scholarly journals The dispensable psychiatrist

1997 ◽  
Vol 21 (9) ◽  
pp. 581-582
Author(s):  
John Kellett
Keyword(s):  
Mental Illness ◽  
Medical Students ◽  
Medical School ◽  
General Hospital ◽  
District General Hospital ◽  
Psychiatric Services ◽  
The Future ◽  
Stigma Of Mental Illness ◽  
Close Integration

Changes in the organisation and delivery of psychiatric services are likely to increase the stigma of mental illness, reduce the role of the psychiatrist, and inhibit recruitment of the best medical students. The value of close integration with the district general hospital and medical school is stressed. The future of psychiatry will be in doubt if this is ignored.

The Resident in the Non-university Hospital

PEDIATRICS ◽  
1962 ◽  
Vol 29 (4) ◽  
pp. 678-679
Author(s):  
H. William Fink
Keyword(s):  
Medical Students ◽  
Medical School ◽  
University Hospital ◽  
Community Hospitals ◽  
University Hospitals ◽  
Pediatric Practice ◽  
The Future

I write with concern for the future of good community hospitals with qualified attending pediatricians and plenty of patient material but no residents. In the ever-increasing competition for residents, such hospitals are slowly being strangled by the more fortunate university hospitals with their access to medical students and interns. I fear that the ultimate consequences will be the downgrading of pediatric practice throughout the county in those areas where there is not a medical school.

scholarly journals Management of medical students' health problems

1997 ◽  
Vol 3 (5) ◽  
pp. 259-266 ◽  
Author(s):  
Michael F. Myers
Keyword(s):  
Mental Illness ◽  
Medical Students ◽  
Psychiatric Disorder ◽  
Sleep Disturbance ◽  
Health Problems ◽  
Psychiatric Services ◽  
Professional Help ◽  
Unknown Number

Studies of utilisation of psychiatric services have shown that between 4 and 18% of medical students annually identify themselves as ‘impaired’ (Dickstein et al, 1990). An unknown number of students may be ill but do not seek help – they soldier on through classes and clinics not realising that their sleep disturbance, worry, vague pains, flagging spirits, failing grades or increasing use of alcohol represent symptoms of strain and possible psychiatric disorder. Some suspect or know that they are ill but the stigma of accepting mental illness or seeking professional help is so profound that they suffer silently.

ACUTE NEUROLOGY IN THE DISTRICT GENERAL HOSPITAL: THE ROLE OF THE ACUTE NEUROLOGIST

2012 ◽  
Vol 83 (Suppl 2) ◽  
pp. A30.3-A30
Author(s):  
G Maxwell ◽  
J James ◽  
N Archibald ◽  
D Bateman
Keyword(s):  
General Hospital ◽  
District General Hospital

scholarly journals Reflections on a person's experience of mental illness: an innovative teaching pilot for second-year medical students

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S8-S9
Author(s):  
George Blanchard ◽  
Louis Quail ◽  
Grace Yang ◽  
Katherine Terence ◽  
Amisha Kalra ◽  
...  
Keyword(s):  
Mental Illness ◽  
Medical Students ◽  
Lived Experience ◽  
Subjective Experience ◽  
Medical Profession ◽  
Cultural Issues ◽  
Innovative Teaching ◽  
Big Brother ◽  
Stigma Of Mental Illness ◽  
Students Attitudes

AimsWe sought to develop a teaching pilot to help year 2 medical students meet the following learning outcomes: Develop a better understanding of patient and carer experiences of mental illness; Recognise and challenge unhelpful attitudes towards people with mental illness; Promote a broader understanding of cultural issues surrounding mental illness, including stigma and discrimination.Method337 medical students were invited to attend a lecture by author LQ, a documentary photographer who presented a narrative of his brother Justin's lived experience of schizophrenia (louisquail.com/big-brother-introduction). 197 students attended the session, which was recorded and made available online. Students were invited to enter a competition to win a signed copy of LQ's book, ‘Big Brother’ and asked to submit either a 500-word written reflective piece, or a creative work accompanied by a 200-word statement. 13 submissions were received, including paintings, drawings, collage, photography, and poetry, all of which were blind rated by authors SR and GB, based on originality and quality of reflection. Of the six shortlisted, three winning entries were chosen by author LQ.ResultAll reflections moved away from a technical understanding of schizophrenia, towards person-centred interpretations, with dominant themes of ‘stigma’, ‘disempowerment’, ‘understanding people as individuals’, ‘subjective experience of mental illness’, ‘inclusion’ and ‘healing power of nature’.The three prize winners (authors GY, AK and KT) used different mediums: GY painted an osprey over a chaotic collage of disordered and stigmatizing words (the osprey representing empowerment and the “reservoir for wellbeing in nature”); AK's sonnet began as an ode to the chaos of Justin's experience, but the concluding lines reframed this struggle, conveying feelings of hope and beauty; and KT's self-portrait, produced with a slow shutter-speed photograph, powerfully conveyed a sense of disorientation and disturbance. She reflected on how the stigma of mental illness affects self-perception. The talk was well-attended, and reflections were of high quality. A limitation of this pilot was that only a small proportion of students completed the reflective assignment.ConclusionInnovative teaching strategies are needed to address negative attitudes towards mental illness and psychiatry, which are prevalent amongst the medical profession. This pilot provides a model for combining carer-led, reflective, and creative elements in undergraduate psychiatry teaching, with the aim of challenging stigma. This model will be evaluated in a further study involving fifth year medical students, which will use a validated scale to measure change in students’ attitudes towards mental illness and psychiatry.

scholarly journals Stigma towards psychiatry: correlating personal experience with existing literature

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S126-S127
Author(s):  
Jack Blake ◽  
George El-Nimr
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Personal Experience ◽  
Clinical Placement ◽  
Medical Community ◽  
Prospective Students ◽  
Clinical Placements ◽  
Personal Experiences ◽  
University Life

AimsStigma towards psychiatry feels rife within medical school and this extends from university life into clinical placements. Mental health remains an unattractive area of medicine and is frequently regarded as subpar by other specialists. Against existing literature, this study compares the authors first hand experiences over the last five years within medical school to evaluate how representative their experiences of stigma in psychiatry are for the wider community and published literature. The study aims to inform the wider discussion on this topic and offer areas where intervention may yield a better perception and hence uptake of this specialism.MethodLiterature review relating to the topic was completed. Studies pertaining to medical students and/or educators views and experiences of psychiatric medical education and clinical placement were included for discussion. A reflection on the first author's specific experiences to date of psychiatry and his intent to pursue psychiatric career was conducted, with careful reference to existing literature. This allowed validating personal experiences in light of shared experience within the medical community in various national and international settings.ResultArguably, some non-psychiatric clinicians do inadvertently set the scene early in medical school for the stigma that is to be thrust upon students. This builds upon prospective students ranking psychiatry low for satisfaction, prestige and stating it to be a ‘pseudoscience’ or words to that effect. The lack of understanding from junior medical students of the role of the psychiatrist sees them associating psychosocial education as equivalent to psychiatry. This reinforces the idea of psychiatry being grounded in sciences other than anatomy, biochemistry, physiology and pharmacology. On clinical placement, there is little cross-speciality support for those students who want to be psychiatrists and sometimes even lost opportunities for those publically aspiring towards psychiatry. Placements in psychiatry give students a better understanding of psychiatry but this does not seem to significantly change their career aspirations and this is rather defined from the admission stages.ConclusionAfter comparing experience with literature, stigma towards psychiatry appears to be universal. It may be important to consider the types of students who are being attracted to medical school as currently students seem to have an intrinsic disinterest in psychiatry despite later becoming better informed through psychiatric placement. Culture is notoriously hard to change, particularly within medicine. This stigma exists both in the lay and medical communities with early potentially inaccurate lay views of psychiatry being validated and reinforced throughout medical school.

Suicide Prevention

1992 ◽  
Vol 160 (2) ◽  
pp. 149-153 ◽  
Author(s):  
H. G. Morgan
Keyword(s):  
Mental Health ◽  
General Hospital ◽  
Suicide Prevention ◽  
Mental Hospital ◽  
Community Care ◽  
District General Hospital ◽  
Residential Area ◽  
Psychiatric Services ◽  
Local District ◽  
Health Centres

In 1989 a crisis occurred in a West Country seaside town. Its psychiatric services had been regarded as a vanguard of community care, having been fully established some three years previously when the in-patient facilities which had been based in a mental hospital some 15 miles away were closed. The framework of the new-style service consisted of five mental health centres scattered throughout the residential area and a 60-bed in-patient unit, based in the grounds of the local district general hospital.

What will the small district general hospital look like in the future?

2015 ◽  
Vol 21 (7) ◽  
pp. 318-325
Author(s):  
Hugo Mascie-Taylor ◽  
Phil Britt ◽  
Gill Cooksley ◽  
Alastair Henderson ◽  
Terence Stephenson
Keyword(s):  
General Hospital ◽  
District General Hospital ◽  
The Future
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