Assessing Training Gaps in the Diploma in Primary Care Psychiatry Program for Primary Care Doctors: A Post-Hoc Analysis.

IF 1.3 4区 医学 Q4 PSYCHIATRY
Chidatma Arampady, Priyanka Singhal, Aravind B A Banavaram, Gautham Melur Sukumar, Pradeep Banandur S, Narayana Manjunatha, Channaveerachari Naveen Kumar, Suresh Bada Math
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Abstract

ObjectiveIndia faces a critical shortage of mental health professionals, leaving primary care physicians (PCPs) as the primary point of contact for many individuals needing psychiatric care. The Diploma in Primary Care Psychiatry Program (DPCP), a one-year training initiative, aims to equip PCPs in India to manage psychiatric conditions in underserved areas. On-Consultation Training (OCT) is a module in the DPCP designed exclusively for practicing PCPs where a psychiatrist trains PCPs in live video streaming of their own real-time general consultations of primary health centres. This study identifies a training gap within the DPCP.MethodsPCPs (n = 62) from Uttarakhand, Bihar, and Karnataka states in India received training in the DPCP from 2019 to 2024. Assessed were their exposure to six psychiatric disorders (tobacco addiction, alcohol addiction, psychosis, somatization disorder, anxiety disorder, and depressive disorder) during On-Consultation Training (OCT) sessions. Adequate training per doctor was defined as encountering at least two patients with each disorder.ResultsA total of 650 psychiatric cases seen during OCT sessions were reviewed. Only tobacco addiction and depressive disorder met the training adequacy benchmark (exposure to two cases with the disorder). Alcohol addiction, psychosis, somatization disorder, and anxiety disorders fell below the threshold, highlighting a specific training gap.ConclusionsThis study identified a training gap in the DPCP. The restructuring of the Collaborative Video Consultation (CVC) module with case-specific quotas, expert case demonstrations, and enhanced real-time feedback during OCT could help close this and other training gaps. Addressing these issues will better prepare PCPs in India to manage a broader range of psychiatric conditions, enhancing mental health care delivery in primary care settings.

评估初级保健医生初级保健精神病学文凭课程的培训差距:事后分析。
目的印度面临着精神卫生专业人员的严重短缺,使得初级保健医生(pcp)成为许多需要精神科护理的个人的主要接触点。初级保健精神病学文凭计划(DPCP)是一项为期一年的培训计划,旨在使印度的初级保健医生能够在服务不足的地区管理精神疾病。咨询培训(OCT)是DPCP中专门为执业的pcp设计的一个模块,由精神科医生对pcp进行培训,对他们自己在初级保健中心的实时全科咨询进行直播。本研究确定了DPCP内部的培训缺口。方法来自印度北阿坎德邦、比哈尔邦和卡纳塔克邦的sp (n = 62)于2019年至2024年接受了DPCP培训。评估了他们在咨询培训(OCT)期间接触六种精神疾病(烟草成瘾、酒精成瘾、精神病、躯体化障碍、焦虑症和抑郁症)的情况。每位医生接受过足够的培训被定义为至少遇到两名患有每种疾病的患者。结果共回顾了650例在OCT会议期间看到的精神病学病例。只有烟瘾和抑郁障碍符合培训充分性基准(接触过两例此类障碍)。酒精成瘾、精神病、躯体化障碍和焦虑症低于阈值,突出了特定的训练差距。结论:本研究确定了DPCP的培训缺口。协作视频咨询(CVC)模块的重组,包括具体案例配额、专家案例演示,以及在OCT期间增强的实时反馈,可以帮助缩小这一差距和其他培训差距。解决这些问题将使印度的pcp更好地做好准备,以管理更广泛的精神疾病,加强初级保健机构的精神卫生保健服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.00
自引率
5.00%
发文量
55
审稿时长
6-12 weeks
期刊介绍: The International Journal of Psychiatry in Medicine (IJPM) bridges the gap between clinical psychiatry research and primary care clinical research. Providing a forum for addressing: The relevance of psychobiological, psychological, social, familial, religious, and cultural factors in the development and treatment of illness; the relationship of biomarkers to psychiatric symptoms and syndromes in primary care...
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