Infant and Early Childhood Mental Health Training in Psychiatry Residency: National Program Director Perspectives in Canada.

IF 2.6 4区 医学 Q1 EDUCATION & EDUCATIONAL RESEARCH
Nicole Sheridan, Sophie Zarb, Sara Citron, Lara Postl, Blair Hammond, Katherine M Matheson
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Abstract

Objective: Infant and early childhood mental health (IECMH) is increasingly recognized as relevant to psychiatric practice; however, its integration into psychiatry training in Canada remains unclear. This study examined how IECMH education is currently delivered within Canadian general psychiatry and child and adolescent psychiatry (CAP) residency programs.

Methods: Program directors (PDs) and associate PDs from all Royal College of Physicians and Surgeons of Canada-accredited General Psychiatry residency programs and CAP subspecialty programs were invited to complete an anonymous survey between August and December 2023. Survey items explored IECMH teaching practices, curricular structure, clinical exposure, perceived resident competence, and barriers and facilitators to implementing formal IECMH curricula.

Results: Nine PDs participated (four general psychiatry; five CAP). No general psychiatry programs reported mandatory IECMH rotations, and most reported no dedicated IECMH teaching. CAP programs reported greater clinical exposure, with most requiring an IECMH-focused rotation; however, formal didactic teaching remained limited across programs. No programs reported the use of e-learning modules. General psychiatry PDs commonly rated their programs as educating residents in IECMH "not very well," whereas CAP PDs generally selected "moderately well," citing limited faculty expertise as a primary barrier. Conversely, all respondents endorsed IECMH training as "important" or "very important" and expressed strong interest in scalable, self-directed educational approaches.

Conclusions: IECMH education within Canadian psychiatry residency training is variable and inconsistently structured, despite widespread recognition of its relevance. These findings highlight opportunities to develop feasible, competency-aligned IECMH curricula to strengthen psychiatry training and support developmentally informed clinical practice.

精神病学住院医师的婴儿和幼儿心理健康培训:加拿大国家项目主任的观点。
目的:婴幼儿心理健康(IECMH)越来越被认为与精神病学实践相关;然而,它在加拿大精神病学培训中的整合情况仍不清楚。本研究考察了目前IECMH教育是如何在加拿大普通精神病学和儿童与青少年精神病学(CAP)住院医师项目中实施的。方法:邀请所有加拿大皇家内科和外科医师学院认可的普通精神病学住院医师项目和CAP亚专业项目的项目主任(pd)和副pd在2023年8月至12月期间完成一项匿名调查。调查项目探讨了IECMH的教学实践,课程结构,临床暴露,感知住院医师能力,以及实施正式IECMH课程的障碍和促进因素。结果:共有9名pd参与,其中普通精神科4名,CAP 5名。没有普通精神病学项目报告强制性IECMH轮转,大多数报告没有专门的IECMH教学。CAP项目报告了更多的临床暴露,大多数需要iecmh为重点的轮转;然而,正式的教学教学在各个项目中仍然有限。没有项目报告使用了电子学习模块。普通精神病学博士通常认为他们的项目对IECMH住院医师的教育“不是很好”,而CAP博士通常选择“一般好”,理由是教师专业知识有限是主要障碍。相反,所有受访者都认为IECMH培训“重要”或“非常重要”,并对可扩展的、自我导向的教育方法表达了强烈的兴趣。结论:加拿大精神病学住院医师培训中的IECMH教育是可变的,结构不一致,尽管它的相关性得到了广泛的认可。这些发现强调了开发可行的、与能力相一致的IECMH课程以加强精神病学培训和支持发展知情临床实践的机会。
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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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