A study to assess impact of teaching proper case history taking of the most common psychiatric disorder - Major Depressive Disorder (MDD) in Interns
Journal Title: INDIAN JOURNAL OF MENTAL HEALTH - Year 2019, Vol 6, Issue 1
Abstract
Background and Objectives: Psychiatry lectures & clinical posting are the only learning experience of psychiatry for Medical Graduates. Only interns attend their compulsory psychiatry posting. The aim is to make Interns competent to elicit & write proper history of MDD and able to describe different components of history taking, diagnostic criteria, to demonstrate communication skills. Methods: It was a Prospective Interventional Study done in 45 Interns posted consecutively in Psychiatry. On Day1, Interns were asked to take and write history of MDD patient and evaluated on Checklist for history taking (10 components), SMCQ (15) and Mini-CEX. Then Interns were taught about MDD by CBL, SGL and Role Play. On Day 7, they were again evaluated on Mini-CEX. On term ending, they were again evaluated as per Day1. Feedback of Interns and faculties were taken. Appropriate Statistical Tests were used using SPSS Version 16. Results: On Checklist for history taking of MDD apart from Negative History and Mental Status Examination, Interns’ skills improved significantly. Mean score on SMCQ got doubled from 6±0.83 to 12±0.83. On Mini-CEX, apart from clinical judgement, counselling skills and overall clinical competence, Interns improved from unsatisfactory to superior level. Feedback was positive on most of the components of study but few were satisfied completely with their history writing & communication skills and diagnosing ability. Faculties’ perceptions were very encouraging. Conclusion: Teaching of MDD case history taking was well taken & perceived by interns. Knowledge about MDD & competency to take history and identifying patients of MDD improved satisfactorily.
Authors and Affiliations
Bhaveshkumar M. Lakdawala, Parlin M. Dadhaniya, Tanvi G. Kacha
Keywords
Related Articles
- EP ID EP556314
- DOI 10.30877/IJMH.6.1.2019.43-55
- Views 106
- Downloads 0
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