ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2024
Changing Medical Student Perceptions of Mental Illness Through a Psychiatry Clinical Clerkship: A Longitudinal Qualitative Study.
Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Reappraisal of Mental Illness-Related Beliefs During Psychiatric Clinical Exposure: Perceived Dangerousness, Ruminative Thought Style, and Cognitive-Metacognitive Characteristics.Behavioral sciences (Basel, Switzerland) · 2026Article
- Understanding Medical Students' Decision Making in Relation to Seeking Help for Mental Health Problems.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Article
- The impact of a psychiatric training on stigma towards mental illness in undergraduate medical students.BMC medical education · 2026Article
- Organ-system-based psychiatry education in undergraduate medicine: learning outcomes and specialty choice.BMC medical education · 2026Article
- Are we ready yet? A qualitative study exploring undergraduate medical students' readiness for psychiatry placements.BMC medical education · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveThis study sought to understand whether perceptions of mental illness change during the course of students' psychiatry clerkships, and what facilitates such change.
methodsUsing a longitudinal qualitative study design, the authors followed up 14 medical students, interviewing them before, during, and after their psychiatric clerkship.
resultsPrior to clerkships, students perceived psychiatric patients to be dangerous, fragile, hard to treat, and to exert a disproportionate emotional toll on clinicians. Stigma was reinforced by safety measures including the provision of alarms, but this improved following "real life" engagement with patients. Students experienced little emotional distress from clinical contacts, particularly those where they led the consultation. Pre-existing beliefs about mental illness being hard to "fix" showed less change over time. Although uncommon, when staff referred to patients using pejorative language, students emulated these negative attitudes.
conclusionsAmong medical students, direct patient contact plays an important role in counteracting pre-existing negative attitudes towards mental illness. This can be facilitated by supportive supervisors, clinical teams allocating students a clear practical role, involving patients in teaching, and roleplay to alleviate potential concerns about seeing patients.
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