Academic Psychiatry最新文献

{"title":"Neuroimaging Self-Efficacy and Neurophobia Among Junior Psychiatry Residents: A Cross-Sectional Needs Assessment.","authors":"Adela-Georgiana Buciuc, Heidi Linden Kiziah, Zelde Espinel","doi":"10.1007/s40596-026-02442-5","DOIUrl":"https://doi.org/10.1007/s40596-026-02442-5","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102439","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":"Infant and Early Childhood Mental Health Training in Psychiatry Residency: National Program Director Perspectives in Canada.","authors":"Nicole Sheridan, Sophie Zarb, Sara Citron, Lara Postl, Blair Hammond, Katherine M Matheson","doi":"10.1007/s40596-026-02449-y","DOIUrl":"https://doi.org/10.1007/s40596-026-02449-y","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102457","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":"Processes, Challenges, and Impacts of an Accountability, Respect, Community & Humanity Task Force: A Qualitative Evaluation.","authors":"Noah S Triplett, Joy S Kaufman, John H Krystal, Ruby Lekwauwa, Cindy Crusto","doi":"10.1007/s40596-026-02446-1","DOIUrl":"https://doi.org/10.1007/s40596-026-02446-1","url":null,"abstract":"<p><strong>Objective: </strong>Qualitative, process-oriented evaluations are needed to evaluate equity and antiracism efforts in academic psychiatry. The purpose of the manuscript is to present results from an evaluation of an academic psychiatry department's Accountability, Respect, Community & Humanity (ARCH) Task Force, a coalition-based equity-focused task force formed in 2020.</p><p><strong>Methods: </strong>A qualitative evaluation was conducted in 2024. Fourteen ARCH members were interviewed. Interviews were recorded and explored perceptions of ARCH's group processes, individual contributions, and perceived impacts. Transcripts were analyzed using thematic analysis.</p><p><strong>Results: </strong>First, participants described ARCH's general climate and highlighted intentional efforts to foster vulnerability and connection that enabled difficult conversations. This climate varied by group size and leadership presence. Second, members identified tensions with the group's functioning, noting ambiguity in decision-making structures and frustration when input did not consistently translate into visible action. Third, participants described ARCH participation as personally and professionally meaningful but also experienced pressure to produce tangible change and frustration because of the absence of recognition or protected time. Although members perceived symbolic and cultural shifts within the department, many questioned the lasting impact of ARCH.</p><p><strong>Conclusions: </strong>This study offers critical insights into the functioning and impact of an equity-focused committee within an academic medical setting. The tension between individual-level benefits and members' desire for broader systemic impact highlights the complexity of evaluating antiracist efforts in academic medicine. Findings contribute to the broader understanding of mobilizing for systemic equity in academic medicine and inform the design of future antiracist efforts.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102423","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":"What Are Physicians For? How Psychiatry's Competencies Endure Into the Age of AI.","authors":"Stephanie V Ng","doi":"10.1007/s40596-026-02448-z","DOIUrl":"https://doi.org/10.1007/s40596-026-02448-z","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149035943","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":"LLM-Based Psychiatric Interview Simulation: Technical Development and Pilot Expert-Based Content Validation of a Voice Prototype.","authors":"Vinícius Vicente Soares, Felipe Francisco de Castro Passos, Flávio Milman Shansis, Juliana Silva Herbert","doi":"10.1007/s40596-026-02422-9","DOIUrl":"https://doi.org/10.1007/s40596-026-02422-9","url":null,"abstract":"<p><strong>Objective: </strong>This study describes the technical development and a pilot expert-based content validation of an interactive voice prototype, using the GPT-4o model, for teaching psychiatric semiology. It explores the potential of large language models (LLMs) to generate real-time feedback and address challenges in acquiring complex clinical competencies.</p><p><strong>Methods: </strong>Four psychiatric patient personas (major depressive disorder, bipolar disorder-manic episode, schizophrenia, and attention-deficit/hyperactivity disorder) were developed through a structured iterative process. A subject matter expert (SME) conducted a structured heuristic evaluation to assess clinical fidelity, consistency, and vocal expressiveness across the four scenarios. Quantitative data (Likert scale scores) and qualitative feedback were mapped to identified technical and semiological challenges.</p><p><strong>Results: </strong>GPT-4o simulated diverse personas with distinct profiles. The SME reported high potential pedagogical value for practicing interviewing mechanics. However, challenges included stereotyped clinical presentations and platform-imposed content restrictions.</p><p><strong>Conclusions: </strong>This pilot study establishes the technical feasibility of voice-based LLM simulations. While offering a promising complementary tool, current limitations in multimodal realism and the need for rigorous faculty supervision suggest that the tool is best suited for formative practice rather than high-stakes assessment.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149035934","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":"Training the Next Generation of Clinician Scholars in Psychiatry: Understanding Residents' Interests, Experiences, and Needs.","authors":"Certina Ho, Eulaine Ma, Ananya Garg, Sanjeev Sockalingam, Kathleen A Sheehan","doi":"10.1007/s40596-026-02414-9","DOIUrl":"https://doi.org/10.1007/s40596-026-02414-9","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149035940","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":"Establishing a Trainee-Run Free Mental Health Clinic.","authors":"Arya Nekovei, Angela Serna, Enrique Chiu Han, Thomas Kun Pak","doi":"10.1007/s40596-026-02438-1","DOIUrl":"https://doi.org/10.1007/s40596-026-02438-1","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029461","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":"A Multi-Site Evaluation of a Psychedelic Medicine Curriculum for Psychiatry Trainees.","authors":"Mary E Yaden, Kelley C O'Donnell, Daniel E Roberts, Noam Goldway, Praachi Tiwari, Terence H W Ching, Jamila Hokanson, Natalie Gukasyan, Brendan Appold, Giancarlo Glick, Benjamin Kelmendi, Stephen Ross, Christopher Pittenger","doi":"10.1007/s40596-026-02444-3","DOIUrl":"https://doi.org/10.1007/s40596-026-02444-3","url":null,"abstract":"<p><strong>Objective: </strong>Interest in psychedelic medicine is increasing, yet psychiatry trainees report limited education in this area. The authors developed a standardized curriculum and evaluated its impact on trainee knowledge and attitudes toward psychedelic medicines.</p><p><strong>Methods: </strong>A 6-h psychedelic medicine course was delivered across four psychiatry residency programs in the Northeast United States in 2025-2026. The curriculum included six modules covering foundational concepts and evidence, as well as clinical considerations. Anonymous pre- and post-course surveys assessed knowledge, interest, and confidence in counseling. Statistical comparisons were used to evaluate pre-post changes.</p><p><strong>Results: </strong>Forty trainees participated across institutions; 34 completed a pre-course survey and 22 completed a post-course survey. Most trainees reported minimal prior didactic exposure to psychedelic medicine. Self-assessed knowledge as well as scores on a knowledge quiz improved significantly following the course. Self-rated understanding of both the rationale for psychedelic treatments and limitations of evidence increased. Most substantially, confidence in counseling patients about clinical research, harm reduction, and treatment risks improved across domains. Baseline interest in psychedelic medicine was high at the start of the course and did not change significantly following its completion.</p><p><strong>Conclusions: </strong>A multi-site curriculum in psychedelic medicine was associated with increased knowledge and counseling confidence in trainees. The curriculum did not significantly impact interest or plans to pursue opportunities in psychedelic medicine, suggesting the course did not overinflate enthusiasm for the field. Standardized curricula in residency education may help address gaps in psychiatric training as clinicians increasingly encounter questions about these emerging treatments.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029456","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":"Should Residents Be Required to Administer Long-Acting Injectables?","authors":"Tiffany Z Teng, Eric C Zimmerman","doi":"10.1007/s40596-026-02441-6","DOIUrl":"https://doi.org/10.1007/s40596-026-02441-6","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001183","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":"Teaching Medical Students and Residents to Navigate Law Enforcement Interactions in Inpatient Psychiatry.","authors":"David S Im","doi":"10.1007/s40596-026-02440-7","DOIUrl":"https://doi.org/10.1007/s40596-026-02440-7","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148965960","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}