Academic Psychiatry 24:35-40, December 2000
© 2000 Academic Psychiatry
The Junior-Year Psychiatric Clerkship and Medical Students' Interest in Psychiatry
James A. Clardy, M.D.,
Carol R. Thrush, M.A.,
Veronika T. Guttenberger, M.A.,
Marcia L. Goodrich, M.S. and
Russell P.D. Burton, Ph.D.
Dr. Clardy is Associate Professor and Director of Psychiatry Residency Training, Department of Psychiatry and Behavioral Sciences; Ms. Thrush is a Scientific/Technical Writer with the Centers for Mental Healthcare Research, Department of Psychiatry and Behavioral Sciences; Ms. Guttenberger is an Administrative Assistant in the education division in the Department of Psychiatry and Behavioral Sciences; and Ms. Goodrich is Education Coordinator in the Department of Psychiatry and Behavioral Sciences, all with the University of Arkansas for Medical Sciences in Little Rock, Arkansas. Dr. Burton was a Veterans Affairs HSR&D Postdoctoral Fellow in mental health services research with the Centers for Mental Healthcare and Outcomes Research, Veterans Affairs Medical Center, North Little Rock, Arkansas. Address reprint requests to Dr. Clardy, University of Arkansas for Medical Sciences, 4301 W. Markham St., Slot 589, Little Rock, AR 72205.
The authors present results for a 5-year period, from 1994 to 1998, of medical students' interest in specializing in psychiatry after the junior-year psychiatric clerkship and their actual decisions to specialize in psychiatry. The student-reported survey results, NRMP matching data, and internal house-staff records showed that students rotating through an outpatient setting for their psychiatric clerkship reported significantly greater interest in specializing in psychiatry than students rotating through the emergency room, a children's hospital, or inpatient or consultation/liaison setting. Of the factors examined in this study, the site of the clerkship and the rotation time-of-year were not associated with the choice of psychiatry as a specialty, whereas the strongest predictor of eventual specialization in psychiatry was post-clerkship attitudes.
Key Words: Clerkships • Undergraduate Medical Education • Psychiatry Recruitment
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