Exploring foundation doctors' self-reported confidence in the assessment and management of mental health conditions.

IF 2.2 Q3 PSYCHIATRY

BJPsych Bulletin Pub Date : 2024-04-01 DOI:10.1192/bjb.2023.48

George Gillett, Owen Davis, Amarit Gill, Clare van Hamel

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Abstract

Aims and method: This study assesses newly qualified doctors' confidence in practising clinical skills related to the assessment and management of mental health conditions and how this correlates with other areas of medicine. We conducted a national survey of 1311 Foundation Year 1 doctors in the UK. Survey items assessed confidence recognising mentally unwell patients, conducting a mental state examination, assessing cognition and mental capacity, formulating a psychiatric diagnosis and prescribing psychotropic medications.

Results: A substantial proportion of surveyed doctors lacked confidence in their clinical skills related to mental health and prescribing psychotropic medications. Network analysis revealed that items corresponding to mental health were highly correlated, suggesting a potential generalised lack of confidence in mental healthcare.

Clinical implications: We identify areas of lack of confidence in some newly qualified doctors' ability to assess and manage mental health conditions. Future research might explore how greater exposure to psychiatry, integrated teaching and clinical simulation might better support medical students for future clinical work.

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探讨基础医生自我报告对精神健康状况评估和管理的信心。

目的和方法：本研究评估了新获得执业资格的医生对评估和管理精神健康状况相关临床技能的信心，以及这种信心与其他医学领域的相关性。我们对英国 1311 名预科一年级医生进行了全国性调查。调查项目包括识别精神不佳患者、进行精神状态检查、评估认知能力和心理承受能力、做出精神诊断以及开具精神药物处方：很大一部分受访医生对自己在精神健康和开具精神药物处方方面的临床技能缺乏信心。网络分析显示，与心理健康相关的项目具有高度相关性，这表明医生可能普遍对心理保健缺乏信心：临床意义：我们发现了一些新晋医生在评估和管理精神健康状况方面缺乏信心的领域。未来的研究可能会探索如何让医学生更多地接触精神病学、综合教学和临床模拟，从而更好地支持他们未来的临床工作。

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

BJPsych Bulletin PSYCHIATRY-

CiteScore

4.30

自引率

3.80%

发文量

审稿时长

15 weeks

期刊介绍： BJPsych Bulletin prioritises research, opinion and informed reflection on the state of psychiatry, management of psychiatric services, and education and training in psychiatry. It provides essential reading and practical value to psychiatrists and anyone involved in the management and provision of mental healthcare.