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Telepsychiatry education training

Donald M Hilty, Carolyn Turvey, Tiffany Hwang
PURPOSE OF REVIEW: Psychiatric practice continues to evolve and play an important role in patients' lives, the field of medicine, and health care delivery. Clinicians must learn a variety of clinical care systems and lifelong learning (LLL) is crucial to apply knowledge, develop skills, and adjust attitudes. Technology is rapidly becoming a key player-in delivery, lifelong learning, and education/training. RECENT FINDINGS: The evidence base for telepsychiatry/telemental health via videoconferencing has been growing for three decades, but a greater array of technologies have emerged in the last decade (e...
March 12, 2018: Current Psychiatry Reports
Steven Chan, Haley Godwin, Alvaro Gonzalez, Peter M Yellowlees, Donald M Hilty
PURPOSE OF REVIEW: Mental health practitioners should understand the features of current, publicly available apps; the features of novel, research apps; and issues behind the integration of mobile apps and digital health services into clinical workflows. RECENT FINDINGS: The review is based on a research literature and the authors' clinical and healthcare administration experiences. Articles searched-on telepsychiatry, telemental health, mobile mental health, informatics, cellular phone, ambulatory monitoring, telemetry, and algorithms-were restricted to 2016 and 2017...
October 30, 2017: Current Psychiatry Reports
Sy Atezaz Saeed, Toni L Johnson, Mandeep Bagga, Oliver Glass
Many regions in the United States are deficient in mental health services, especially those in rural areas. As a result of these deficiencies, many patients in need of psychiatric services are often left untreated. Although it is clear that telepsychiatry has great potential in improving patient access to mental health care in areas where psychiatric services are deficient, the lack of familiarity with the technology and inadequate training are current barriers to expanding the use of telepsychiatry. A review of telepsychiatry, its clinical applications, and evidence-based literature regarding competencies in graduate medical education related to telepsychiatry are provided...
June 2017: Psychiatric Quarterly
Allison Crawford, Nadiya Sunderji, Jenna López, Sophie Soklaridis
BACKGROUND: A foundational assessment of learning needs is missing from previous reports of telepsychiatry curricula. We used an in-depth needs assessment to identify specific skills required for the practice of effective telepsychiatry, and provide an evidence base to guide the development of telepsychiatry curricula in postgraduate psychiatry training. Many of these skills set telepsychiatry apart from practice in traditional face-to-face clinical settings, or result from adaptations to clinical practice to meet the needs of a telepsychiatry interface in patient care...
January 26, 2016: BMC Medical Education
Donald M Hilty, Allison Crawford, John Teshima, Steven Chan, Nadiya Sunderji, Peter M Yellowlees, Greg Kramer, Patrick O'neill, Chris Fore, John Luo, Su-Ting Li
Telepsychiatry (TP; video; synchronous) is effective, well received and a standard way to practice. Best practices in TP education, but not its desired outcomes, have been published. This paper proposes competencies for trainees and clinicians, with TP situated within the broader landscape of e-mental health (e-MH) care. TP competencies are organized using the US Accreditation Council of Graduate Medical Education framework, with input from the CanMEDS framework. Teaching and assessment methods are aligned with target competencies, learning contexts, and evaluation options...
2015: International Review of Psychiatry
Nadiya Sunderji, Allison Crawford, Marijana Jovanovic
OBJECTIVE: Telepsychiatry is an innovation that addresses disparities in access to care. Despite rigorous clinical research demonstrating its equivalence and effectiveness relative to face-to-face care, many providers are unfamiliar with this technology. Training residents in telepsychiatry is critical to building mental health care capacity in rural and underserviced communities. However, many questions remain regarding the competencies that future psychiatrists require with respect to telepsychiatry, and technology generally, and regarding pedagogical approaches that will promote their attainment...
February 2015: Academic Psychiatry
Caroline Bonham, Melina Salvador, Deborah Altschul, Helene Silverblatt
OBJECTIVE: This report describes the Rural Psychiatry Residency Program at the University of New Mexico (UNM RPRP) and presents findings from a survey of program graduates. METHODS: Current practice location of residency graduates was identified to learn whether graduates of the UNM RPRP continued to practice in rural communities compared to the graduates of the traditional residency program. Additionally, a web-based survey was completed by 37 of the 60 graduates who participated in the UNM RPRP since its inception in 1991 through 2010...
October 2014: Academic Psychiatry
Pamela Hoffman, John M Kane
No abstract text is available yet for this article.
February 2015: Academic Psychiatry
Tiziana Volpe, Katherine M Boydell, Antonio Pignatiello
Objective. Identify aspects of psychiatry work that are rewarding, as well as those that are challenging, from the perspective of psychiatrists and residents participating in televideo consultation services. Method. A web-based survey was distributed to psychiatrists within the Division of Child Psychiatry at the University of Toronto. Also, semistructured interviews were conducted with six child psychiatrists providing services to a telepsychiatry program. Finally, a focus group interview was held with four psychiatry residents...
2013: International Journal of Telemedicine and Applications
Juliet A Glover, Emily Williams, Linda J Hazlett, Nioka Campbell
OBJECTIVE: This study characterized and examined factors influencing psychiatry residents' and fellows' interest, exposure, and future plans to use telepsychiatry. SUBJECTS AND METHODS: A 17-item electronic survey was distributed to 485 psychiatry residency and fellowship programs in the United States. Each program director or administrator was asked to voluntarily distribute the survey to his or her trainees. Chi-squared tests were performed to test differences in proportions...
June 2013: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Savita Malhotra, Subho Chakrabarti, Ruchita Shah
Despite the high prevalence and potentially disabling consequences of mental disorders, specialized mental health services are extremely deficient, leading to the so-called 'Mental Health Gap'. Moreover, the services are concentrated in the urban areas, further worsening the rural-urban and tertiary primary care divide. Strengthening of and expanding the existing human resources and infrastructure, and integrating mental health into primary care appear to be the two major solutions. However, both the strategies are riddled with logistic difficulties and have a long gestation period...
January 2013: Indian Journal of Psychiatry
J Chipps, S Ramlall, T Madigoe, H King, M Mars
OBJECTIVE: In 2009, the Departments of Psychiatry and Telehealth of the University of KwaZulu-Natal (UKZN) initiated a three year project to develop telepsychiatry services in KwaZulu-Natal. This paper describes the challenges and opportunities of this project. METHOD: This was a collaborative, in situ health service project and an action research framework was adopted. Over the three years, following a needs assessment and an e-health Readiness Assessment, two action research cycles were completed...
July 2012: African Journal of Psychiatry
Brian Grady, Mary Singleton
OBJECTIVE: Rural psychiatrists responsible for inpatient psychiatry units in general hospitals often have trouble getting coverage for training, vacations, and periods of illness. This article describes telepsychiatry "coverage" to a rural general hospital psychiatric unit for 1 week. MATERIALS AND METHODS: All adult patients meeting criteria for inpatient mental health treatment in the emergency room were offered admission to the general hospital after obtaining informed consent regarding the use of inpatient telepsychiatry...
October 2011: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
S Saint-André, W Neira Zalentein, D Robin, A Lazartigues
INTRODUCTION: The authors report on the set-up of a telehealth system developed to facilitate exchanges between the Autism Resource Centre of Brittany (centre de ressources pour l'autisme [CRA]) located in Brest and an adult psychiatry structure of Vannes' Hospital in the Morbihan region, these sites are about 200 kilometres distant. OBJECTIVES: This coordinated work using computer networks aims at sustaining the action of a unit specialised in autistic patients...
February 2011: L'Encéphale
Roxy Szeftel, Stephen Mandelbaum, Heidi Sulman-Smith, Syed Naqvi, Lauren Lawrence, Zara Szeftel, Suzi Coleman, Lawrence Gross
Telemedicine is able to provide specialized care to rural patients with limited access. The developmentally disabled population is highly suited to this modality and can be seen in general and specialized clinics. The collaborative care model, which is useful for this population, provides ongoing collaboration with both the local primary care provider and the local treatment team. Telepsychiatry can be used for education of trainees working together with an attending physician. These clinics can become exceptional opportunities to provide exposure to the specialty of child psychiatry for young doctors in training...
January 2011: Child and Adolescent Psychiatric Clinics of North America
Antonio Pignatiello, John Teshima, Katherine M Boydell, Debbie Minden, Tiziana Volpe, Peter G Braunberger
Young people with psychological or psychiatric problems are managed largely by primary care practitioners, many of whom feel inadequately trained, ill equipped, and uncomfortable with this responsibility. Accessing specialist pediatric and psychological services, often located in and near large urban centers, is a particular challenge for rural and remote communities. Live interactive videoconferencing technology (telepsychiatry) presents innovative opportunities to bridge these service gaps. The TeleLink Mental Health Program at The Hospital for Sick Children in Toronto offers a comprehensive, collaborative model of enhancing local community systems of care in rural and remote Ontario using videoconferencing...
January 2011: Child and Adolescent Psychiatric Clinics of North America
Douglas J Scaturo, John J Huszonek
OBJECTIVE: The authors review the background and contemporary strengths of Dean's Committee Veterans Affairs Medical Centers in the collaborative academic training of psychiatrists and psychologists. METHODS: The authors discuss the problems and prospects of the current health care environment as it impacts the behavioral health treatment of returning veterans from the wars in Iraq and Afghanistan and the educational agenda for psychiatry and psychology. The medical education program in psychiatry and the internship program in psychology at the Syracuse Veterans Affairs Medical Center and the SUNY Upstate Medical University provide an exemplar of academic collaboration in clinical training...
January 2009: Academic Psychiatry
Jan Norum, Steinar Pedersen, Jan Størmer, Markus Rumpsfeld, Anders Stormo, Nina Jamissen, Harald Sunde, Tor Ingebrigtsen, Mai-Liss Larsen
In late 2005, the Northern Norway Regional Health Authority requested an evaluation of all tested telemedicine services in northern Norway to clarify which were suitable for large scale implementation. A total of 282 reports from the Norwegian Centre for Telemedicine, the University Hospital of North Norway and the University of Tromsø were included in the study. Projects not focusing on secondary health care were excluded and 46 studies representing 21 topics entered the final analysis. They were analysed with a self-developed scoring tool focusing on five items...
2007: Journal of Telemedicine and Telecare
Ana Maria Lopez, Deirdre Avery, Elizabeth Krupinski, Sydney Lazarus, Ronald S Weinstein
The Arizona Telemedicine Program (ATP) is a large, multidisciplinary, university-based program that provides telemedicine services, distance learning, informatics training, and telemedicine technology assessment capabilities to communities throughout Arizona. The types of teleconsultation services available include real-time and store-forward consultations, continuing medical education, and patient information sessions. Since the inception of the ATP, there have been 97,722 telemedicine events. The most frequently used telemedicine service is teleradiology, comprising 85,728 teleconsults...
January 2005: Journal of Ambulatory Care Management
I H Monrad Aas
To investigate learning in telemedicine, qualitative interviews were conducted with 30 people working with telepsychiatry, teledermatology, a telepathology frozen-section service and tele-otolaryngology. More than 80% of the respondents said that they had learnt something new by using telemedicine. Most frequently the participants improved their knowledge of the specialty in which they were involved, but this was not the only way in which they learnt. The learning did not necessarily change behaviour, as two-thirds of the respondents felt that the learning had not permitted them to perform tasks for which they had previously needed assistance (although this varied somewhat with the type of telemedical work that respondents were engaged in)...
2002: Journal of Telemedicine and Telecare
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