Status of General Medicine Training and Education in Psychiatry Residency

Objective With the current emphasis on integrated care, the role of psychiatrists is expanding to either directly provide medical care or coordinate its delivery. The purpose of this study was to survey general psychiatry programs on the extent of general medicine training provided during residency....

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Published in:Academic psychiatry 2014-08, Vol.38 (4), p.473-475
Main Authors: Annamalai, Aniyizhai, Rohrbaugh, Robert M., Sernyak, Michael J.
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title Status of General Medicine Training and Education in Psychiatry Residency
format Article
creator Annamalai, Aniyizhai
Rohrbaugh, Robert M.
Sernyak, Michael J.
subjects Computer Assisted Instruction
Curricula
Curriculum - standards
Diabetes
Didacticism
Education
Family Practice (Medicine)
General Practice - education
Graduate Medical Education
Health care
Health Promotion
Humans
Hyperlipidemia
Hypertension
In Brief Report
Internal medicine
Internship and Residency - standards
Internship Programs
Internships
Likert Scales
Medical Education
Medical Evaluation
Medical Services
Medicine
Medicine & Public Health
Mental disorders
Mental health
Obesity
Patients
Physical Health
Preventive medicine
Primary care
Psychiatrists
Psychiatry
Psychiatry - education
Sexual disorders
Teachers
Teaching Methods
ispartof Academic psychiatry, 2014-08, Vol.38 (4), p.473-475
description Objective With the current emphasis on integrated care, the role of psychiatrists is expanding to either directly provide medical care or coordinate its delivery. The purpose of this study was to survey general psychiatry programs on the extent of general medicine training provided during residency. Methods A short web-based survey was sent to 173 residency program directors to recruit participants for a larger survey. Thirty-seven participants were recruited and surveyed, and of these, 12 (32.4 %) responded. The survey assessed the extent of general medicine training and didactics during and after the first postgraduate year and attitudes towards enhancing this training in residency. This study was approved by the local institutional review board. Results Seventy-five percent of programs require only the minimum 4 months of primary care in the first postgraduate year, and didactics during these months is often not relevant to psychiatry residents. Some programs offer elective didactics on chronic medical conditions in the fourth postgraduate year. Respondents are in favor of enhancing general medicine training in psychiatry but indicate some resistance from their institutions. Conclusions These results suggest that very few programs require additional clinical training in relevant medical illnesses after the first postgraduate year. Respondents indicated favorable institutional support for enhancing training, but also expected resistance. The reasons for resistance should be an area of future research. Also important is to determine if enhancing medical didactics improves patient care and outcomes. The changing role of psychiatrists entails a closer look at resident curricula.
language eng
source Social Science Premium Collection; Alma/SFX Local Collection; Education Collection; Education Database (ProQuest)
identifier ISSN: 1042-9670
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1545-7230
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container_title Academic psychiatry
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The purpose of this study was to survey general psychiatry programs on the extent of general medicine training provided during residency. Methods A short web-based survey was sent to 173 residency program directors to recruit participants for a larger survey. Thirty-seven participants were recruited and surveyed, and of these, 12 (32.4 %) responded. The survey assessed the extent of general medicine training and didactics during and after the first postgraduate year and attitudes towards enhancing this training in residency. This study was approved by the local institutional review board. Results Seventy-five percent of programs require only the minimum 4 months of primary care in the first postgraduate year, and didactics during these months is often not relevant to psychiatry residents. Some programs offer elective didactics on chronic medical conditions in the fourth postgraduate year. Respondents are in favor of enhancing general medicine training in psychiatry but indicate some resistance from their institutions. Conclusions These results suggest that very few programs require additional clinical training in relevant medical illnesses after the first postgraduate year. Respondents indicated favorable institutional support for enhancing training, but also expected resistance. The reasons for resistance should be an area of future research. Also important is to determine if enhancing medical didactics improves patient care and outcomes. The changing role of psychiatrists entails a closer look at resident curricula.</description><identifier>ISSN: 1042-9670</identifier><identifier>EISSN: 1545-7230</identifier><identifier>DOI: 10.1007/s40596-014-0106-y</identifier><identifier>PMID: 24664597</identifier><language>eng</language><publisher>New York: Springer New York</publisher><subject>Computer Assisted Instruction ; Curricula ; Curriculum - standards ; Diabetes ; Didacticism ; Education ; Family Practice (Medicine) ; General Practice - education ; Graduate Medical Education ; Health care ; Health Promotion ; Humans ; Hyperlipidemia ; Hypertension ; In Brief Report ; Internal medicine ; Internship and Residency - standards ; Internship Programs ; Internships ; Likert Scales ; Medical Education ; Medical Evaluation ; Medical Services ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Mental health ; Obesity ; Patients ; Physical Health ; Preventive medicine ; Primary care ; Psychiatrists ; Psychiatry ; Psychiatry - education ; Sexual disorders ; Teachers ; Teaching Methods</subject><ispartof>Academic psychiatry, 2014-08, Vol.38 (4), p.473-475</ispartof><rights>Academic Psychiatry 2014</rights><rights>Academic Psychiatry 2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-4648e60eed9dea30383db1d9e740b0625e60dc7abd711a3598b569cfb2e7a5643</citedby><cites>FETCH-LOGICAL-c372t-4648e60eed9dea30383db1d9e740b0625e60dc7abd711a3598b569cfb2e7a5643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2933500587/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2933500587?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,787,791,12118,21420,21436,27985,27986,33676,33677,33942,33943,36180,36181,43928,44084,44720,75039,75225,75879</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24664597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Annamalai, Aniyizhai</creatorcontrib><creatorcontrib>Rohrbaugh, Robert M.</creatorcontrib><creatorcontrib>Sernyak, Michael J.</creatorcontrib><title>Status of General Medicine Training and Education in Psychiatry Residency</title><title>Academic psychiatry</title><addtitle>Acad Psychiatry</addtitle><addtitle>Acad Psychiatry</addtitle><description>Objective With the current emphasis on integrated care, the role of psychiatrists is expanding to either directly provide medical care or coordinate its delivery. The purpose of this study was to survey general psychiatry programs on the extent of general medicine training provided during residency. Methods A short web-based survey was sent to 173 residency program directors to recruit participants for a larger survey. Thirty-seven participants were recruited and surveyed, and of these, 12 (32.4 %) responded. The survey assessed the extent of general medicine training and didactics during and after the first postgraduate year and attitudes towards enhancing this training in residency. This study was approved by the local institutional review board. Results Seventy-five percent of programs require only the minimum 4 months of primary care in the first postgraduate year, and didactics during these months is often not relevant to psychiatry residents. Some programs offer elective didactics on chronic medical conditions in the fourth postgraduate year. Respondents are in favor of enhancing general medicine training in psychiatry but indicate some resistance from their institutions. Conclusions These results suggest that very few programs require additional clinical training in relevant medical illnesses after the first postgraduate year. Respondents indicated favorable institutional support for enhancing training, but also expected resistance. The reasons for resistance should be an area of future research. Also important is to determine if enhancing medical didactics improves patient care and outcomes. 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The purpose of this study was to survey general psychiatry programs on the extent of general medicine training provided during residency. Methods A short web-based survey was sent to 173 residency program directors to recruit participants for a larger survey. Thirty-seven participants were recruited and surveyed, and of these, 12 (32.4 %) responded. The survey assessed the extent of general medicine training and didactics during and after the first postgraduate year and attitudes towards enhancing this training in residency. This study was approved by the local institutional review board. Results Seventy-five percent of programs require only the minimum 4 months of primary care in the first postgraduate year, and didactics during these months is often not relevant to psychiatry residents. Some programs offer elective didactics on chronic medical conditions in the fourth postgraduate year. Respondents are in favor of enhancing general medicine training in psychiatry but indicate some resistance from their institutions. Conclusions These results suggest that very few programs require additional clinical training in relevant medical illnesses after the first postgraduate year. Respondents indicated favorable institutional support for enhancing training, but also expected resistance. The reasons for resistance should be an area of future research. Also important is to determine if enhancing medical didactics improves patient care and outcomes. The changing role of psychiatrists entails a closer look at resident curricula.</abstract><cop>New York</cop><pub>Springer New York</pub><pmid>24664597</pmid><doi>10.1007/s40596-014-0106-y</doi></addata></record>