher ATP scores. During medical school, experience of psychiatric enrichment activities (special studies modules and university psychiatry clubs), experience of acutely unwell patients and perceived clinical responsibility were all associated with choice of psychiatry. Multilevel logistic regression revealed six factors associated with students choosing psychiatry: importance of own vocation, odds ratio (OR) 3.01, 95% CI 1.61 to 5.91, p < 0.001); interest in psychiatry before medical school, OR 10.8 (5.38 to 21.8, p < 0.001); undertaking a psychiatry special study module, OR 1.45 (1.05 to 2.01, p = 0.03) or elective OR 4.28 (2.87- 6.38, p < 0.001); membership of a university psychiatry club, OR 3.25 (2.87 to 6.38, p < 0.001); and exposure to didactic teaching, OR 0.54 (0.40 to 0.72, p < 0.001). Conclusions: We report factors relevant to medical student selection and psychiatry teaching which affect career choice. Addressing these factors may improve recruitment to psychiatry internationally.

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U2 - 10.1186/1472-6920-14-12

DO - 10.1186/1472-6920-14-12

M3 - Article

VL - 14

JO - BMC Medical Education

JF - BMC Medical Education

SN - 1472-6920

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