Evaluation of self-efficacy in the approach to the psychiatric patient in Family Medicine assistants who received and did not receive psychiatric rotation
Aim: This study was conducted in İstanbul hospitals affiliated with Istanbul Health Sciences Universities. The aim of this study was to evaluate the contribution of psychiatry rotation to the self-efficacy perception of family medicine residents. The primary objective was to compare the clinical self-efficacy levels of family medicine residents who received psychiatry rotation with those who did not, and to assess the effect of the rotation on self efficacy perception. While examining the impact of psychiatry rotation on self-efficacy, the subject areas determined by the Medical Specialty Board and the Core Curriculum Creation System (TUKMOS) were taken into consideration, and the residents’ self-assessments were used as the basis of evalution. Questions related to self-efficacy were directed to family medicine residents who had and had not completed the psychiatry rotation, and the obtained data were analyzed statistically.
Materials and Methods: The study population consisted of a total of 1648 Family Medicine Specialty Student (FMSS) and Contracted Family Medicine Specialty Student (CFMSS) working in Haseki training and research hospitals. The sample of study consists of 312 family physician assistants. During the study, the results of the questionnaire distributed in the social environment were used as data. The data obtained in our study were analyzed using the SPSS 21 (Statistical Package fort he Social Sciences, version 21) software. The normal distribution was evaluated with the Kolmogonov Smirnov test. The Cronbach’s Alpha coefficient of the questionnaire was calculated as 0,954.
Results: 61.54% of the assistant physicians participating in the study were women and 75.81% were Family Medicine Specialty Student (FMSS). The average age of the participants was calculated as 30.13±4.52. The highest average scores were obtained respectively from the items “I can recognize patients with anxiety disorders,” “I can accurately diagnose patients with depression,” and “I can refer patients with anxiety disorders when necessary.”
Conclusion: According to the results; more than half of the participants find the psychiatry rotation sufficient both in terms of education and duration of education. It has been observed that in diseases such as depression and anxiety disorder, which are common in the society and affect the life of both the person and the society, family medicine residents have high self-efficacy in recognizing, managing, treating these diseases, directing them when necessary, and recognizing the emergencies of these diseases.
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