Subjective achievement from psychiatry rotation in the Japanese postgraduate residency system: a longitudinal questionnaire study

Abstract Background Psychiatry rotation has been mandatory in the Japanese postgraduate residency system since 2020. Some psychiatry-related competency items are stipulated as mandatory for residents. The current study aimed to clarify whether psychiatry rotation affected residents’ subjective achie...

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Main Authors: Yusuke Matsuzaka, Koichi Taniho, Kengo Maeda, Shintaro Sakai, Toru Michitsuji, Eriko Ozono, Yoshiro Morimoto, Hirohisa Kinoshita, Kayoko Matsushima, Hisayuki Hamada, Akira Imamura, Hirokazu Kumazaki, Hiroki Ozawa
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-022-03712-0
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author Yusuke Matsuzaka
Koichi Taniho
Kengo Maeda
Shintaro Sakai
Toru Michitsuji
Eriko Ozono
Yoshiro Morimoto
Hirohisa Kinoshita
Kayoko Matsushima
Hisayuki Hamada
Akira Imamura
Hirokazu Kumazaki
Hiroki Ozawa
author_facet Yusuke Matsuzaka
Koichi Taniho
Kengo Maeda
Shintaro Sakai
Toru Michitsuji
Eriko Ozono
Yoshiro Morimoto
Hirohisa Kinoshita
Kayoko Matsushima
Hisayuki Hamada
Akira Imamura
Hirokazu Kumazaki
Hiroki Ozawa
author_sort Yusuke Matsuzaka
collection DOAJ
description Abstract Background Psychiatry rotation has been mandatory in the Japanese postgraduate residency system since 2020. Some psychiatry-related competency items are stipulated as mandatory for residents. The current study aimed to clarify whether psychiatry rotation affected residents’ subjective achievement of these competency items. Methods This longitudinal study was conducted among postgraduate residents who completed a rotation in the psychiatry department at Nagasaki University Hospital across two academic years (2020–2021). The survey was administered at the start and at the end of the psychiatry rotation. Residents evaluated their subjective understanding and confidence regarding initiating treatment for these competency items using a six-point Likert scale. The average scores for each item were compared between pre-rotation and post-rotation. Results In total, 99 residents (91.7%) responded to this survey. Residents had significantly higher scores at post-rotation compared with pre-rotation in all psychiatry-related competency items in both subjective understanding and confidence in initiating treatment. Additionally, strong effect sizes were found for many items. Conclusion Residents improved learning about psychiatry-related competency items through psychiatry rotation. This finding suggests that it is reasonable for psychiatry rotation to be mandatory in the current Japanese postgraduate residency system. The importance of psychiatry is likely to increase in both undergraduate and postgraduate medical education in the future. It is necessary to continuously update educational strategies to meet changing social needs over time. As this study was conducted at a single institution, a multi-center study is needed to expand the current findings.
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spelling doaj.art-d3c6ce28b8a543e4aa0408c32475ea612022-12-22T02:15:53ZengBMCBMC Medical Education1472-69202022-08-012211510.1186/s12909-022-03712-0Subjective achievement from psychiatry rotation in the Japanese postgraduate residency system: a longitudinal questionnaire studyYusuke Matsuzaka0Koichi Taniho1Kengo Maeda2Shintaro Sakai3Toru Michitsuji4Eriko Ozono5Yoshiro Morimoto6Hirohisa Kinoshita7Kayoko Matsushima8Hisayuki Hamada9Akira Imamura10Hirokazu Kumazaki11Hiroki Ozawa12Department of Neuropsychiatry, Nagasaki University Graduate School of Biomedical SciencesDepartment of Neuropsychiatry, Nagasaki University Graduate School of Biomedical SciencesDepartment of Neuropsychiatry, Nagasaki University Graduate School of Biomedical SciencesDepartment of Neuropsychiatry, Nagasaki University Graduate School of Biomedical SciencesMedical Education Development Center, Nagasaki University HospitalMedical Education Development Center, Nagasaki University HospitalDepartment of Neuropsychiatry, Nagasaki University Graduate School of Biomedical SciencesDepartment of Neuropsychiatry, Nagasaki University Graduate School of Biomedical SciencesMedical Education Development Center, Nagasaki University HospitalMedical Education Development Center, Nagasaki University HospitalDepartment of Neuropsychiatry, Nagasaki University Graduate School of Biomedical SciencesDepartment of Neuropsychiatry, Nagasaki University Graduate School of Biomedical SciencesDepartment of Neuropsychiatry, Nagasaki University Graduate School of Biomedical SciencesAbstract Background Psychiatry rotation has been mandatory in the Japanese postgraduate residency system since 2020. Some psychiatry-related competency items are stipulated as mandatory for residents. The current study aimed to clarify whether psychiatry rotation affected residents’ subjective achievement of these competency items. Methods This longitudinal study was conducted among postgraduate residents who completed a rotation in the psychiatry department at Nagasaki University Hospital across two academic years (2020–2021). The survey was administered at the start and at the end of the psychiatry rotation. Residents evaluated their subjective understanding and confidence regarding initiating treatment for these competency items using a six-point Likert scale. The average scores for each item were compared between pre-rotation and post-rotation. Results In total, 99 residents (91.7%) responded to this survey. Residents had significantly higher scores at post-rotation compared with pre-rotation in all psychiatry-related competency items in both subjective understanding and confidence in initiating treatment. Additionally, strong effect sizes were found for many items. Conclusion Residents improved learning about psychiatry-related competency items through psychiatry rotation. This finding suggests that it is reasonable for psychiatry rotation to be mandatory in the current Japanese postgraduate residency system. The importance of psychiatry is likely to increase in both undergraduate and postgraduate medical education in the future. It is necessary to continuously update educational strategies to meet changing social needs over time. As this study was conducted at a single institution, a multi-center study is needed to expand the current findings.https://doi.org/10.1186/s12909-022-03712-0Competency itemsConfidence in initiating treatmentPostgraduate residency systemPsychiatry rotationSubjective understanding
spellingShingle Yusuke Matsuzaka
Koichi Taniho
Kengo Maeda
Shintaro Sakai
Toru Michitsuji
Eriko Ozono
Yoshiro Morimoto
Hirohisa Kinoshita
Kayoko Matsushima
Hisayuki Hamada
Akira Imamura
Hirokazu Kumazaki
Hiroki Ozawa
Subjective achievement from psychiatry rotation in the Japanese postgraduate residency system: a longitudinal questionnaire study
BMC Medical Education
Competency items
Confidence in initiating treatment
Postgraduate residency system
Psychiatry rotation
Subjective understanding
title Subjective achievement from psychiatry rotation in the Japanese postgraduate residency system: a longitudinal questionnaire study
title_full Subjective achievement from psychiatry rotation in the Japanese postgraduate residency system: a longitudinal questionnaire study
title_fullStr Subjective achievement from psychiatry rotation in the Japanese postgraduate residency system: a longitudinal questionnaire study
title_full_unstemmed Subjective achievement from psychiatry rotation in the Japanese postgraduate residency system: a longitudinal questionnaire study
title_short Subjective achievement from psychiatry rotation in the Japanese postgraduate residency system: a longitudinal questionnaire study
title_sort subjective achievement from psychiatry rotation in the japanese postgraduate residency system a longitudinal questionnaire study
topic Competency items
Confidence in initiating treatment
Postgraduate residency system
Psychiatry rotation
Subjective understanding
url https://doi.org/10.1186/s12909-022-03712-0
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