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Are summer schools a way to improve recruitment in psychiatry?

Published online by Cambridge University Press:  27 July 2020

Aileen O'Brien*
Affiliation:
St. George's University of London, UK
*
Correspondence to Aileen O'Brien (aobrien@sgul.ac.uk)
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Abstract

Summer schools are traditionally used to encourage sixth form students to consider a career in medicine. Is it worth attracting students earlier in their school career, concentrating on psychiatry? Wyke et al describe an innovative project attempting to do just that.

Type
Editorial
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © The Author 2020

Summer schools – where prospective students are invited to a university or other setting during the holidays – are a well-established way of encouraging students to consider applying for a particular course. They are usually a week long and are aimed at particular groups of students, for example, international students or those from more deprived backgrounds. Although they are traditionally held on campus, there would be scope in the future to run them remotely, depending on the COVID-19 situation.

Medicine has traditionally been and remains a competitive course, but medical schools are also in competition with each other to attract students. The most prized students for financial reasons are international students, as they pay higher fees (one of the reasons COVID-19 presents a financial risk to many universities).

The widening participation agenda – attracting students from more deprived backgrounds – is another financial inducement for universities. Unless universities can prove their commitment to this, which is surprisingly hard to measure and evidence, they are not allowed to charge high-rate tuition fees. Students from such backgrounds are a group often targeted for invitation to summer schools by universities.

The #ChoosePsychiatry campaign has tried to encourage doctors to choose the specialty – and to an admirable extent has succeeded, with rates of juniors going into psychiatry increasing.1 The campaign to choose psychiatry includes a target audience of sixth formers who have already chosen to study medicine. As the conversation about mental health, especially post COVID-19, becomes part of the national zeitgeist, are we missing a trick in not trying to interest psychologically minded students into medicine earlier than sixth form? Wyke et al describe an innovative 1 week summer school for GCSE students, not all of whom had decided on medicine as a potential career.Reference Wyke, de Bernier, Sin Fai Lam, Holt, Butler and Rajkumar2 The week included talks from psychiatrists at different levels of training, groups and debates, and the students met patients and medical students. At the end of the week, students were more likely than before to choose psychiatry as a career, had changed their views regarding social restriction in mental health and had uniformly positive attitudes towards the course.

Some of these students will presumably have gone to the summer school in order to build their CV, having already decided to apply for medicine, but who knows whether a psychiatry spark has been lit in a budding doctor who wouldn't have considered the specialty otherwise?

It may be well be that the resources and expense required for the project, which were not evaluated in Wykes's paper, are not worth the long-term results. It will be very interesting to see how many of these teenagers do study medicine and choose psychiatry. We know that many students interested in psychiatry at the start of medical school are put off by the ‘badmouthing’ of the specialty by their educators and peers,Reference Ajaz, David, Brown, Smuk and Korszun3 so hopefully those enthusiastic students will not have their initial enthusiasm knocked out of them along the way. Others may ultimately decide not to study medicine, or to study medicine but not choose psychiatry; if so, at least a group of bright adolescents have had their eyes opened to the subject and had stigmatising clichés about psychiatry challenged.

About the author

Aileen O'Brien is a Reader in Psychiatry and Education at St. George's University of London, UK.

Declaration of interest

None.

ICMJE forms are in the supplementary material, available online at https://doi.org/10.1192/bjb.2020.77.

References

Royal College of Psychiatrists. How to Become a Psychiatrist. RCPsych (https://www.rcpsych.ac.uk/become-a-psychiatrist/choose-psychiatry/how-to-become-a-psychiatrist).Google Scholar
Wyke, C, de Bernier, GL, Sin Fai Lam, C, Holt, C, Butler, S, Rajkumar, AP, et al. Perspectives of GCSE students attending a psychiatry summer school in south London. BJPsych Bull 2020; this issue.CrossRefGoogle Scholar
Ajaz, A, David, R, Brown, D, Smuk, M, Korszun, A. BASH: badmouthing, attitudes and stigmatisation in healthcare as experienced as medical students. BJPsych Bull 2016; 40(2): 97102.CrossRefGoogle ScholarPubMed
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