Medical Students' Experience with Psychiatric Diagnoses in a Family Medicine Clerkship

Brenda S. O'Hara, Robert M. Saywell, Joyce A. Smidley, Jennifer L. Burba, Nitesh Thakker, Stephen P. Bogdewic, Terrell W. Zollinger

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Background: Many medical schools require a family medicine clerkship, yet little is known about the quantity and diversity of the diagnoses encountered by the students. Purpose: This study examines patients encountered with psychiatric diagnoses using quantitative data collected by students in a family practice clerkship. Methods: Over a 2-year period, 445 students completed 3,320 patient encounter forms for patients with a psychiatric diagnosis, noting their comfort level and responsibilities. Results: The patients'diagnoses reflect those seen in a typical family practice. Of the 71,869 presenting diagnoses, 3,548 were for a psychiatric condition, most commonly depression (37.1%) and neuroses (28.0%). Students reported a high level of comfort in diagnosing and treating patients with a psychiatric disorder. The students routinely discussed these cases with their preceptors. Conclusions: By using a relatively simple computerized database, many curricular issues can be identified. For example, analysis of the database shows that the clerkship provides students with substantial practice in taking patient histories and performing initial patient examinations in patients presenting with a psychiatric problem. However, students infrequently provided patient education and counseling to patients with psychiatric disorders. Specific psychiatric diagnoses reflecting limited experience and lower levels of perceived competence include attention deficit disorder and senile and presenile organic psychotic disorders.

    Original languageEnglish
    Pages (from-to)167-175
    Number of pages9
    JournalTeaching and Learning in Medicine
    Volume13
    Issue number3
    StatePublished - Jun 2001

    Fingerprint

    Medical Students
    Mental Disorders
    medical student
    Medicine
    medicine
    Students
    experience
    Psychiatry
    student
    Family Practice
    course of a disease
    neurosis
    Databases
    ADHD
    Neurotic Disorders
    counseling
    Patient Education
    Attention Deficit Disorder with Hyperactivity
    Medical Schools
    Psychotic Disorders

    ASJC Scopus subject areas

    • Nursing(all)
    • Education

    Cite this

    O'Hara, B. S., Saywell, R. M., Smidley, J. A., Burba, J. L., Thakker, N., Bogdewic, S. P., & Zollinger, T. W. (2001). Medical Students' Experience with Psychiatric Diagnoses in a Family Medicine Clerkship. Teaching and Learning in Medicine, 13(3), 167-175.

    Medical Students' Experience with Psychiatric Diagnoses in a Family Medicine Clerkship. / O'Hara, Brenda S.; Saywell, Robert M.; Smidley, Joyce A.; Burba, Jennifer L.; Thakker, Nitesh; Bogdewic, Stephen P.; Zollinger, Terrell W.

    In: Teaching and Learning in Medicine, Vol. 13, No. 3, 06.2001, p. 167-175.

    Research output: Contribution to journalArticle

    O'Hara, BS, Saywell, RM, Smidley, JA, Burba, JL, Thakker, N, Bogdewic, SP & Zollinger, TW 2001, 'Medical Students' Experience with Psychiatric Diagnoses in a Family Medicine Clerkship', Teaching and Learning in Medicine, vol. 13, no. 3, pp. 167-175.
    O'Hara BS, Saywell RM, Smidley JA, Burba JL, Thakker N, Bogdewic SP et al. Medical Students' Experience with Psychiatric Diagnoses in a Family Medicine Clerkship. Teaching and Learning in Medicine. 2001 Jun;13(3):167-175.
    O'Hara, Brenda S. ; Saywell, Robert M. ; Smidley, Joyce A. ; Burba, Jennifer L. ; Thakker, Nitesh ; Bogdewic, Stephen P. ; Zollinger, Terrell W. / Medical Students' Experience with Psychiatric Diagnoses in a Family Medicine Clerkship. In: Teaching and Learning in Medicine. 2001 ; Vol. 13, No. 3. pp. 167-175.
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