Academic Psychiatry最新文献_第4页

World Psychiatry Exchange Program 2.0: Enhancing Collaborations Between Early Career Psychiatrists. 世界精神病学交流计划2.0：加强早期职业精神病学家之间的合作。

IF 2.2 4区医学

Academic Psychiatry Pub Date : 2025-01-09 DOI: 10.1007/s40596-024-02105-3

Mariana Pinto da Costa, Vinicius Belinati Loureiro, Paul Fung, Natko Gereš, Ramdas Ransing, Tiago Costa

引用次数: 0

When the Tide Recedes. 当潮水退去。

IF 2.2 4区医学

Academic Psychiatry Pub Date : 2025-01-07 DOI: 10.1007/s40596-024-02102-6

Alexander I Batterman

引用次数: 0

Gender Differences in Self-Assessment Among Clerkship Medical Students Despite Equivalent Academic and Clinical Performance. 见习医学生在学术与临床表现相当的情况下，自我评价的性别差异。

IF 2.2 4区医学

Academic Psychiatry Pub Date : 2025-01-07 DOI: 10.1007/s40596-024-02110-6

Melissa B Ludgate, Emily E Morse, Hailey M Brown, James Y Min, Aubrey C Chan

{"title":"Gender Differences in Self-Assessment Among Clerkship Medical Students Despite Equivalent Academic and Clinical Performance.","authors":"Melissa B Ludgate, Emily E Morse, Hailey M Brown, James Y Min, Aubrey C Chan","doi":"10.1007/s40596-024-02110-6","DOIUrl":"10.1007/s40596-024-02110-6","url":null,"abstract":"Objective: The authors aimed to determine if medical students' self-assessment of abilities and performance differed by gender during the psychiatry clerkship and if these differences were reflected objectively in test scores or clinical evaluations from educators.Methods: Data from mid-clerkship self-assessments completed during the psychiatry core clerkship were reviewed from two classes of medical students. Students rated their performance on 14 items across five domains: knowledge/clinical reasoning, differential diagnosis, data presentation, studying skills, and teamwork as \"below,\" \"at,\" or \"above expected level.\" Ratings were coded numerically, and statistical analysis was performed using Student's T-test. National Board of Medical Examiners (NBME) Subject Exam scores and clinical evaluations served as measures of actual performance.Results: Female students (n = 123) rated their performance significantly below male peers (n = 114) in medical knowledge (female - 0.05 vs male 0.13), clinical reasoning (- 0.02 vs 0.06), differential diagnosis (- 0.09 vs 0.00), balancing work and studying (- 0.02 vs 0.11), keeping up with clerkship assignments (0.03 vs 0.13), understanding role on the team (0.11 vs 0.23), interacting with other team members (0.15 vs 0.31), and functioning as part of the team (0.13 vs 0.25). Clinical evaluation scores and NBME Subject Exam scores showed no significant difference (evaluation scores 138.1 vs 136.0; NBME scores 163.8 vs 162.2) in performance between students.Conclusions: Female medical students tend to underrate their performance compared to male peers in clinical knowledge, studying skills, and teamwork, despite equivalent academic and clinical performance. This study highlights gender disparities in self-assessment during medical training.","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942420","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}

引用次数: 0

Do “Calls to Action” Lead to Action? “号召行动”能带来行动吗？

IF 2.2 4区医学

Academic Psychiatry Pub Date : 2025-01-03 DOI: 10.1007/s40596-024-02097-0

John Coverdale, Eugene V. Beresin, Richard Balon, Anthony P. S. Guerrero, Mary K. Morreale, Alan K. Louie, Rashi Aggarwal, Andreea L. Seritan, Lia A. Thomas, Enrico G. Castillo, Adam M. Brenner

引用次数: 0

Comment on “Applying a Competency-Based Medical Education Framework to Development of Residents’ Feedback Skills” “以胜任力为基础的医学教育框架在住院医师反馈技能培养中的应用”述评

IF 2.2 4区医学

Academic Psychiatry Pub Date : 2024-12-20 DOI: 10.1007/s40596-024-02107-1

A. Vincent Raikhel, Jeffrey Redinger

引用次数: 0

Effects of Stigmatizing Language on Trainees’ Clinical Decision-Making in Substance Use Disorders: A Randomized Controlled Trial 污名化语言对药物使用障碍学员临床决策的影响：一项随机对照试验。

IF 2.2 4区医学

Academic Psychiatry Pub Date : 2024-12-20 DOI: 10.1007/s40596-024-02103-5

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":"10.1007/s40596-024-02103-5","url":null,"abstract":"<div><h3>Objectives</h3>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.<h3>Methods</h3>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.<h3>Results</h3>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; R2 = 0.033; p < 0.001) but was not correlated with attitudes toward patients with SUD (p = 0.231).<h3>Conclusions</h3>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.</div>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":"49 2","pages":"126 - 135"},"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}

引用次数: 0

Online Cross-Cultural Dialogue: A Pilot for Transcultural Learning in Postgraduate Psychiatry Training 在线跨文化对话：研究生精神病学培训跨文化学习的试点。

IF 2.2 4区医学

Academic Psychiatry Pub Date : 2024-12-20 DOI: 10.1007/s40596-024-02109-z

Sovady Bora, Wouter Staal, Jacques van Hoof, Brian Jacobs, Piret Visnapuu-Bernadt, Peter Deschamps

引用次数: 0

Challenges Arising from Disruptions in Psychiatry Training: Implications of Residents' Mass Resignation in South Korea. 精神病学培训中断带来的挑战：韩国住院医师集体辞职的影响》。

IF 2.2 4区医学

Academic Psychiatry Pub Date : 2024-12-19 DOI: 10.1007/s40596-024-02108-0

Junesung Yoon, Joo-Young Lee

引用次数: 0

Stigma Toward Bipolar Disorder Among Psychiatry Residents: A Pilot Study Utilizing Narrative Medicine and a Video Vignette. 精神病学住院医师对躁郁症的成见：利用叙事医学和视频短片的试点研究。

IF 2.2 4区医学

Academic Psychiatry Pub Date : 2024-12-19 DOI: 10.1007/s40596-024-02106-2

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":"Objective: 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.Methods: 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).Results: 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.Conclusion: 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.","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}

引用次数: 0

Psychiatry Residency Elective on a Young Adult and College Track Unit. 精神病学住院医师选修课在青年成人和大学跟踪单位。

IF 2.2 4区医学

Academic Psychiatry Pub Date : 2024-12-17 DOI: 10.1007/s40596-024-02099-y

Smita Agarkar, Noel Carrillo

引用次数: 0