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

TY - JOUR

T1 - Three-Year Longitudinal Follow-up of the Psychiatry Early Experience Program (PEEP)

T2 - Gaining and Sustaining Positive Attitudes Towards Psychiatry in Students at a UK Medical School

AU - Holt, Clare

AU - Mirvis, Ross

AU - Bao, Jianan

AU - Cross, Shoshana

AU - Hussain, Osman

AU - Hutchings, Helen

AU - Marshall, Emily

AU - Qureshi, Henna

AU - Turner, Francesca

AU - Wilson-Jones, Charlotte

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Objective: The Psychiatry Early Experience Programme (PEEP) is a novel enrichment activity at Kings College London medical school. Throughout their five-year degree, students shadow trainee psychiatry doctors. The study aimed to evaluate whether more regular early exposure affects attitudes towards psychiatry. Methods: Forty first-year medical students joined PEEP and completed a baseline survey, including questions on demographics, current top three choices of medical specialty and the 30-item Attitudes Towards Psychiatry questionnaire (ATP-30). Participants completed annual follow up surveys, incorporating free-text questions about what students had learned and whether their views about psychiatry had changed. Results: Over three years there was a sustained improvement in mean ATP-30 scores (8.27 points higher at three years than at baseline [95% CI 2.86-13.7, T=3.2, p=0.005]). There was no significant difference between baseline specialty choice and specialty choice at three-year follow-up. At three years there was a 55% response rate. There was no significant association between non-responders at three years and baseline ATP-30, specialty choice or demographic factors. Thematic analysis of qualitative data suggested that PEEP challenged preconceptions towards psychiatry and highlighted its relevance in medicine. Conclusions: The results offer some support that exposure to clinical psychiatry through longitudinal shadowing experiences can sustain positive attitudes. Areas for development include using a control group and following-up participants to the point when they specialize. It remains unclear whether it is most effective to select participants based on established commitment to psychiatry or to try to influence students who are still undecided.

AB - Objective: The Psychiatry Early Experience Programme (PEEP) is a novel enrichment activity at Kings College London medical school. Throughout their five-year degree, students shadow trainee psychiatry doctors. The study aimed to evaluate whether more regular early exposure affects attitudes towards psychiatry. Methods: Forty first-year medical students joined PEEP and completed a baseline survey, including questions on demographics, current top three choices of medical specialty and the 30-item Attitudes Towards Psychiatry questionnaire (ATP-30). Participants completed annual follow up surveys, incorporating free-text questions about what students had learned and whether their views about psychiatry had changed. Results: Over three years there was a sustained improvement in mean ATP-30 scores (8.27 points higher at three years than at baseline [95% CI 2.86-13.7, T=3.2, p=0.005]). There was no significant difference between baseline specialty choice and specialty choice at three-year follow-up. At three years there was a 55% response rate. There was no significant association between non-responders at three years and baseline ATP-30, specialty choice or demographic factors. Thematic analysis of qualitative data suggested that PEEP challenged preconceptions towards psychiatry and highlighted its relevance in medicine. Conclusions: The results offer some support that exposure to clinical psychiatry through longitudinal shadowing experiences can sustain positive attitudes. Areas for development include using a control group and following-up participants to the point when they specialize. It remains unclear whether it is most effective to select participants based on established commitment to psychiatry or to try to influence students who are still undecided.

KW - Attitudes

KW - Enrichment Activities

KW - Psychiatry

KW - Recruitment

UR - http://www.scopus.com/inward/record.url?scp=85076876320&partnerID=8YFLogxK

U2 - 10.1007/s40596-019-01092-0

DO - 10.1007/s40596-019-01092-0

M3 - Article

C2 - 31372963

AN - SCOPUS:85076876320

SN - 1042-9670

VL - 43

SP - 600

EP - 604

JO - Academic psychiatry

JF - Academic psychiatry

IS - 6

ER -