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Who Wants to Become a Child Psychiatrist? Lessons for Future Recruitment Strategies From a Student Survey at Seven German Medical Schools

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Abstract

Objective

The objective of this survey was to investigate undergraduate German medical students’ attitudes toward child and adolescent psychiatry (CAP) and to describe the characteristics of students considering CAP as a possible career choice.

Methods

The authors conducted a cross-sectional, multicenter survey of medical students (at the time of their first CAP lecture) at seven German medical schools. The students completed an anonymous self-report questionnaire, asking about their attitude toward CAP and their view of CAP as a possible career choice.

Results

Of the 574 students, 42.9% had “high” or “very high” interest in CAP, and 59.4% rated CAP basic knowledge as “highly” or “very highly” relevant for their prospective work as physicians. CAP was a possible career choice for 25.4%. The most frequently mentioned reasons for choosing CAP were interesting clinical cases (65.8%), helping ill children (52.1%), and close patient—physician contact (50.7%). The most frequently mentioned reasons against this decision were a definite decision for another subspecialty (54.8%), expected difficulties in working with parents and family members (35.3%), and an expected high emotional burden (29.6%). In addition to the highly significant correlation with general interest in CAP, students with previous experience in general psychiatry and CAP clinical courses, as well as female students and students with relatives or acquaintances with CAP-related disorders, showed the highest interest in CAP as a possible career choice.

Conclusion

The majority of the students surveyed showed a positive attitude toward CAP and considered CAP basic knowledge to be relevant for their future work. When designing recruitment strategies, it may be helpful to consider that CAP exposure early in the curriculum might be decisive and that students with previous clinical courses in this field, as well as female students, showed the highest interest in CAP as a possible career choice.

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References

  1. Martin W: Ärztlicher Arbeitsmarkt: Psychiater und Psychotherapeuten gesucht. (Medical job market: Psychiatrists and psychotherapists in demand) Dt Aerztebl 2011; 108:A–355

    Google Scholar 

  2. Karabekiroglu K, Doün B, Hergüner S, et al: Child and adolescent psychiatry training in Europe: differences and challenges in harmonization. Eur Child Adolesc Psychiatry 2006; 15:467–475

    Article  PubMed  Google Scholar 

  3. Thomas CR, Holzer CE 3rd: The continuing shortage of child and adolescent psychiatrists. J Am Acad Child Adolesc Psychiatry 2006; 45:1023–1031

    Article  PubMed  Google Scholar 

  4. Kim WJ; American Academy of Child and Adolescent Psychiatry Task Force on Workforce Needs: Child and adolescent psychiatry workforce: a critical shortage and national challenge. Acad Psychiatry 2003; 27:277–282

    Article  CAS  PubMed  Google Scholar 

  5. Breton JJ, Plante MA, St-Georges M: Challenges facing child psychiatry in Quebec at the dawn of the 21st Century. Can J Psychiatry 2005; 50:203–212

    PubMed  Google Scholar 

  6. World Health Organization: Caring for Children and Adolescents With Mental Disorders. Setting WHO Directions. Geneva, World Health Organization, 2003

    Google Scholar 

  7. Remschmidt H: Child and adolescent psychiatry in Germany, in Child and Adolescent Psychiatry in Europe. Edited by Remschmidt H, van Engeland H. New York, Springer, 1999, pp 117–135

  8. Martin VL, Bennett DS, Pitale M: Medical students’ perceptions of child psychiatry: pre- and post-psychiatry clerkship. Acad Psychiatry 2005; 29:362–367

    Article  PubMed  Google Scholar 

  9. Shaw JA, Lewis JE, Katyal S: Factors affecting recruitment into child and adolescent psychiatry training. Acad Psychiatry 2010; 34:183–189

    Article  PubMed  Google Scholar 

  10. Weissman SH, Bashook PG: A view of the prospective child psychiatrist. Am J Psychiatry 1986; 143:722–727

    CAS  PubMed  Google Scholar 

  11. Sartorius N, Gaebel W, Cleveland HR, et al: WPA guidance on how to combat stigmatization of psychiatry and psychiatrists. World Psychiatry 2010; 9:131–144

    PubMed Central  PubMed  Google Scholar 

  12. Cutler JL, Alspector SL, Harding KJ, et al: Medical students’ perceptions of psychiatry as a career choice. Acad Psychiatry 2006; 30:144–149

    Article  PubMed  Google Scholar 

  13. Jurvetson KT: Characteristics of medical students and residents who select psychiatry: implications for recruitment. Acad Psychiatry 1995; 19:125–131

    Google Scholar 

  14. Lee EK, Kaltreider N, Crouch J: Pilot study of current factors influencing the choice of psychiatry as a specialty. Am J Psychiatry 1995; 152:1066–1069

    CAS  PubMed  Google Scholar 

  15. Sierles FS, Yager J, Weissman SH: Recruitment of U.S. medical graduates into psychiatry: reasons for optimism, sources of concern. Acad Psychiatry 2003; 27:252–259

    Article  PubMed  Google Scholar 

  16. Goldacre MJ, Turner G, Fazel S, et al: Career choices for psychiatry: national surveys of graduates of 1974–2000 from UK medical schools. Br J Psychiatry 2005; 186:158–164

    Article  PubMed  Google Scholar 

  17. Balon R, Franchini GR, Freeman PS, et al: Medical students’ attitudes and views of psychiatry: 15 years later. Acad Psychiatry 1999; 23:30–36

    Google Scholar 

  18. Feifel D, Moutier CY, Swerdlow NR: Attitudes toward psychiatry as a prospective career among students entering medical school. Am J Psychiatry 1999; 156:1397–1402

    CAS  PubMed  Google Scholar 

  19. Zborovski S, Rohekar G, Rohekar S: Strategies to improve recruitment into rheumatology: results of the Workforce in Rheumatology Issues Study (WRIST). J Rheumatol 2010; 37: 1749–1755

    Article  PubMed  Google Scholar 

  20. 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

    Article  CAS  PubMed  Google Scholar 

  21. Martin A, Bloch M, Pruett K, et al: From too little too late to early and often: child psychiatry education during medical school (and before and after). Child Adolesc Psychiatr Clin N Am 2007; 16:17–43, vii–viii

    Article  PubMed  Google Scholar 

  22. Dingle AD: Child psychiatry: what are we teaching medical students? Acad Psychiatry 2010; 34:175–182

    Article  PubMed  Google Scholar 

  23. Sawyer MG, Giesen F, Walter G: Child psychiatry curricula in undergraduate medical education. J Am Acad Child Adolesc Psychiatry 2008; 47:139–147

    Article  PubMed  Google Scholar 

  24. Fox G, Katz DA, Eddins-Folensbee FF, et al: Teaching development in undergraduate and graduate medical education. Child Adolesc Psychiatr Clin N Am 2007; 16:67–94, viii–ix

    Article  PubMed  Google Scholar 

  25. Malloy E, Hollar D, Lindsey BA: Increasing interest in child and adolescent psychiatry in the third-year clerkship: results from a post-clerkship survey. Acad Psychiatry 2008; 32:350–356

    Article  PubMed  Google Scholar 

  26. Leigh JP, Tancredi DJ, Kravitz RL: Physician career satisfaction within specialties. BMC Health Serv Res 2009; 9:166

    Article  PubMed Central  PubMed  Google Scholar 

  27. Drinkwater J, Tully MP, Dornan T: The effect of gender on medical students’ aspirations: a qualitative study. Med Educ 2008; 42:420–426

    Article  PubMed  Google Scholar 

  28. Dunkley L, Filer A, Speden D, et al: Why do we choose rheumatology? Implications for future recruitment—results of the 2006 UK Trainee Survey. Rheumatology (Oxford) 2008; 47:901–906

    CAS  Google Scholar 

  29. Hibbeler B, Korzilius H: Arztberuf: Die Medizin wird weiblich. (The medical profession is going female). Dt Aerztebl 2008; 105:A–609

    Google Scholar 

  30. Weissman SH, Bashook PG: Forty year trends in selecting a psychiatric career. Psychiatr Q 1991; 62:81–93

    Article  CAS  PubMed  Google Scholar 

  31. Soethout MBM, Heymans MW, Ten Cate OTJ: Career preference and medical students’ biographical characteristics and academic achievement. Med Teach 2008; 30: e15–e22

    Article  Google Scholar 

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Authors and Affiliations

  1. Dept. of Child Psychiatry, Univ. of Frankfurt, Frankfurt, Germany

    Thomas Lempp M.D., Nina Neuhoff M.D., Tobias Renner M.D., Timo D. Vloet M.D., Helmut Fischer M.D., Thomas Stegemann M.D., Florian D. Zepf M.D., Veit Rößner M.D., Michael Kölch, Frank Haessler M.D., Fritz Mattejat Ph.D., Dirk Lehr Ph.D. & Christian Bachmann M.D.

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  1. Thomas Lempp M.D.
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  2. Nina Neuhoff M.D.
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  3. Tobias Renner M.D.
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  4. Timo D. Vloet M.D.
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  6. Thomas Stegemann M.D.
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  11. Fritz Mattejat Ph.D.
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  12. Dirk Lehr Ph.D.
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  13. Christian Bachmann M.D.
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Correspondence to Thomas Lempp M.D..

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Lempp, T., Neuhoff, N., Renner, T. et al. Who Wants to Become a Child Psychiatrist? Lessons for Future Recruitment Strategies From a Student Survey at Seven German Medical Schools. Acad Psychiatry 36, 246–251 (2012). https://doi.org/10.1176/appi.ap.10120173

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  • DOI: https://doi.org/10.1176/appi.ap.10120173

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