
Thinking About Mental Illness: 6 Steps for Medical School Faculty
Regardless of the systems in place at medical schools, psychiatrists and psychiatry residents play an important role in molding medical students' attitudes toward mental illness.
Regardless of the systems in place at medical schools, psychiatrists and psychiatry residents play an important role in molding the attitudes of medical students toward mental illness. Studies have consistently demonstrated that
It has been shown that patients who encounter doctors who are
1. Examine your own attitudes. While the data is somewhat inconsistent, psychiatrists and psychiatry trainees have been found to possess more
2. Engage in reflection with students about their experiences working with patients with psychiatric disorders. This should be done in a nonjudgmental and inviting way. Students are often overwhelmed by their psychiatry rotations and have difficulty expressing their thoughts and feelings. Routinely encouraging medical students to identify the personal emotions that various patients elicit can open a dialog.
3. Begin a discussion about countertransference and how to effectively use those feelings in the therapeutic space. Teach students to use their sensibilities and countertransference to more deeply understand and garner empathy for all patients. This can then lead to better therapeutic outcomes.
4. Exercise didactic thinking and offer educational reflection exercises. Even brief interventions have been shown successfully to improve attitudes, and a
5. Give medical students strategies to tolerate uncertainty and to set realistic and attainable goals with their patients.
6. Encourage students to train in Motivational Interviewing (MI), which embodies an atmosphere of acceptance and compassion.13 This can help them view challenging patients in a new way and minimize frustration. Specifically, MI can provide clinicians with a
Disclosures:
Dr Baez is a third-year psychiatry resident at Montefiore Medical Center in the Bronx, New York. Dr Avery is an Addiction Psychiatry Fellow at New York University School of Medicine in New York City. Dr Ascher is an Addiction Psychiatry Fellow at the University of Pennsylvania School of Medicine in Philadelphia.
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