{"title":"Comment on \"Applying a Competency-Based Medical Education Framework to Development of Residents' Feedback Skills\".","authors":"A Vincent Raikhel, Jeffrey Redinger","doi":"10.1007/s40596-024-02107-1","DOIUrl":"https://doi.org/10.1007/s40596-024-02107-1","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neeral K Sheth, Adam B Wilson, James C West, David C Schilling, Sandy H Rhee, T Celeste Napier
{"title":"Effects of Stigmatizing Language on Trainees' Clinical Decision-Making in Substance Use Disorders: A Randomized Controlled Trial.","authors":"Neeral K Sheth, Adam B Wilson, James C West, David C Schilling, Sandy H Rhee, T Celeste Napier","doi":"10.1007/s40596-024-02103-5","DOIUrl":"https://doi.org/10.1007/s40596-024-02103-5","url":null,"abstract":"<p><strong>Objectives: </strong>Substance use disorder (SUD) continues to be one of the most stigmatized and under-treated conditions in the United States. Stigmatizing language used by healthcare workers can transmit bias to others within healthcare, including medical trainees. This study investigates how stigmatizing language and undergraduate medical education (UME) curricula may influence trainees' clinical decision-making for patients with SUD.</p><p><strong>Methods: </strong>Medical students from three Chicago-area medical schools were randomized to review either a stigmatizing or neutral version of a clinical scenario describing a patient experiencing opioid withdrawal. Participants (a) selected treatment plans for the fictional patient using two multiple-choice questions, (b) completed the Medical Condition Regard Scale (MCRS) to assess their attitudes, and (c) reported prior SUD experiences, both curricular and personal. Statistical analyses explored whether treatment decisions were influenced by attitudes, addiction medicine curricula, and exposure to the stigmatizing vignette.</p><p><strong>Results: </strong>Among the 366 medical students who completed this study, exposure to stigmatizing language (n = 191) led to clinical decision-making that would be less effective in treating opioid withdrawal for the fictional patient (p = 0.027; η2 = 0.013). Exposure to more SUD education during UME was correlated with more effective clinical decision-making for opioid withdrawal (β = 0.181; R<sup>2</sup> = 0.033; p < 0.001) but was not correlated with attitudes toward patients with SUD (p = 0.231).</p><p><strong>Conclusions: </strong>Stigmatizing language influences clinical decision-making when treating patients with SUD. Improving SUD education within UME may be an effective strategy for mitigating this effect within medical trainees.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sovady Bora, Wouter Staal, Jacques van Hoof, Brian Jacobs, Piret Visnapuu-Bernadt, Peter Deschamps
{"title":"Online Cross-Cultural Dialogue: A Pilot for Transcultural Learning in Postgraduate Psychiatry Training.","authors":"Sovady Bora, Wouter Staal, Jacques van Hoof, Brian Jacobs, Piret Visnapuu-Bernadt, Peter Deschamps","doi":"10.1007/s40596-024-02109-z","DOIUrl":"https://doi.org/10.1007/s40596-024-02109-z","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Challenges Arising from Disruptions in Psychiatry Training: Implications of Residents' Mass Resignation in South Korea.","authors":"Junesung Yoon, Joo-Young Lee","doi":"10.1007/s40596-024-02108-0","DOIUrl":"https://doi.org/10.1007/s40596-024-02108-0","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marsal Sanches, Brandi Karnes, Amanda Actor, Amanda Helminiak, Vineeth P John
{"title":"Stigma Toward Bipolar Disorder Among Psychiatry Residents: A Pilot Study Utilizing Narrative Medicine and a Video Vignette.","authors":"Marsal Sanches, Brandi Karnes, Amanda Actor, Amanda Helminiak, Vineeth P John","doi":"10.1007/s40596-024-02106-2","DOIUrl":"https://doi.org/10.1007/s40596-024-02106-2","url":null,"abstract":"<p><strong>Objective: </strong>Stigma toward mental illness has been extensively described among health care professionals and has important implications with respect to quality of care. Narrative medicine has the potential to bring about positive impacts on the practitioner-patient relationship and on patient outcomes. The authors carried out a pilot study investigating the impact of narrative medicine on residents' stigma toward bipolar disorder.</p><p><strong>Methods: </strong>Psychiatry residents attended four narrative medicine workshops. During the encounters, the residents watched a video vignette displaying stigma-related experiences and life challenges faced by a standardized patient with bipolar disorder and were encouraged to discuss their personal reactions, opinions, and other reflections prompted by the video vignette, as well as to write reflective pieces on the content mobilized by the discussion. Stigma toward mental illnesses was measured through the Mental Illness: Clinicians' Attitudes Scale-Version 4 (MICA v4).</p><p><strong>Results: </strong>A total of 22 psychiatry residents attended the four narrative medicine workshops. Overall, the activity was well received by the residents. There was a small, non-significant decline in the pre- and post-activity MICA v4 scores among residents.</p><p><strong>Conclusion: </strong>The findings demonstrate the feasibility of implementing narrative medicine workshops for psychiatry residents and highlight the need for further studies with larger samples and a control group to evaluate its impact on stigma.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychiatry Residency Elective on a Young Adult and College Track Unit.","authors":"Smita Agarkar, Noel Carrillo","doi":"10.1007/s40596-024-02099-y","DOIUrl":"https://doi.org/10.1007/s40596-024-02099-y","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamille Williams, Juan Sosa, Elizabeth Arnold, Brittany Stallworth, Kisha Brathwaite, Sarah Y Vinson
{"title":"The Dewitt C. Alfred, MD Psychiatric Symposium: A Look into Scientific Exchange and Sustainability for Underrepresented Minorities.","authors":"Kamille Williams, Juan Sosa, Elizabeth Arnold, Brittany Stallworth, Kisha Brathwaite, Sarah Y Vinson","doi":"10.1007/s40596-024-02104-4","DOIUrl":"https://doi.org/10.1007/s40596-024-02104-4","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Richard Balon, Mary K Morreale, Rashi Aggarwal, Lia Thomas, Eugene V Beresin, Alan K Louie, Andreea L Seritan, Enrico Castillo, Anthony P S Guerrero, John Coverdale, Adam M Brenner
{"title":"Perceptual Differences: Remediation Versus Retaliation in Resident Training.","authors":"Richard Balon, Mary K Morreale, Rashi Aggarwal, Lia Thomas, Eugene V Beresin, Alan K Louie, Andreea L Seritan, Enrico Castillo, Anthony P S Guerrero, John Coverdale, Adam M Brenner","doi":"10.1007/s40596-024-02098-z","DOIUrl":"https://doi.org/10.1007/s40596-024-02098-z","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142833408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How I Spent My Summer Vacation: Exploring Historical Transformations and Challenging My Personal Convictions on Reproductive Justice.","authors":"Shi Nan Feng","doi":"10.1007/s40596-024-02094-3","DOIUrl":"https://doi.org/10.1007/s40596-024-02094-3","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142798947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}