以心理学为主导的心理社会技能小组融入医师助理学生家庭医学培训。

Q2 Health Professions
Manuel Gutierrez Chavez, Kimberley Johnson, Jennifer Coombs, Katherine T Fortenberry
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引用次数: 0

摘要

初级保健提供者需要能够有效地识别和治疗常见的心理健康问题。基础心理健康培训通常嵌入到医师助理(PA)教学培训中;虽然是必要的,但在教学训练中的学生可能还没有认识到这些报告的相关性和临床细微差别。为了更好地为大学PA学生准备解决初级保健中的心理健康问题,为二年级学生开发了一个为期3年的跨学科心理社会技能增强小组,为期4次。这个每周的虚拟小组由临床心理学博士级别的学生主持,并由家庭医学轮转的PA学生参加(n = 204)。学生们展示病例,向同学提供反馈,发展病例概念,并参与教学。方法:在完成小组后,参与者接受了一项调查,评估他们的满意度,行为健康知识和舒适度的感知改善,以及改进小组的建议。进行了描述性分析和定性内容分析。结果:调查结果总体上是积极的,表明学生们对治疗行为健康状况有了更多的准备,并且喜欢有一个来自他们专业之外的具有心理学专业知识的小组辅导员。定性结果表明,增加反思练习、改善同伴支持和欣赏说教式社会心理内容是有益的。讨论:考虑到行为健康问题在初级保健中的普遍存在,将跨学科培训和监督组成部分结合起来可能是提高临床能力、增强专业福祉和更好地满足未来患者需求的有效途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychology-Led Integration of Psychosocial Skills Groups Into Physician Assistant Student Family Medicine Training.

Introduction: Primary care providers need to be able to effectively recognize and treat common mental health concerns. Foundational mental health training is typically embedded into physician assistant (PA) didactic training; while essential, students in didactic training may not yet recognize the relevance and clinical nuances of these presentations. To better prepare university-based PA students to address mental health in primary care, a 4-session interdisciplinary psychosocial skills enhancement group was developed for second-year students and conducted over 3 years. This weekly virtual group was facilitated by a doctoral-level student in clinical psychology and attended by PA students in their family medicine rotation (n = 204). Students presented patient cases, provided feedback to fellow students, developed case conceptualizations, and engaged in didactics.

Methods: After completing the group, participants received a survey assessing their satisfaction, perceived improvements in behavioral health knowledge and comfort, and suggestions for refining the group. Descriptive analyses and qualitative content analyses were conducted.

Results: Survey results were overall positive, indicating that students felt more prepared to treat behavioral health conditions and enjoyed having a group facilitator from outside their program with expertise in psychology. Qualitative results suggested the benefits of increased reflective practice, improved peer support, and appreciation for didactic psychosocial content.

Discussion: Given the prevalence of behavioral health concerns in primary care, incorporating an interdisciplinary training and supervision component may be an effective way of increasing clinical competencies, enhancing professional well-being, and better meeting future patient needs.

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