Comparison of Two Different Curricula in Psychiatry Clerkship at Tehran University of Medical Sciences
Objectives: The aim of this study was to evaluate the efficacy of a new psychiatry clerkship curriculum which was designed to improve the knowledge and skills of medical students of Tehran University of Medical Sciences (TUMS), Iran.
Methods:This quasi-experimental study was conducted in two consecutive semesters from February 2009 to January 2010. In total, 167 medical students participated in the study. In the first semester, as the control group, the clerks’ training was based on the traditional curriculum. In the next semester, we constructed and applied a new curriculum based on the SPICES model (student-centered, problem-based, integrated, community-based, elective and systematic).At the end of the clerkship, the students were given two exams: Multiple Choice Questions (MCQ) to assess their knowledge, and Objective Structured Clinical Examination (OSCE) to assess their skills. Baseline data and test performance for each student were analyzed.
Results: Compared to the control group, students in the inter ention group showed significantly higher OSCE scores (P= 0.01). With respect to MCQ score, no significant difference was found between the two groups.
Conclusions: The results suggest that the revised curriculum is more effective than the traditional one in improving the required clinical skills in medical students during their psychiatry clerkship.
Harding TW, De Arango V, Baltazar J, Climent C, Ibrahim HH, Ladrido-Ignacio L , Wig NN. Mental disorders in primary health care: A study of their frequency and diagnosis in four developing countries. Psychological Medicine 1980; 10:231-241.
Oakley C, Oyebode F. Medical students' views about an undergraduate curriculum in psychiatry before and after clinical placements. BMC Med Educ 2008; 8:26.
Watmough S, Garden A, Taylor D. Pre-registration house officers’ views on studying under a reformed medical curriculum in the UK. Medical Education 2006; 40: 893-899.
Tavakol M, Murphy R, Torabi S. Medical education in Iran: An exploration of some curriculum issues. Medical Education Online 2006; 11: 1-8.
Burke MJ, Brodkey AC. Trends in Undergraduate Medical Education: Clinical Clerkship Learning Objectives. Academic Psychiatry. 2006; 30: 158-165.
Harden RM, Sowden S, Dunn WR. Educational strategies in curriculum development: The SPICES model. Medical Education. 1984; 18:284 – 297.
Ring H, Mumford D, Katona C. Psychiatry in the new undergraduate curriculum. Advances in Psychiatric Treatment. 1999; 5: 415-419.
Sensky T. The place of the psychiatrist in the new undergraduate medical curriculum. Psychiatric Bulletin 1994; 18: 557-559.
Çingi Başterzi AD, Tükel R, Uluşahin A, Coşkun B, Alkin T, Murat Demet M, Konuk N, Taşdelen B. Undergraduate psychiatric training in Turkey. Turk Psikiyatri Derg 2010; 21: 195-202.
Hodges B, Inch C, Silver I. Improving the psychiatric knowledge, skills, and attitudes of primary care physicians, 1950–2000: A Review. Am J Psychiatry 2001; 158: 1579-1586.
Lovett LM, Abou-Saleh M. Teaching psychiatric interview skills to medical students. Medical Education 2009; 24:243 – 250.
Yamauchi T. Education of Psychiatry in Japan. Psychiatry Clin Neurosci 1998; 52 Suppl: S256-258.
Mazotti L, Kirsch HE, O’Brien B. Improving integration of clinical clerkship didactic curriculum. Medical Education Development 2011;1:1-3
Hauer KE, O’Brien B, Poncelet AN. Longitudinal integrated clerkship education: Better for learners and patients Point. Acad Med 2009; 84: 821.
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