Gregg Robbins-Welty, Dakota May, Kristen Shirey, Cameron Strong, Catarina Carosa, Carter Vanderloo, Jordan Hildenbrand, Heather Vestal, Paul Riordan, David Yanez, Reginald Lerebours, Kathy Niu
{"title":"\"Read One, Write One\": Improving Medical Student Clinical Documentation on the Psychiatry Clerkship Using Example Notes.","authors":"Gregg Robbins-Welty, Dakota May, Kristen Shirey, Cameron Strong, Catarina Carosa, Carter Vanderloo, Jordan Hildenbrand, Heather Vestal, Paul Riordan, David Yanez, Reginald Lerebours, Kathy Niu","doi":"10.1007/s40596-025-02168-w","DOIUrl":"https://doi.org/10.1007/s40596-025-02168-w","url":null,"abstract":"<p><strong>Objective: </strong>The authors examined the effectiveness of an educational intervention aimed at improving psychiatry clerkship student clinical documentation skills.</p><p><strong>Method: </strong>A 1-h didactic and \"gold standard\" sample writings of clinical documentation were provided to psychiatry clerkship medical students rotating on an academic consultation-liaison (CL) service between July 2022 and August 2023 (intervention group). A historical comparison group of medical students, rotating between January and June 2022, did not receive the intervention. Two examples of student documentation were collected, including note 1 (N1) during week 1 and note 2 (N2) during week 2. Note quality was assessed blindly using a standardized 100-point grading rubric.</p><p><strong>Results: </strong>Thirty psychiatry clerkship students provided 60 examples of clinical documentation. There were no differences between N1 scores between groups. N2 mean scores were significantly greater in the intervention group over the comparison (77.4% vs 65.56%, p = 0.02). While all groups demonstrated improvement between N1 and N2, intervention groups improved significantly more than the comparison group (3.11 vs 11.7, p < 0.01). Improvements were observed most in the history of present illness, family-social history, and review of systems sub-sections. Time of year, a proxy for student experience, did not impact note scores.</p><p><strong>Conclusions: </strong>Providing medical students with a didactic and examples of clinical documentation improved medical student documentation on the psychiatry clerkship.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281955","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":"Mapping the Mental Status Examination: Insights from a Scoping Review of Popular Psychiatry Textbooks.","authors":"Claudio Daza, Chiara Mauriziano, Andrés Liberona, Josefina Bao, Luis J Flores","doi":"10.1007/s40596-025-02157-z","DOIUrl":"https://doi.org/10.1007/s40596-025-02157-z","url":null,"abstract":"<p><strong>Objective: </strong>This review aims to critically examine the Mental Status Examination (MSE) as presented in contemporary textbooks used for psychiatry training and identify areas of convergence and variability.</p><p><strong>Methods: </strong>The authors conducted a comprehensive scoping review comprising expert sampling from top-ranked universities and a gray literature web search. Recommended textbooks available in English and published within the last decade were included. Data extraction focused on the MSE's conceptualization, structure, and definitions. Variability in the hierarchical organization and terminology was documented, internal and external consistency assessed, and a qualitative synthesis of the data performed.</p><p><strong>Results: </strong>An analysis of 12 authoritative psychiatry textbooks revealed substantial variability in the MSE's conceptualization, hierarchies, and definitions across domains, subdomains, and features. Despite agreement on the importance and purpose of the MSE, the sources lacked consensus on the MSE's fundamental nature, objectivity, and temporal scope, and did not provide explicit theoretical frameworks for their proposed structures. Problematic definitions of key terms and an absence of references to empirical literature were identified. Despite the variability, nine core MSE domains consistently emerged: Appearance, Behavior, Speech, Emotional State, Perception, Thought Process, Thought Content, Cognition, and Insight.</p><p><strong>Conclusions: </strong>The findings underscore the need for consensus-building efforts to standardize the MSE, supported by philosophical research and empirical validation of its components. Addressing inconsistencies is crucial to ensure reliable, valid assessments in clinical practice and provide a coherent pedagogical framework for psychiatric training. A standardized MSE would enhance communication among healthcare providers, improve diagnostic accuracy, and facilitate patient care.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265035","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}
Alan K Louie, Eugene V Beresin, John Coverdale, Richard Balon, Enrico G Castillo, Anthony P S Guerrero, Mary K Morreale, Rashi Aggarwal, Andreea L Seritan, Lia A Thomas, Adam M Brenner
{"title":"Editorial Work and Scholarship: Would You Thrive as a Journal Editor?","authors":"Alan K Louie, Eugene V Beresin, John Coverdale, Richard Balon, Enrico G Castillo, Anthony P S Guerrero, Mary K Morreale, Rashi Aggarwal, Andreea L Seritan, Lia A Thomas, Adam M Brenner","doi":"10.1007/s40596-025-02170-2","DOIUrl":"https://doi.org/10.1007/s40596-025-02170-2","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265034","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":"Mentee to Mentor: An Unexpected Challenge of Transitioning out of Training.","authors":"Patrick A Ho","doi":"10.1007/s40596-025-02166-y","DOIUrl":"https://doi.org/10.1007/s40596-025-02166-y","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257082","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}
Adrienne T Gerken, Joseph B Stoklosa, Heather S Vestal, David L Beckmann
{"title":"Practical Tips for Launching a Clinician Educator Program.","authors":"Adrienne T Gerken, Joseph B Stoklosa, Heather S Vestal, David L Beckmann","doi":"10.1007/s40596-025-02163-1","DOIUrl":"https://doi.org/10.1007/s40596-025-02163-1","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223936","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":"Building Competency in Administering Intravenous Racemic Ketamine: A Single Site Experience of Expanding Residency Education in Interventional Psychiatry.","authors":"Donald Egan, Victoria Ragland, Manish Jha","doi":"10.1007/s40596-025-02167-x","DOIUrl":"https://doi.org/10.1007/s40596-025-02167-x","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214603","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}
Brittany N Goldstein, Sheridan Goldstein, David H Salzman, Cara Angelotta
{"title":"Decision-Making Capacity: A Curriculum and Evaluation Checklist for Medical Students.","authors":"Brittany N Goldstein, Sheridan Goldstein, David H Salzman, Cara Angelotta","doi":"10.1007/s40596-025-02162-2","DOIUrl":"https://doi.org/10.1007/s40596-025-02162-2","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to assess the efficacy and satisfaction of an innovative decision-making capacity curriculum in undergraduate medical education.</p><p><strong>Methods: </strong>Authors used Kern's six-step approach for curriculum development to develop a curriculum to teach decision-making capacity assessment. Using a modified Delphi approach, authors also created a communication checklist for decision-making capacity assessment. The educational intervention was implemented for a full academic year, targeting medical students completing their core psychiatry clerkship. Changes in knowledge and comfort level were evaluated through pre- and posttests. Satisfaction was assessed using student feedback.</p><p><strong>Results: </strong>Of the 136 medical students who completed the core psychiatry clerkship, 64 medical students completed both a pretest and posttest. Mean knowledge scores (3.5 vs 6.1, p < 0.001) and comfort level (11% vs 89% comfortable, p < 0.001) significantly improved from pretest to posttest. One hundred and five students provided course feedback, which demonstrated positive ratings of the course.</p><p><strong>Conclusions: </strong>This capacity curriculum led to significant knowledge improvement and increased self-reported comfort with capacity assessment. Health professions educators can adapt this curriculum to promote competency in this important clinical skill. Moreover, educators can use this innovative capacity communication skills checklist for both learning and evaluation.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207353","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":"Saying Goodbye to Patients to Say Hello to a Baby: Pregnancy in the Therapist.","authors":"Rocío Paricio Del Castillo","doi":"10.1007/s40596-025-02159-x","DOIUrl":"https://doi.org/10.1007/s40596-025-02159-x","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207354","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":"The Times We Rise.","authors":"Anthony Bishara","doi":"10.1007/s40596-025-02161-3","DOIUrl":"https://doi.org/10.1007/s40596-025-02161-3","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186246","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}