Obsessive-Compulsive Disorder: A Medical School Curriculum and Textbook Review

OBJECTIVES We conducted a curriculum review of Canadian undergraduate medical programs to identify why aggressive obsessions (among those with obsessive-compulsive disorder [OCD]) are so often misidentified by primary care physicians and professional students. METHODS This study involved standardize...

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Main Authors: Chelsea A. Lahey, Emily J. Fawcett, Noah Pevie, Rowan B. Seim, Jonathan M. Fawcett
Format: Article
Language:English
Published: SAGE Publishing 2024-03-01
Series:Journal of Medical Education and Curricular Development
Online Access:https://doi.org/10.1177/23821205241242262
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author Chelsea A. Lahey
Emily J. Fawcett
Noah Pevie
Rowan B. Seim
Jonathan M. Fawcett
author_facet Chelsea A. Lahey
Emily J. Fawcett
Noah Pevie
Rowan B. Seim
Jonathan M. Fawcett
author_sort Chelsea A. Lahey
collection DOAJ
description OBJECTIVES We conducted a curriculum review of Canadian undergraduate medical programs to identify why aggressive obsessions (among those with obsessive-compulsive disorder [OCD]) are so often misidentified by primary care physicians and professional students. METHODS This study involved standardized interviews with representatives from Canadian medical schools regarding the content, time, and teaching styles used to deliver curricula related to OCD. Further, we utilized a set of standardized criteria to assess the OCD content of recommended textbooks from these schools. RESULTS Canadian medical curricula failed to provide a comprehensive picture of OCD. One-third of medical programs did not provide an example of aggressive obsessions to students, with textbook case examples centered heavily (70%) on contamination or symmetry. Only 25% of programs (and 60% of textbooks) discussed the composition of the Unacceptable Thought Domain to include aggressive, sexual, and religious obsessions. Finally, over half of medical programs failed to indicate that aggressive obsessions are ego-dystonic and do not lead people to harm themselves or others. CONCLUSION A series of recommendations are provided for medical schools intended to improve the comprehensiveness of OCD-related training.
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spelling doaj.art-e4e1c156210945f99c2fe2d93b4ec00d2024-03-27T13:03:23ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052024-03-011110.1177/23821205241242262Obsessive-Compulsive Disorder: A Medical School Curriculum and Textbook ReviewChelsea A. LaheyEmily J. FawcettNoah PevieRowan B. SeimJonathan M. FawcettOBJECTIVES We conducted a curriculum review of Canadian undergraduate medical programs to identify why aggressive obsessions (among those with obsessive-compulsive disorder [OCD]) are so often misidentified by primary care physicians and professional students. METHODS This study involved standardized interviews with representatives from Canadian medical schools regarding the content, time, and teaching styles used to deliver curricula related to OCD. Further, we utilized a set of standardized criteria to assess the OCD content of recommended textbooks from these schools. RESULTS Canadian medical curricula failed to provide a comprehensive picture of OCD. One-third of medical programs did not provide an example of aggressive obsessions to students, with textbook case examples centered heavily (70%) on contamination or symmetry. Only 25% of programs (and 60% of textbooks) discussed the composition of the Unacceptable Thought Domain to include aggressive, sexual, and religious obsessions. Finally, over half of medical programs failed to indicate that aggressive obsessions are ego-dystonic and do not lead people to harm themselves or others. CONCLUSION A series of recommendations are provided for medical schools intended to improve the comprehensiveness of OCD-related training.https://doi.org/10.1177/23821205241242262
spellingShingle Chelsea A. Lahey
Emily J. Fawcett
Noah Pevie
Rowan B. Seim
Jonathan M. Fawcett
Obsessive-Compulsive Disorder: A Medical School Curriculum and Textbook Review
Journal of Medical Education and Curricular Development
title Obsessive-Compulsive Disorder: A Medical School Curriculum and Textbook Review
title_full Obsessive-Compulsive Disorder: A Medical School Curriculum and Textbook Review
title_fullStr Obsessive-Compulsive Disorder: A Medical School Curriculum and Textbook Review
title_full_unstemmed Obsessive-Compulsive Disorder: A Medical School Curriculum and Textbook Review
title_short Obsessive-Compulsive Disorder: A Medical School Curriculum and Textbook Review
title_sort obsessive compulsive disorder a medical school curriculum and textbook review
url https://doi.org/10.1177/23821205241242262
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