Predictors-of-satisfaction-in-psychiatry-residents-in-india-a-webbased-crosssectional-study-

Background: Postgraduate education is the only path to creating specialists in the field they will be practicing. Providing high-quality health care and improving science through research & training will impart specific skills needed for the individual. The persons will get satisfaction will receiving post-graduate education. However, there was less data about the opinion of the postgraduate trainees and about the training received. Accordingly, this survey was done to evaluate the perception of psychiatrists about their determining factors of satisfaction in postgraduate training in India. Aim: Methods:To identify the predictors of satisfaction of psychiatry residents in India. An internet-based cross- sectional survey was conducted using snowball sampling technique from May to June 2022. Individuals (Psychiatry residents) were asked to fill a questionnaire with a series of questions, which included sociodemographic data, and a 41- item questionnaire indicating the relative importance of these items in determining their satisfaction with training on a five-point likert scale. A total of 193 residents completed the survey. “Safety of the environment” and “level ofResults: support from peers in the department” were the most important items on this list. These items were ranked significantly higher than all the rest of the items. Improving the institutional support and creating an amicable andConclusion: friendly atmosphere during training periods were essential. When attempting to improve resident training, regulatory bodies should consider this in determining resident satisfaction.

Comparison of attitudes toward psychiatry among undergraduate and postgraduate medical students

Introduction: Attitudes toward psychiatry among medical students will have a great impact on future of expanding psychiatry and breaking barriers at multiple levels. Aims: To assess and compare the attitudes of undergraduate (UG) and postgraduate (PG) medical students toward psychiatry and assess association between sociodemographic variables and attitudes toward mental illness. Methods: A cross-sectional study conducted in a tertiary health care centre, total of 100 (50 UG and 50 PG) medical students were recruited in the study. A standardised questionnaire, Attitudes Toward Psychiatry-30 items (ATP-30) and semi-structured proforma for sociodemographic details were given to study subjects to fill up. Statistical analysis: Both quantitative and qualitative measures of data were calculated. Statistical significance was kept at p-value of <0.05, using Fisher’s exact test and Chi-square test. Data were analysed using Statistical Package for the Social Sciences (SPSS) version 21. Results: The overall ATP-30 score responses were positive (>90) in both males (88%) and females (62%). More number of positive responses were seen in both UG (68%) and PG (84%) medical students compared to only some negative responses in UG (22%) and PG (16%). This difference is significant at p-value <0.05. There is a significant difference (p-value <0.05) in attitudes among UG and PG students in item number four revealing 32% PGs wish was to be psychiatrist. Majority of the UGs and PGs agreed that UG psychiatric training is valuable. Conclusion: We have found overall good attitudes toward psychiatry in the study population but conflicting interest in taking psychiatry as career choice.

Evaluation of the capacity to recognize the facial expression of emotions in psychiatry residents throughout three years of training / Evaluación de la capacidad para reconocer la expresión facial de las emociones por parte de residentes de psiquiatría a lo largo de tres años de formación

Facial emotion recognition in mental health professionals may be influenced by their psychological state of mind and attachment experiences. The purpose of this study was to examine the association between current psychological symptoms and attachment styles, and the ability of psychiatry residents to correctly identify the facial expressions of emotions throughout their three-year period of psychiatry training. Sixteen psychiatry residents were recruited in a highly specialized mental health center. In order to evaluate the subjects' psychiatric symptoms, the Checklist (SCL-90) and Attachment Styles Questionnaire (ASQ). Likewise, were used to examine the ability to recognize facial expressions of emotion, we chose the Picture of Facial Affect (POFA). During the psychiatric residency, the severity of psychiatric symptoms was minimal in all participants. Fear was the least-well recognized emotion, both initially and in the third year of residency, while neutral emotion was recognized best at both times. Significant changes in time were observed in the recognition of sadness and disgust. No significant associations were found between attachment styles and the changes in time observed in depressive and anxiety symptoms in psychiatry residents...

El reconocimiento facial de las emociones en profesionales de la salud mental puede estar influenciado por el estado psicológico y las experiencias de apego. El objetivo del presente estudio fue examinar la asociación de los síntomas psicológicos y los estilos de apego en relación con la capacidad de residentes de psiquiatría para identificar correctamente la expresión facial de las emociones a lo largo de tres de los cuatro años de su formación como psiquiatras. La muestra estuvo compuesta por 16 residentes de psiquiatría de un centro especializado en salud mental. Con el objeto de evaluar los síntomas psiquiátricos, se aplicaron el instrumento conocido como SCL-90 y el cuestionario de estilos de apego ASQ. Para el reconocimiento de las emociones, se aplicó el instrumento conocido como POFA (Picture of Facial Affect). Durante la residencia en psiquiatría, la gravedad de los síntomas psiquiátricos se mantuvo en un mínimo en todos los participantes. El miedo fue la emoción menos reconocida al inicio y durante el tercer año de residencia, mientras que la expresión neutra fue la mejor reconocida en ambos momentos. Se observaron cambios significativos a lo largo del tiempo en el reconocimiento de la tristeza y el asco. No se encontraron asociaciones significativas entre el tiempo y los síntomas de ansiedad y depresión y los estilos de apego...

Undergraduate Psychiatric Training: Insights from Emergency Room.

Context: Undergraduate medical training involves a number of subjects for the trainee to go through and develop the skills necessary to mange the cases. Subjects such as psychiatry are underrepresented during this training. Aims: This study aims to assess the quality of undergraduate psychiatric training through the management of psychiatry cases by MBBS graduated in the emergency department. Settings and Design: The study was carried out in the emergency department and OPD set up. The study used the consecutive sample inclusion. Methods and Materials: The study included the consecutive initial 40 consultation from the emergency department. The analysis included the management done by the emergency department, the reasons for referral and the differences in diagnosis/ management of emergency department staff and resident doctor of psychiatry. Statistical Analysis used: The data was analysed using SPSS ver 10. Results: The diagnosis in 15 cases was revised by the psychiatry resident doctor from that made by the emergency department staff. There were certain unusual reasons for referrals to a psychiatrist. There were differences in the line of management of some of the cases as per the emergency department staff and the psychiatry resident. Conclusion: There is a need to relook into the training curriculum of the undergraduate psychiatric training programme.

Educación en bioética para residentes de psiquiatría / Education in bioethics for psychiatry residents

El artículo establece las diferencias entre ética médica y bioética y plantea los alcances de esta última. Propone tres objetivos de la enseñanza de la bioética a residentes de psiquiatría: transmitir conocimientos sobre los problemas éticos más frecuentes, desarrollar habilidades para su solución y modificar las actitudes tradicionales de la comunidad médica. Además, sugiere cuáles serían los contenidos básicos de un programa y discute las habilidades y actitudes que deberían resultar de tal enseñanza. Finalmente presenta algunos de los problemas de su implementación a tres niveles: ministerios de salud, dirección de hospitales y departamentos de docencia e investigación...

This paper describes different between medical ethics and bioethics with its spectrum. It purposes three main goals for education of psychiatry residents: knowledge about the most frequent ethical problems, development of skills to resolve them, while modifying traditional attitudes of the medical community. The basic contents of a program and resulting skills and acttitudes are suggested. Difficulties of program implementation in three different levels are discussed: health agencies, direction of hospitals and educacional and research departments...