Abstract
In order to investigate bias in history taking among psychiatric trainees, a retrospective study of case-notes was undertaken in an emergency psychiatric clinic in a teaching district. Two hundred and twenty-seven consecutive new patient assessments were assessed for quality of alcohol, substance use and forensic histories. Trainees were more likely to take alcohol, substance use and forensic histories from men, and more likely to take substance use histories from younger patients. It is concluded that trainees make sexist and ageist assumptions when they assess patients. There is a need for the education of doctors in this area.
Highlights
In order to investigate bias in history taking among psychiatric trainees, a retrospective study of casenotes was undertaken in an emergency psychiatric clinic in a teaching district
Men as a group drink more alcohol than women (Dight, 1976), and certain types of drug use are more common in particular ethnic groups (Lillie-Blanton et al 1993)
The variables were the recording of substance use. alcohol and forensic histories, chosen because of their relevance to emergency psychiatry and because assumptions may be made about alcohol and substance use for the reasons described above
Summary
In order to investigate bias in history taking among psychiatric trainees, a retrospective study of casenotes was undertaken in an emergency psychiatric clinic in a teaching district. Two hundred and twentyseven consecutive new patient assessments were assessed for quality of alcohol, substance use and forensic histories. Men as a group drink more alcohol than women (Dight, 1976), and certain types of drug use are more common in particular ethnic groups We undertook a retrospective case-notes study to investigate whether trainee psychiatrists make such assumptions about individuals of a particular ethnic group, gender, or particular age group in clinical practice. Alcohol and forensic histories, chosen because of their relevance to emergency psychiatry and because assumptions may be made about alcohol and substance use for the reasons described above The variables were the recording of substance use. alcohol and forensic histories, chosen because of their relevance to emergency psychiatry and because assumptions may be made about alcohol and substance use for the reasons described above
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