Academic Psychiatry最新文献

{"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":"10.1007/s40596-024-02087-2","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":"49 1","pages":"25 - 30"},"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}

{"title":"Reviewer Appreciation December 2024","authors":"Adam M. Brenner","doi":"10.1007/s40596-024-02091-6","DOIUrl":"10.1007/s40596-024-02091-6","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":"48 6","pages":"667 - 668"},"PeriodicalIF":2.2,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811066","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":"Embracing Vulnerability: Overcoming Impostor Syndrome in Medical Training","authors":"Alvin F. Gordián Arroyo","doi":"10.1007/s40596-024-02074-7","DOIUrl":"10.1007/s40596-024-02074-7","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":"48 6","pages":"552 - 553"},"PeriodicalIF":2.2,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611964","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":"Addressing Stigma in Inpatient Psychiatry: Culturally Inclusive Care for Middle Eastern and North African Patients.","authors":"Youssef Ahmed","doi":"10.1007/s40596-024-02085-4","DOIUrl":"https://doi.org/10.1007/s40596-024-02085-4","url":null,"abstract":"","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611961","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":"Narratives of Mental Illness and Well-being: A 6-Week Course Aiming to Improve Medical Student Empathy and Resilience Through the Creative Arts.","authors":"Charlotte Pierce, Jacob Appel, Timothy Rice","doi":"10.1007/s40596-024-02088-1","DOIUrl":"https://doi.org/10.1007/s40596-024-02088-1","url":null,"abstract":"<p><strong>Objective: </strong>Narratives of mental illness and well-being are difficult to communicate in medical education. The arts convey these narratives and may strengthen medical student capabilities.</p><p><strong>Methods: </strong>This study evaluated the efficacy of a 2021 6-week seminar-style course for medical students focused on five mental states through the lens of visual arts, film, and literature to impact student capabilities. Pre- and post-course administration of standardized rating scales, including the Jefferson Scale of Empathy Medical Students (JSE-S), the Groningen Reflection Ability Scale (GRAS), and the Connor-Davidson Resilience Scale (CD-RISC), measured course impact on medical student empathy, reflective functioning, and resiliency, respectively. Administration of these scales on a matched control group of students not enrolled in the course served for comparison.</p><p><strong>Results: </strong>Pre- and post-course survey data demonstrates that the course improves at levels of statistical significance medical students' empathy (JSE-S score 77.50 SD = 15.76 improving to 93.80 SD 20.92, p = 0.0068, t = 4.19, df = 4) and resilience (CD-RISC score 65.83 SD = 14.36 improving to 78.60 SD = 10.92, p = 0.0137, t = 4.19, df = 4), but not reflective functioning (GRAS score 91 SD = 9.14 improving to 95.20 SD = 10.06, p = 0.1444, t = 1.81, df = 4). The control group showed no statistically significant differences pre- and post-course.</p><p><strong>Conclusions: </strong>Limitations notwithstanding, this study suggests that the analysis of film, literature, and visual art may improve medical students' empathy and resilience. Future studies may explore reproducibility among larger sample sizes at differing institutions and curricula as well as downstream effects on patient care and well-being.</p>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611970","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}