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canadian psychiatry

Brad D Booth, Eric Mikhail, Susan Curry, J Paul Fedoroff
With increasing criminalization of the mentally ill, individuals with mental disorders more frequently come into contact with the legal system. Psychiatrists may find themselves evaluating these individuals in a forensic context or treating them. Unfortunately, resident trainees and psychiatrists may be uncomfortable with forensic matters and treating patients with medicolegal problems. To clarify the attitudes and experience of Canadian psychiatry trainees, attendees at a national psychiatry review course were polled...
December 2016: Journal of the American Academy of Psychiatry and the Law
Brent Wolfrom, Geoff Hodgetts, Jyoti Kotecha, Emily Pollock, Mary Martin, Han Han, Pierre Morissette
OBJECTIVE: To evaluate satisfaction with civilian residency training programs among serving general duty medical officers within the Canadian Armed Forces. DESIGN: A 23-item, cross-sectional survey face-validated by the office of the Surgeon General of the Canadian Armed Forces. SETTING: Canada. PARTICIPANTS: General duty medical officers serving in the Canadian Armed Forces as of February 2014 identified through the Directorate of Health Services Personnel of the Canadian Forces Health Services Group Headquarters...
September 2016: Canadian Family Physician Médecin de Famille Canadien
(no author information available yet)
UNLABELLED: Patten SB, Williams JVA, Lavorato DH, et al. Perceived stigma among recipients of mental health care in the general Canadian population. Can J Psychiatry. 2016;61(8): 480-488. (Original DOI: 10.1177/0706743716639928)The published French translation of the above article's abstract was incorrect. The original English abstract for the above article and the correct French translation are provided below: OBJECTIVES: The Mental Health Experiences Scale is a measure of perceived stigma, the perception of negative attitudes and behaviours by people with mental disorders...
October 2016: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
Emmanuel Delille, Marc Kirsch
The concepts developed by Ian Hacking during his lectures at the Collège de France (2000-2006) have provided an important contribution to the debates within the field of philosophy of psychiatry. Professor at the Chair of Philosophy and History of Scientific Concepts after Michel Foucault, Hacking is the author of a reflection on the classification of mental disorders, which arises from the problem of the natural kinds. In order to explain the case studies developed in Hacking's Paris lectures, we first go back to the definition of a series of concepts, then we discuss the status of his scientific metaphors...
December 2016: Revue de Synthèse
Vincent Laliberté, Mark J Rapoport, Kiran Rabheru, Soham Rej
Geriatric psychiatry was officially recognized as a subspecialty by the Royal College of Physicians and Surgeons of Canada (RCPSC) in 2009, with the first RCPSC exam written in 2013 (Andrew and Shea, 2010). The unique mental health needs of Canadians' seniors requires geriatric psychiatrists trained to address them (Herrmann, 2004), but current rates of recruitment in informal fellowship programs have been inadequate (Bragg et al., 2012). One hope of subspeciality recognition was to increase recruitment in Canada, but there have been some challenges in accrediting psychiatrists already caring for older adults...
October 2016: International Psychogeriatrics
David Kealy, Priyanka Halli, John S Ogrodniczuk, George Hadjipavlou
OBJECTIVE: Burnout is a serious problem for health care providers that has implications for clinical practice and personal health. While burnout is known to affect residents, no studies have examined the prevalence or impact of burnout among Canadian psychiatry residents. METHOD: Residents in all Canadian psychiatry training programs were surveyed between May 1, 2014, and July 1, 2014. The survey included a well-validated, single-item measure to assess symptoms of burnout, several demographic questions, and Likert-scale items to assess residents' appraisals of empathic functioning and strategies for coping with stress from patient encounters...
November 2016: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
Vincent Laliberté, Mark J Rapoport, Melissa Andrew, Marla Davidson, Soham Rej
OBJECTIVES: Training future clinician-researchers remains a challenge faced by Canadian psychiatry departments. Our objectives were to determine the prevalence of residents interested in pursuing research and other career options as part of their practice, and to identify the factors associated with interest in research. METHOD: Data from a national online survey of 207 Canadian psychiatry residents from a total of 853 (24.3% response rate) were examined. The main outcome was interest in research as part of residents' future psychiatrist practice...
February 2016: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
Sanjeev Sockalingam, Ahmad Alzahrani, Christopher Meaney, Rima Styra, Adrienne Tan, Raed Hawa, Susan E Abbey
OBJECTIVES: The aim of this study was to determine the relationship between the time to referral (TTR) to psychiatric consultation and the length of stay (LOS) after adjusting for medical comorbity. METHODS: Using a naturalistic study design, we collected and analyzed inpatient consultation-liaison psychiatry service data over a 12-month period from 2 Canadian hospital sites. Data collected included demographic characteristics, referral characteristics, Charlson Comorbidity Index to measure medical comorbidity severity, psychiatric diagnoses, type of psychiatric intervention, and time variables, namely TTR and LOS...
May 2016: Psychosomatics
Elie Isenberg-Grzeda, Andrea Weiss, Michelle A Blackmore, Megan Johnson Shen, Madeleine Seifter Abrams, Mary E Woesner
OBJECTIVE: Formal training for residents-as-teachers in psychiatry is increasingly emphasized. However, little is known about the quantity and content of residents' teaching, their attitudes toward teaching, or the training received on how to teach. METHODS: An online survey was disseminated to American and Canadian psychiatry residents. RESULTS: Three hundred eighty-two residents from all postgraduate years (PGY) responded, representing about 7 % of all trainees...
October 2016: Academic Psychiatry
Layla Dabby, Constantin Tranulis, Laurence J Kirmayer
OBJECTIVE: People with mental illness suffer stigma and discrimination across various contexts, including the health care setting, and clinicians' attitudes play an important role in perpetuating stigma. Effective stigma-reduction interventions for physicians require a better understanding of explicit (that is, conscious and controllable) and implicit (that is, subconscious and automatic) forms of bias, and of predictors and moderators of stigma. METHODS: Members of a Canadian university psychiatry department and of the Canadian Psychiatric Association (CPA) were invited to participate in a web-based study consisting of 2 measures of explicit attitudes, the Social Distance Scale (SDS) and the Opening Minds Scale for Health Care Providers (OMS-HC), and 1 measure of implicit attitudes, the Implicit Association Test (IAT)...
October 2015: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
André Do, Saeid Noohi, Dominique Elie, Artin A Mahdanian, Ching Yu, Marilyn Segal, Karl J Looper, Soham Rej
BACKGROUND: Reports have suggested that citalopram and escitalopram may prolong the QTc interval, leading Health Canada to issue a warning to limit their dosages in 2012. Little is known about the effects of this warning and similar ones (e.g., by the Food and Drug Administration) on antidepressant prescribing in inpatients with acute medical illness, who are theoretically at high risk of QTc prolongation. The main objective of our study is to examine the effect of the Health Canada warning on citalopram/escitalopram prescribing patterns in the consultation-liaison (C-L) psychiatry setting...
January 2016: Psychosomatics
Mona Gupta, Cynthia Forlini, Keith Lenton, Raquel Duchen, Lynne Lohfeld
OBJECTIVE: The authors describe the hidden ethics curriculum in two postgraduate psychiatry programs. METHODS: Researchers investigated the formal, informal, and hidden ethics curricula at two demographically different postgraduate psychiatry programs in Canada. Using a case study design, they compared three sources: individual interviews with residents and with faculty and a semi-structured review of program documents. They identified the formal, informal, and hidden curricula at each program for six ethics topics and grouped the topics under two thematic areas...
August 2016: Academic Psychiatry
Pierre Lalonde
This text narrates the evolution, since the 1960s, of different events that marked the history of psychiatry in the French-Canadian province of Quebec. From his personal experience, the author discusses. The evolution of the Départment de psychiatric de l'Université de Montréal fro where were issued more than 1000 psychiatrists who shaped clinical practice and research developments worthy of mention throughout the years. The evolution of diagnostic noselogy from the DSM-ii, very influenced by psychoanalysis, to the DSM-5 that is more atheortical, but that is still not based on objective data, which remains a challenge to the etiology of mental illness...
2015: Santé Mentale Au Québec
Alain Lesage
This essay comprises 2 parts. It aims to recognize the public service of psychiatrists of the Département de psychiatrie de l'Université de Montréal who served at the provincial level of the Ministry of Health and Social Services for deinstitutionalisation of policies and organisation of services, at the service of people with severe mental disorders. First with Dr. Camille Laurin post-face of the 1962 book Les fous crient au secours! (Mentally ill patients cry for help); then the insight on the latest phase of differentiated specialised clinics by Dr...
2015: Santé Mentale Au Québec
Anna Durbin, Rahim Moineddin, Elizabeth Lin, Leah S Steele, Richard H Glazier
BACKGROUND: Given that immigration has been linked to a variety of mental health stressors, understanding use of mental health services by immigrant groups is particularly important. However, very little research on immigrants' use of mental health service in the host country considers source country. Newcomers from different source countries may have distinct experiences that influence service need and use after arrival. This population study examined rates of use of primary care and of specialty services for non-psychotic mental health disorders by immigrants to Ontario Canada during their first five years after arrival...
2015: BMC Health Services Research
George Hadjipavlou, Priyanka Halli, Carlos A Sierra Hernandez, John S Ogrodniczuk
OBJECTIVE: The authors collected nationally representative data on Canadian residents' experiences with and perspectives on personal psychotherapy in their psychiatric training. METHODS: A 43-item questionnaire was distributed electronically to all current psychiatry residents in Canada (N = 839). RESULTS: Four hundred residents from every program across Canada returned the survey (response rate 47.7%). The prevalence of personal therapy at any time was 55...
February 2016: Academic Psychiatry
Kelly N Stevenson, Susan M Jack, Linda O'Mara, Jeannette LeGris
BACKGROUND: Nurses working in acute care psychiatry settings experience high rates of patient violence which influences outcomes for nurses and the organization. This qualitative study explored psychiatric nurses' experiences of patient violence in acute care inpatient psychiatric settings. METHODS: An interpretive descriptive design guided this study that included 17 semi-structured interviews with a purposeful sample of 12 Canadian registered nurses who self-reported experiencing patient violence within acute care inpatient psychiatry...
2015: BMC Nursing
André F De Champlain
PURPOSE: This study aims to assess the fit of a number of exploratory and confirmatory factor analysis models to the 2010 Medical Council of Canada Qualifying Examination Part I (MCCQE1) clinical decision-making (CDM) cases. The outcomes of this study have important implications for a range of domains, including scoring and test development. METHODS: The examinees included all first-time Canadian medical graduates and international medical graduates who took the MCCQE1 in spring or fall 2010...
2015: Journal of Educational Evaluation for Health Professions
Ceara Tess Cunningham, Hude Quan, Brenda Hemmelgarn, Tom Noseworthy, Cynthia A Beck, Elijah Dixon, Susan Samuel, William A Ghali, Lindsay L Sykes, Nathalie Jetté
BACKGROUND: Survey research in healthcare is an important tool to collect information about healthcare delivery, service use and overall issues relating to quality of care. Unfortunately, physicians are often a group with low survey response rates and little research has looked at response rates among physician specialists. For these reasons, the purpose of this project was to explore survey response rates among physician specialists in a large metropolitan Canadian city. METHODS: As part of a larger project to look at physician payment plans, an online survey about medical billing practices was distributed to 904 physicians from various medical specialties...
2015: BMC Medical Research Methodology
Emmanuel Stip
OBJECTIVE: Neuroleptics were introduced into North America 60 years ago. The credit for this advance is generally accorded to Heinz Lehmann. I sought to explore whether Lehmann really was the first North American psychiatrist to study the effects of chlorpromazine (CPZ) and to provide a more balanced view of its application in a clinical context. METHOD: I searched for historical documents and published articles in several libraries and interviewed psychiatrists active from 1952-1970...
March 2015: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
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