Evaluation of Integrative Medicine in Residency-Psychiatry Curriculum.

IF 2.2 4区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH
Amelia Villagomez, Rajan Dunne, Audrey J Brooks, Mei-Kuang Chen, Mari Ricker, Sophia Kang, Noshene Ranjbar
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引用次数: 0

Abstract

Objective: This study describes knowledge change, self-assessed confidence in providing integrative medicine approach, and respondents' perspective on value and feasibility for the Integrative Medicine in Residency-Psychiatry (IMR-Psychiatry) curriculum, a 100-h elective offered during psychiatry training.

Methods: Residents/fellows completed pre-post Medical Knowledge tests and self-assessment instruments tracking self-rated confidence. Participants were also interviewed for feedback about their experience using a semi-structured design after completion of the program.

Results: Thirty-five of 37 (94.6%) participants completed all elective requirements. Items on the self-assessment instrument with the greatest positive pre-post change (p < 0.001) included ability to identify authoritative sources about botanicals (Cohen d = 2.15), effectively respond to patients' questions regarding the use of herbs/supplements (Cohen d = 2.67), and interpret labels on nutraceuticals (Cohen d = 2.28). Mean score on the Medical Knowledge test (n = 30) increased from 64.7% correct at pretest to 81.6% at posttest. Responses tracking self-assessed confidence in providing an IM approach to address 18 common medical and psychiatric conditions all increased significantly pre to post (p < 0.001). Qualitative interviews provided important insights into challenges and recommendations for improvement, and all participants highly recommended the curriculum and found it feasible to complete during training.

Conclusion: The IMR-Psychiatry curriculum provides trainees skills that promote comprehensive person-centered care; as a tool to optimize patient care and safety while enhancing physician well-being, wider-spread incorporation of the curriculum into psychiatry residency programs would be beneficial.

评估住院医师-精神病学课程中的整合医学。
目的:本研究描述了精神病学培训期间提供的 100 小时选修课--住院医师-精神病学中的整合医学(IMR-Psychiatry)课程的知识变化、提供整合医学方法的自评信心,以及受访者对其价值和可行性的看法:方法:住院医师/研究员完成前后医学知识测试和追踪自我信心的自我评估工具。结果:37 名住院医师/研究员中的 35 人(94.4%)在课程结束后接受了半结构式访谈,以了解他们对课程体验的反馈意见:结果:37 名学员中有 35 名(94.6%)完成了所有选修要求。结果:37 名参与者中有 35 人(94.6%)完成了所有选修要求:IMR-精神病学课程为学员提供了促进以人为本的全面护理的技能;作为优化患者护理和安全同时提高医生福利的工具,将该课程更广泛地纳入精神病学住院医师培训项目将是有益的。
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来源期刊
CiteScore
3.60
自引率
20.00%
发文量
157
期刊介绍: Academic Psychiatry is the international journal of the American Association of Chairs of Departments of Psychiatry, American Association of Directors of Psychiatric Residency Training, Association for Academic Psychiatry, and Association of Directors of Medical Student Education in Psychiatry. Academic Psychiatry publishes original, scholarly work in psychiatry and the behavioral sciences that focuses on innovative education, academic leadership, and advocacy. The scope of the journal includes work that furthers knowledge and stimulates evidence-based advances in academic psychiatry in the following domains: education and training, leadership and administration, career and professional development, ethics and professionalism, and health and well-being.
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