Inpatient Child and Adolescent Psychiatry as an Extracurricular Venue for Medical Student and Resident Education and Pro

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Inpatient Child and Adolescent Psychiatry as an Extracurricular Venue for Medical Student and Resident Education and Professional Development: Story Time and Teen Talk Timothy Rice 1 & Mitchell Arnovitz 1,2 & Maya Hubert 1 & Jonathan Weiss 1,3 & Virginia Gao 1,4 & Mary Christopher 1 & Allyssa Rivera 1 & Anna Blazejowskyj 1 & Yonis Hassan 1 Received: 24 March 2020 / Accepted: 17 June 2020 # Academic Psychiatry 2020

Abstract Objective Comparatively little systematic data exists concerning medical student education from the inpatient child and adolescent psychiatry venue. Training in this venue is vulnerable to pressures including increasingly reduced lengths of stay and greater emphasis on clinical productivity. An extracurricular psychosocial opportunity during evening hours may be a productive means through which to provide meaningful patient exposure, training, and mentorship to trainees. We sought to evaluate the impact upon student beliefs and attitudes through participation in an initiative titled “Story Time and Teen Talk.” Methods Under the direct supervision of postgraduate resident physicians in psychiatry, students read fairy tales and children’s literature to children and conducted group discussions with adolescents during weekly held evening hours. Students were invited to complete a 15-item questionnaire that surveyed the impact of their participation on their beliefs and attitudes concerning general medical education and patient care, the field of psychiatry, and training in child and adolescent psychiatry. A subset of students underwent a semi-structured interview which was evaluated via grounded theory analysis to determine qualitative themes related to impact of program participation. Results Thirty students (N = 30) completed the survey and five students (N = 5) completed the interview. The majority of students reported strongly agreeing or agreeing that participation impacted their attitudes and beliefs about general medical education and patient care in twelve of the thirteen assayed items. Themes from qualitative analysis supported these findings. Conclusions Extracurricular opportunities may be a productive venue for graduate medical education and, specifically, child and adolescent psychiatry. Keywords Medical student education . Child and adolescent psychiatry . Fairy tales . Adolescent groups . Extracurricular activities

Inpatient psychiatry is a valuable venue for graduate and postgraduate medical training [1]. Child and adolescent inpatient psychiatry units are less prevalent than general inpatient psychiatry units, and comparatively less literature exists concerning innovative ways of teaching and learning from this

* Timothy Rice [email protected] 1

Icahn School of Medicine at Mount Sinai, New York, NY, USA

2

State University of New York Upstate Medical University, Syracuse, NY, USA

3

Georgetown University School of Medicine, Washington DC, USA

4

Weill Cornell School of Medicine, New York, NY, USA

setting. Yet, the overall educational experiences of