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Am J Psychiatry 1983; 140:1615-1618
Copyright © 1983 by American Psychiatric Association


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Medical students' learning as primary therapists or as participant/observers in a psychiatric clerkship

JM Oldham, MH Sacks, JE Nininger, K Blank and RD Kaplan

The authors assessed two different inpatient models of clinical clerkships in psychiatry on the basis of both an examination assessing amount of learning and a survey of student attitudes. One clerkship model placed the third-year medical student in the role of primary therapist; the other model assigned each student to join a psychiatrist as a participant/observer. No overall difference in objective assessment of learning was found between the two groups of students, and student attitudes generally favored the participant/observer model. These findings suggest that the widespread bias favoring the primary therapist model may not be justified.


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