Factors Affecting the Choice of Psychiatry as a Specialty in ‎Psychiatry Residents in Iran

  • Seyed Saeed Sadr Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. AND Department of Psychiatry, Imam Hossein Hospital, Shahid Beheshti University of ‎Medical Sciences, Tehran, Iran.
  • razieh nayerifard Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Seyed Mehdi Samimi Ardestani Mail Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. AND Department of Psychiatry, Imam Hossein Hospital, Shahid Beheshti University of ‎Medical Sciences, Tehran, Iran.
  • massood namjoo Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Keywords:
Choice, Psychiatry, Resident, Specialty

Abstract

Objective: The aim of this study was to investigate the current factors affecting the choice of ‎psychiatry as a specialty and to detect the main factors in their choice.‎
Method: This descriptive study included 75 first year psychiatry residents in the academic year of ‎‎2014/2015. A Likert-type anonymous questionnaire consisting of academic and ‎demographic data with 43 questions, which evaluated the reason for choosing ‎psychiatry as a specialty, was given to the residents.‎
Results: The participants had a positive opinion about 28 items of the questionnaire, meaning that ‎these items had a positive effect in choosing psychiatry as a specialty (questions with P ‎value less than 0.05 and a positive mean). More than 80% of the residents had a positive ‎opinion about six items of the questionnaire (amount of intellectual challenge, variety of ‎knowledge fields relevant to psychiatry, emphasis on the patient as a whole person, the ‎importance of treating mental illnesses in the future, work pressure and stress of the ‎field during residency and coordinating with the person's life style). The participants ‎had a negative opinion about two items of the questionnaire (questions with a P value ‎less than 0.05 and a negative mean). They included experiencing mental illness ‎personally through relatives or close friends as well as the income in psychiatry. ‎Moreover, 36% of the residents with a more definite opinion mentioned that they chose ‎psychiatry as a specialty because of the limitations in residency exam.‎
Conclusion: Assistants had a positive opinion about most of the questions and this positive attitude ‎seemed to be an important factor in their specialty choice. However, attending to the ‎preventing factors may increase the selection of psychiatry as a specialty.‎

References

Farooq K, Lydall GJ, Malik A, Ndetei DM, Bhugra D. Why medical students choose psychiatry - a 20 country cross-sectional survey. BMC medical education 2014; 14: 12.

Izadi Mazidi S, Riahi F, Khajeddin N , Salehi Veysi M. The Effect of Passing the Psychiatric Clerkship on Consideration of Various Specialties as Priorities in Prospective Field and Respect for Clinical Specialties in Medical Students. Iranian Journal of Medical Education 2012; 12: 666-675.

Kris K. Distress precipitated by psychiatric training among medical students. The American journal of psychiatry 1986; 143: 1432-1435.

Youngner SJ, Corvino JM, Frankel MH, Ramos F. Psychological problems of medical students during a core psychiatry clerkship. Academic Medicine 1978; 53: 690-692.

Galeazzi GM, Secchi C, Curci P. Current factors affecting the choice of psychiatry as a specialty: an Italian study. Academic Psychiatry 2003; 27: 74-81.

Amini H, Nejatisafa AA, Shoar S, Kaviani H, Samimi-Ardestani M, Shabani A, et al. Iranian medical students' perception of psychiatry: before and after a psychiatry clerkship. Iranian Journal of Psychiatry 2013; 8: 37-43.

Royal College of Psychiatrists, Royal College of Physicians of London, British Medical Association. Mental illness: stigmatisation and discrimination within the medical profession. Great Britain by Bell & Bain Limited, Glasgow; 2001.

Buchanan A, Bhugra D. Attitude of the medical profession to psychiatry. Acta psychiatrica Scandinavica 1992; 85: 1-5.

Pejovic-Milovancevic M, Lecic-Tosevski D, Tenjovic L, Draganic-Gajic S, Christodoulou GN , Stepanovic J. [Attitudes of psychiatry residents toward mental illness]. Medicinski pregled 2007; 60: 382-386.

Jalili A. The most common mental disorder in the country / shortage of hospital beds for the mental patients. Mehr News | Iran and world's news | Mehr News Agency. N.p., 2014. Web. 11 Aug. 2016. Available from: http://www.mehrnews.com/news/2387068/

Merton RK, Bloom S, Rogoff N. Columbia-Pennsylvania: studies in the sociology of medical education. Journal of medical education 1956; 31: 552-565.

Maidment R, Livingston G, Katona M, Whitaker E, Katona C. Carry on shrinking: career intentions and attitudes to psychiatry of prospective medical students. The Psychiatrist 2003; 27: 30-32.

Pardes H. Medical education and recruitment in psychiatry. The American journal of psychiatry 1982; 139: 1033-1035.

Toudehskchuie GG, Yousefi A, Sanati A , Movahed A. Attitude of Medical Students in Boushehr University of Medical Sciences towards Psychiatry as A Course and A Future Career. Journal of Isfahan Medical School 2012; 29.

Balon R, Franchini GR, Freeman PS, Hassenfeld IN, Keshavan MS , Yoder E. Medical students’ attitudes and views of psychiatry. Academic Psychiatry 1999; 23: 30-36.

Eagle PF, Marcos LR. Factors in medical students' choice of psychiatry. The American journal of psychiatry 1980; 137: 423-427.

WilWilkinson DG, Toone BK, Greer S. Medical students' attitudes to psychiatry at the end of the clinical curriculum. Psychol Med. 1983 Aug; 13: 655-658.

El-Sayeh HG, Budd S, Waller R, Holmes J. How to win the hearts and minds of students in psychiatry. Advances in Psychiatric Treatment 2006; 12: 182-192.

Voinescu BI, Szentagotai A, Coogan A. Attitudes towards psychiatry: a survey of Romanian medical residents. Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry 2010; 34: 75-78.

Pankiewicz P, Dejewska J, Romanowski A, Majkowicz M , Nitka A. [Relationship between medical students and patients during the course of psychiatry--expectations and fears]. Psychiatria polska 2003; 37: 109-119; Quiz 119-120.

Rajagopal S, Rehill KS, Godfrey E. Psychiatry as a career choice compared with other specialties: a survey of medical students. The Psychiatrist 2004; 28: 444-446.

Garyfallos G, Adamopoulou A, Lavrentiadis G, Giouzepas J, Parashos A , Dimitriou E. Medical students' attitudes toward psychiatry in Greece : an eight-year comparison. Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry 1998; 22: 92-97.

Crowder MK, Hollender MH. The medical student's choice of psychiatry as a career: a survey of one graduating class. The American journal of psychiatry 1981; 138: 505-508.

Orleans CS, Houpt JL, Larson DB. Interpersonal factors in the psychiatry clerkship: new findings. The American journal of psychiatry 1980; 137: 1101-1103.

Werkman SL, Landau S, Wakefield H. Medical students view clinical psychiatry. The American journal of psychiatry 1973; 130: 562-565.

O’Connor K, O’Loughlin K, Somers C, Wilson L, Pillay D, Brennan D, et al. Attitudes of medical students in Ireland towards psychiatry: comparison of students from 1994 and 2010. The Psychiatrist Online 2012; 36: 349-356.

Kassebaum DG, Szenas PL. Factors influencing the specialty choices of 1993 medical school graduates. Academic medicine: journal of the Association of American Medical Colleges 1994; 69: 163-170.

Amini H, Moghaddam Y, Nejatisafa AA, Esmaeili S, Kaviani H, Shoar S, et al. Senior medical students' attitudes toward psychiatry as a career choice before and after an undergraduate psychiatry internship in Iran. Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry 2013; 37: 196-201.

Mottaghipour Y, Noroozi AR, Samimi M. The effect of psychiatric clerkship on fifth year medical students’ attitudes toward psychiatry and their intention to pursue psychiatry as a career. Iranian Journal of Psychiatry 2006; 1: 98-103.

McParland M, Noble LM, Livingston G, McManus C. The effect of a psychiatric attachment on students' attitudes to and intention to pursue psychiatry as a career. Medical education 2003; 37: 447-454.

Feldmann TB. Medical students' attitudes toward psychiatry and mental disorders. Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry 2005; 29: 354-356.

Galka MSW, Perkins DV, Butler N, Griffith DA, Schmetzer AD, Avirrappattu G, et al. Medical students’ attitudes toward mental disorders before and after a psychiatric rotation. Academic Psychiatry 2005; 29: 357-361.

Reddy JP, Tan SM, Azmi MT, Shaharom MH, Rosdinom R, Maniam T, et al. The effect of a clinical posting in psychiatry on the attitudes of medical students towards psychiatry and mental illness in a Malaysian medical school. Annals of the Academy of Medicine, Singapore 2005; 34: 505-510.

Ozer U, Ceri V, Carpar E, Sancak B , Yildirim F. Factors Affecting the Choice of Psychiatry as a Specialty and Satisfaction among Turkish Psychiatry Residents. Academic psychiatry: the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry 2016; 40: 299-303.

Published
2016-10-09
How to Cite
1.
Sadr SS, nayerifard razieh, Samimi Ardestani SM, namjoo massood. Factors Affecting the Choice of Psychiatry as a Specialty in ‎Psychiatry Residents in Iran. Iran J Psychiatry. 11(3):185-190.
QRcode
Section
Original Article(s)