Academic Psychiatry最新文献

{"title":"The Alliance Behind Effective Evaluation","authors":"Bernice N. Yau, Adam M. Brenner","doi":"10.1007/s40596-024-02095-2","DOIUrl":"10.1007/s40596-024-02095-2","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":"48 6","pages":"547 - 549"},"PeriodicalIF":2.2,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765331","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":"Moral Distress, Hope, and the Carceral Experience.","authors":"Theodore R Zarzar","doi":"10.1007/s40596-024-02096-1","DOIUrl":"https://doi.org/10.1007/s40596-024-02096-1","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724805","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":"Implementing an Interactive Self-screening Psychological Distress Tool for Residents and Fellows.","authors":"Gregory M Bump, Victoria Deans, Sansea L Jacobson, Vu T Nguyen","doi":"10.1007/s40596-024-02092-5","DOIUrl":"https://doi.org/10.1007/s40596-024-02092-5","url":null,"abstract":"<p><strong>Objective: </strong>Physicians have equivalent rates of depression and higher rates of suicide than other professions. While death by suicide is relatively rare, it is the leading cause of death in male resident physicians and the second leading cause of death in female resident physicians. Physicians who die by suicide are less likely to receive mental health treatment than non-physicians. The authors implemented a confidential, online, interactive screening program to help residents and fellow physicians gain awareness of their mental health, with the goal of reducing physician suicide.</p><p><strong>Methods: </strong>The authors implemented the American Foundation for Suicide Prevention's Interactive Screening Program (ISP).</p><p><strong>Results: </strong>During the first 2 years of ISP implementation (May 1, 2021-April 30, 2023), all trainees in 155 Accreditation Council for Graduate Medical Education-accredited residency and fellowship programs were invited to participate in the screening program. Of 1900 residents and fellows, 200 (10.5%) completed the self-screening tool. Of those who completed the screening, 197 (98.5%) were experiencing at least a moderate amount of distress (i.e., depressive symptoms, problems related to alcohol, drug use or eating behaviors, or indication that their symptoms made it somewhat difficult to function). The majority (161/200, 80.5%) logged back into the system to review their results and personalized recommendations.</p><p><strong>Conclusions: </strong>Physicians with psychological distress often suffer in silence. The ISP is a tool to help self-identify residents and fellows in distress and connect them to mental health resources with the goal of improving physician well-being.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724802","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 Need for Artificial Intelligence Literacy in Psychiatry Residency Training.","authors":"Rina G Bhalodi, Dustin Wong, Franzes A Liongson, Howard Levin","doi":"10.1007/s40596-024-02072-9","DOIUrl":"https://doi.org/10.1007/s40596-024-02072-9","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724806","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":"Opportunities and Barriers of Generative Artificial Intelligence in the Training of Psychiatrists: A Competencies-Based Perspective.","authors":"Hilary Y M Pang, Shakila Meshkat, Bazen Gashaw Teferra, Alice Rueda, Reza Samavi, Sri Krishnan, Thomas Doyle, Sirisha Rambhatla, Sandra DeJong, Sanjeev Sockalingam, Tanya Horsley, Brian Hodges, Venkat Bhat","doi":"10.1007/s40596-024-02087-2","DOIUrl":"https://doi.org/10.1007/s40596-024-02087-2","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715001","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":"Evaluation of an Interprofessional Educational Intervention in Mental Health and Intellectual and Developmental Disability for Health and Social Service Trainees","authors":"Gabriel Tarzi,&nbsp;Anupam Thakur,&nbsp;Nicole Bobbette,&nbsp;Megan Pilatzke,&nbsp;Gill Lefkowitz,&nbsp;Kendra Thomson,&nbsp;Alicia Thatcher,&nbsp;Syeda Hasan,&nbsp;Adeen Fogle,&nbsp;Marissa Blake,&nbsp;Ann Hines,&nbsp;Yona Lunsky","doi":"10.1007/s40596-024-02063-w","DOIUrl":"10.1007/s40596-024-02063-w","url":null,"abstract":"<div><h3>Objective</h3><p>Adults with intellectual and developmental disabilities (IDD) experience high rates of poor mental health and challenges accessing timely and high-quality services. There is limited interprofessional training on mental health care for this population.</p><h3>Methods</h3><p>A virtual, synchronous program based on the Project Extension for Community Healthcare Outcomes (ECHO) Ontario IDD Mental Health program was developed for health and social service trainees. Participants represented 10 disciplines across 12 Canadian university or college programs. The program was taught by a team of health and social service providers together with individuals with lived experience and included didactics and case-based discussions. Program evaluation utilized a pre-, post-, and 12-week follow-up survey design with feedback surveys following each session.</p><h3>Results</h3><p>Fifty participants registered for the program; 34 (68%) completed baseline measures and attended at least two sessions. Overall, participants reported high session satisfaction (average rating of 4.47 of 5). Participants demonstrated significant improvement in self-efficacy regarding communication (<i>p</i> &lt; 0.001), management of mental health needs (<i>p</i> &lt; 0.001), and working across systems (<i>p</i> &lt; 0.001). Participants self-reported feeling more knowledgeable about common comorbidities (<i>p</i> &lt; 0.001), assessing behavioral challenges (<i>p</i> &lt; 0.001), the role of interdisciplinary professionals (<i>p</i> &lt; 0.001), and community resources (<i>p</i> &lt; 0.001). Improvements were maintained at follow-up across outcomes.</p><h3>Conclusion</h3><p>The pilot Project ECHO for health and social service trainees in adult IDD mental health demonstrated high participant satisfaction and positive impact on trainees’ self-efficacy and knowledge. Interprofessional educational interventions can be effectively implemented using virtual technology to teach about other mental health populations requiring multisector care.</p></div>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":"48 6","pages":"581 - 586"},"PeriodicalIF":2.2,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40596-024-02063-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilizing Remote Learning to Address Gaps in Geriatric Psychiatry Education: A Novel Inter-Institutional Approach.","authors":"Margaret S Hamilton, Juliana Fort, Henry Gerson, Katharine Brewster, Saumya Bhutani, Marinelly Martinez-Garri, Mehwish Hina, Mark Nathanson","doi":"10.1007/s40596-024-02086-3","DOIUrl":"https://doi.org/10.1007/s40596-024-02086-3","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674809","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":"Psychiatric Documentation in the 21st Century: A Trainee Perspective.","authors":"Andrew Lee","doi":"10.1007/s40596-024-02093-4","DOIUrl":"https://doi.org/10.1007/s40596-024-02093-4","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674808","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":"Developing an Advanced Practice Provider Skills Course in Consultation-Liaison Psychiatry","authors":"Molly Howland,&nbsp;Liliya Gershengoren,&nbsp;Michael A. Strong,&nbsp;Hema Kher,&nbsp;Ashley K. Smith,&nbsp;Matthew McWeeny,&nbsp;Kristin Beizai","doi":"10.1007/s40596-024-02089-0","DOIUrl":"10.1007/s40596-024-02089-0","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":"48 6","pages":"618 - 622"},"PeriodicalIF":2.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674807","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":"Evaluation of Integrative Medicine in Residency-Psychiatry Curriculum","authors":"Amelia Villagomez,&nbsp;Rajan Dunne,&nbsp;Audrey J. Brooks,&nbsp;Mei-Kuang Chen,&nbsp;Mari Ricker,&nbsp;Sophia Kang,&nbsp;Noshene Ranjbar","doi":"10.1007/s40596-024-02090-7","DOIUrl":"10.1007/s40596-024-02090-7","url":null,"abstract":"<div><h3>Objective</h3><p>This study describes knowledge change, self-assessed confidence in providing integrative medicine approach, and respondents’ perspective on value and feasibility for the Integrative Medicine in Residency-Psychiatry (IMR-Psychiatry) curriculum, a 100-h elective offered during psychiatry training.</p><h3>Methods</h3><p>Residents/fellows completed pre-post Medical Knowledge tests and self-assessment instruments tracking self-rated confidence. Participants were also interviewed for feedback about their experience using a semi-structured design after completion of the program.</p><h3>Results</h3><p>Thirty-five of 37 (94.6%) participants completed all elective requirements. Items on the self-assessment instrument with the greatest positive pre-post change (<i>p</i> &lt; 0.001) included ability to identify authoritative sources about botanicals (Cohen <i>d</i> = 2.15), effectively respond to patients’ questions regarding the use of herbs/supplements (Cohen <i>d</i> = 2.67), and interpret labels on nutraceuticals (Cohen <i>d</i> = 2.28). Mean score on the Medical Knowledge test (<i>n</i> = 30) increased from 64.7% correct at pretest to 81.6% at posttest. Responses tracking self-assessed confidence in providing an IM approach to address 18 common medical and psychiatric conditions all increased significantly pre to post (<i>p</i> &lt; 0.001). Qualitative interviews provided important insights into challenges and recommendations for improvement, and all participants highly recommended the curriculum and found it feasible to complete during training.</p><h3>Conclusion</h3><p>The IMR-Psychiatry curriculum provides trainees skills that promote comprehensive person-centered care; as a tool to optimize patient care and safety while enhancing physician well-being, wider-spread incorporation of the curriculum into psychiatry residency programs would be beneficial.</p></div>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":"48 6","pages":"587 - 592"},"PeriodicalIF":2.2,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40596-024-02090-7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}