Subscribe to RSS

DOI: 10.1055/a-1472-5169
„Die Psychiatrie nimmt sich Zeit …“ Warum Psychiater*in werden? – Eine qualitative Studie
“Psychiatry Takes its Time … ” Why Does One Become a Psychiatrist? – A Qualitative Study
Zusammenfassung
Ziel Identifikation von intrinsischen Motivatoren, die bei der Berufswahl Psychiatrie eine Rolle spielen.
Methodik 14 leitfadengestützte Tiefeninterviews wurden mithilfe von Codierungsrahmen systematisch ausgewertet.
Ergebnisse Positive Aspekte waren der zwischenmenschliche Fokus und der ganzheitliche Ansatz. Negative Dimensionen waren das schlechte Image unter Kolleg*innen, Vorurteile und Stigma. Die Entstigmatisierung der Psychiatrie und die Gleichstellung psychiatrischer mit somatischen Aspekten in Fallberichten wurden als Möglichkeiten vorgeschlagen, das Interesse am Fach Psychiatrie zu erhöhen.
Schlussfolgerung Um die Beliebtheit der Psychiatrie bei Mediziner*innen zu steigern, bedarf es Maßnahmen zur Bekämpfung von mit Psychiatrie verbundenem Stigma im Gesundheitswesen. Im Rahmen der medizinischen Lehre müssen psychiatrische Störungen, welche durch ihre hohe Prävalenz alle medizinischen Disziplinen betreffen, entsprechende Gewichtung erhalten.
Abstract
Objective Identification of intrinsic motivators involved in choosing psychiatry as a career path.
Methods 14 qualitative in-depth interviews were analysed systematically using coding frames.
Results Positive findings were the interpersonal focus and the holistic approach of psychiatry. Negative dimensions were the unfavorable image among colleagues, the lack of precision, prejudices and stigmatization. To interest more medical students, cases should be presented weighing psychiatric aspects as equally important to other medical aspects.
Conclusions To increase the popularity of psychiatry, the prejudices inherent in the medical system need urgent addressing. Teaching should be conducted in case presentations. Psychiatric conditions, which are highly prevalent across all medical fields, need to be adequately represented.
- Supplementary material
Zusätzliches Material finden Sie unter:
Publication History
Article published online:
20 May 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
Literatur
- 1 Kretschmer F. Alarmstufe in der Psychiatrie. 30.05.2014. http://derstandard.at/2000001665297/Alarmstufe-in-der-Psychiatrie Stand: 30.03.2021
- 2 Kalma MRCR. Abschätzung des zukünftigen Bedarfs an Psychiatern in Österreich. Studie im Auftrag und in Kooperation mit der Österreichischen Gesellschaft für Neuropsychopharmakologie und Biologischen Psychiatrie (ÖGPB). 2011. https://irihs.ihs.ac.at/id/eprint/2100/
- 3 Lyons Z. Attitudes of Medical Students Toward Psychiatry and Psychiatry as a Career: A Systematic Review. Acad Psychiatry 2013; 37: 150
- 4 Andlauer O, Van Effenterre A, Haffen E. et al. Encouraging French medical students to choose a career in psychiatry: How and why?. Int Rev Psychiatry 2013; 25: 460-465
- 5 Pailhez G. Attitudes and Views on Psychiatry: A Comparison Between Spanish and U.S. Medical Students. Acad Psychiatry 2005; 29: 82-91
- 6 Aslam M, Taj T, Ali A. et al. Psychiatry as a career: a survey of factors affecting students’ interest in psychiatry as a career. Mcgill J Med 2009; 12: 7-12
- 7 Katschnig H. Are psychiatrists an endangered species? Observations on internal and external challenges to the profession. World Psychiatry 2010; 9: 21-28
- 8 Silverman L. Texas Strives to Lure Mental Health Providers to Rural Countries. 03.09.2015. https://khn.org/news/texas-strives-to-lure-mental-health-providers-to-rural-counties/ Stand: 30.03.2021
- 9 Desai R, Panchal B, Vala A. et al. Impact of clinical posting in psychiatry on the attitudes towards psychiatry and mental illness in undergraduate medical students. Gen Psychiatry 2019; 32: e100072
- 10 Burra P, Kalin R, Leichner P. et al. The ATP 30-a scale for measuring medical students’ attitudes to psychiatry. Med Educ 1982; 16: 31-38
- 11 Shankar R, Laugharne R, Pritchard C. et al. Modified Attitudes to Psychiatry Scale Created Using Principal-Components Analysis. Acad Psychiatry 2011; 35
- 12 Stuart H, Sartorius N, Liinamaa T. Images of psychiatry and psychiatrists. Acta Psychiatr Scand 2015; 131: 21-28
- 13 Kassam A, Glozier N, Leese M. et al. Development and responsiveness of a scale to measure clinicians’ attitudes to people with mental illness (medical student version). Acta Psychiatr Scand 2010; 122: 153-161
- 14 Schlager R. Vier von zehn Medizinbewerbern sind Deutsche. Die Press; 15.04.2017. https://www.diepresse.com/5201507/vier-von-zehn-medizinbewerbern-sind-deutsche Stand: 30.03.2021
- 15 Seow LSE, Chua BY, Mahendran R. et al. Psychiatry as a career choice among medical students: a cross-sectional study examining school-related and non-school factors. BMJ Open 2018; 8: e022201
- 16 Maron BA, Fein S, Maron BJ. et al. Ability of Prospective Assessment of Personality Profiles to Predict the Practice Specialty of Medical Students. Baylor Univ Med Cent Proc 2007; 20: 22-26
- 17 Eagle P, Marcos L. Factors in medical students’ choice of psychiatry. Am J Psychiatry 1980; 137: 423-427
- 18 Goldenberg MN, Williams DK, Spollen JJ. Stability of and Factors Related to Medical Student Specialty Choice of Psychiatry. Am J Psychiatry 2017; 174: 859-866
- 19 Lyons Z, Janca A. Impact of a psychiatry clerkship on stigma, attitudes towards psychiatry, and psychiatry as a career choice. BMC Med Educ 2015; 15: 34
- 20 Lyons Z, Power B, Bilyk N. et al. The University of Western Australia Institute of Psychiatry for Medical Students: An Australian First. Australas Psychiatry 2009; 17: 306-310
- 21 Holt C, Mirvis R, Bao J. et al. Three-Year Longitudinal Follow-up of the Psychiatry Early Experience Program (PEEP): Gaining and Sustaining Positive Attitudes Towards Psychiatry in Students at a UK Medical School. Acad Psychiatry 2019; 43: 600-604
- 22 Warnke I, Gamma A, Buadze M. et al. Predicting Medical Students’ Current Attitudes Toward Psychiatry, Interest in Psychiatry, and Estimated Likelihood of Working in Psychiatry: A Cross-Sectional Study in Four European Countries. Front Psychiatry 2018; 9