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https://www.readbyqxmd.com/read/29346018/the-tortoise-and-the-hare-interactions-between-reinforcement-learning-and-working-memory
#1
Anne G E Collins
Learning to make rewarding choices in response to stimuli depends on a slow but steady process, reinforcement learning, and a fast and flexible, but capacity-limited process, working memory. Using both systems in parallel, with their contributions weighted based on performance, should allow us to leverage the best of each system: rapid early learning, supplemented by long-term robust acquisition. However, this assumes that using one process does not interfere with the other. We use computational modeling to investigate the interactions between the two processes in a behavioral experiment and show that working memory interferes with reinforcement learning...
January 18, 2018: Journal of Cognitive Neuroscience
https://www.readbyqxmd.com/read/29342008/the-r2c2-model-in-residency-education-how-does-it-foster-coaching-and-promote-feedback-use
#2
Joan Sargeant, Jocelyn M Lockyer, Karen Mann, Heather Armson, Andrew Warren, Marygrace Zetkulic, Sophie Soklaridis, Karen D Könings, Kathryn Ross, Ivan Silver, Eric Holmboe, Cindy Shearer, Michelle Boudreau
PURPOSE: The authors previously developed and tested a reflective model for facilitating performance feedback for practice improvement, the R2C2 model. It consists of four phases: relationship building, exploring reactions, exploring content, and coaching. This research studied the use and effectiveness of the model across different residency programs and the factors that influenced its effectiveness and use. METHOD: From July 2014-October 2016, case study methodology was used to study R2C2 model use and the influence of context on use within and across five cases...
January 16, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29335037/is-freedom-still-therapy-the-40th-anniversary-of-the-italian-mental-health-care-reform
#3
A Fioritti
On 13 May 1978, the Italian Parliament approved Law 180, universally known as 'Basaglia Law' after the name of the leader of the anti-institutional movement which promoted this radical community mental health care reform. Forty years later, Italian psychiatry still runs a community care system, albeit with degrees of solidity and quality very varied along the peninsula. Mental health care is still an integral part of the National Health System, with liberal regulations on coercion and a lowest number of general hospital and residential facilities beds...
January 16, 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29306698/gender-differences-in-c-reactive-protein-and-homocysteine-modulation-of-cognitive-performance-and-real-world-functioning-in-bipolar-disorder
#4
M Sanchez-Autet, B Arranz, G Safont, P Sierra, A Garcia-Blanco, L de la Fuente, M Garriga, M P García-Portilla
BACKGROUND: Cognitive and psychosocial impairment has been associated with increased levels of C-reactive protein (CRP) and homocysteine in bipolar disorder, but gender differences have seldom been studied. METHODS: Two hundred and twenty-four bipolar outpatients were included. Cognitive performance was assessed through the Screen for Cognitive Impairment in Psychiatry (SCIP). Psychosocial functioning was evaluated using the Functioning Assessment Short Test (FAST) and the General Assessment of Functioning (GAF)...
December 27, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29303045/general-practitioner-gp-trainees-experience-of-a-1-h-protected-supervision-model-given-during-psychiatry-placements-in-the-united-kingdom
#5
Gareth Thomas, Helen McNeill
Background A '1-hour protected supervision model' is well established for Psychiatry trainees. This model is also extended to GP trainees who are on placement in psychiatry. AIM: To explore the experiences of the '1-hour protected supervision model' for GP trainees in psychiatry placements in the UK. Methods Using a mixed methods approach, an anonymous online questionnaire was sent to GP trainees in the North West of England who had completed a placement in Psychiatry between February and August 2015...
January 5, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29302928/trends-in-md-phd-graduates-entering-psychiatry-assessing-the-physician-scientist-pipeline
#6
Melissa R Arbuckle, Sean X Luo, Harold Alan Pincus, Joshua A Gordon, Joyce Y Chung, Mark Chavez, Maria A Oquendo
OBJECTIVE: The goal of this study was to identify trends in MD/PhD graduates entering psychiatry, to compare these trends with other specialties, and to review strategies for enhancing the physician-scientist pipeline. METHODS: Data on 226,588 medical students graduating from Liaison Committee on Medical Education accredited programs between 1999 and 2012 (6626 MD/PhDs) were used to evaluate the number, percentage, and proportion of MD/PhDs entering psychiatry in comparison with other specialties (neurology, neurosurgery, internal medicine, family medicine, and radiation oncology)...
January 4, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29299832/the-2016-survey-of-the-association-of-directors-of-medical-student-education-in-psychiatry
#7
Lia A Thomas, Gary Beck Dallaghan, Richard M Balon
OBJECTIVE: The members of the Association of Directors of Medical Student Education in Psychiatry (ADMSEP) had been last surveyed in 2010 to identify trends in medical student education in psychiatry, teaching methods, academic productivity, and administrative issues. With increasing requirements, ADMSEP members were surveyed in 2016 to characterize current expectations for and needs of medical student educators in psychiatry. METHODS: A 53-item survey was sent to members of ADMSEP (n=260) and to clerkship directors nationwide...
January 3, 2018: Academic Psychiatry
https://www.readbyqxmd.com/read/29289974/perception-of-lower-urinary-tract-symptoms-by-psychiatrists-in-mentally-affected-patients
#8
Mikolaj Przydacz, Tomasz Golabek, Jerzy A Sobański, Karolina Jaworska, Michal Skalski, Agata Świerkosz, Przemyslaw Dudek, Dariusz Sobieraj, Dominika Dudek, Piotr Chłosta
OBJECTIVES: Lower urinary tract symptoms (LUTS) are highly prevalent and costly condition worldwide. Numerous studies have demonstrated their negative impact on health-related quality of life (HRQL), as well as on physical and mental health. The co-existence of LUTS and psychiatric symptoms is common and has been described by psychiatrists, urologists and gynecologists. However, data are lacking regarding the perception of urological symptoms by psychiatrists in their day-to-day clinical practice...
October 29, 2017: Psychiatria Polska
https://www.readbyqxmd.com/read/29283984/stigmatization-of-mentally-ill-patients-through-media
#9
Dragan Babić, Romana Babić, Ivan Vasilj, Esmina Avdibegović
The stigmatization of mentally ill patients has negative labelling, marginalization and exclusion of people simply because they have a mental illness. Stigma has negative consequences for the individual and his family, as well as for psychiatry as a profession and the entire community. Stigma weakens the mentally ill, reinforcing a sense of alienation, which has negative consequences on the course of the illness. The media can inform the public about the treatment of mentally ill patients by conveying correct information, who can then act positively towards improving the quality of treatment...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29282229/current-risk-management-practices-in-psychotherapy-supervision
#10
Ilayna K Mehrtens, Kathleen Crapanzano, L Lee Tynes
Psychotherapy competence is a core skill for psychiatry residents, and psychotherapy supervision is a time-honored approach to teaching this skill. To explore the current supervision practices of psychiatry training programs, a 24-item questionnaire was sent to all program directors of Accreditation Council for Graduate Medical Education (ACGME)-approved adult psychiatry programs. The questionnaire included items regarding adherence to recently proposed therapy supervision practices aimed at reducing potential liability risk...
December 2017: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/29278637/medical-education-changes-students-attitudes-on-psychiatry-survey-among-medical-students-in-croatia
#11
Ana Medic Flajsman, Dunja Degmecic, Tamara Pranjkovic, Stanislav Rogulja, Dina Bošnjak, Martina Rojnic Kuzman
In Croatia, psychiatric disorders are the leading group of disorders by days of hospitalization and they are in second place according to the number of hospitalizations in the period of working age. Nevertheless, psychiatry in Croatia, as well as in the world, is one of the least attractive specialties for medical students. In this paper we determined the impact of compulsory education in psychiatry on the attitudes of medical students of the fourth year of the Zagreb school of medicine and Osijek school of medicine...
December 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/29277424/unplanned-admissions-to-inpatient-psychiatric-treatment-and-services-received-prior-to-admission
#12
Solveig Osborg Ose, Jorid Kalseth, Marian Ådnanes, Tone Tveit, Solfrid E Lilleeng
BACKGROUND: Inpatient bed numbers are continually being reduced but are not being replaced with adequate alternatives in primary health care. There is a considerable risk that eventually all inpatient treatment will be unplanned, because planned or elective treatments are superseded by urgent needs when capacity is reduced. AIMS OF THE STUDY: To estimate the rate of unplanned admissions to inpatient psychiatric treatment facilities in Norway and analyse the difference between patients with unplanned and planned admissions regarding services received during the three months prior to admission as well as clinical, demographical and socioeconomic characteristics of patients...
December 20, 2017: Health Policy
https://www.readbyqxmd.com/read/29248906/the-vividness-of-movement-imagery-questionnaire-vmiq-2-translation-and-reliability-of-a-hebrew-version
#13
Gal Ziv, Ronnie Lidor, Michal Arnon, Aviva Zeev
INTRODUCTION: The Vividness of Movement Imagery Questionnaire 2 (VMIQ-2) assesses individuals' ability to imagine themselves performing 12 simple motor tasks, from three perspectives: internal visual imagery, external visual imagery and kinesthetic imagery. The purpose of the current study was twofold: (a) to describe the translation process of the VMIQ-2 into a Hebrew version, and (b) to test the reliability of the Hebrew version. METHOD: Eighty-eight physical education students completed the questionnaire twice (test, re-test), with two weeks in-between the tests...
2017: Israel Journal of Psychiatry and related Sciences
https://www.readbyqxmd.com/read/29240556/crazy-making-the-institutional-relations-of-undergraduate-nursing-in-the-reproduction-of-biomedical-psychiatry
#14
Simon Adam
Undergraduate mental health nursing education has been extensively discussed among nursing scholars, educators, and curriculum experts. While various perspectives have weighed in on mental health nursing education in Canada, little attention has been paid to understanding the relationship between biomedical psychiatry and undergraduate nursing education. Using institutional ethnography, this article examines the social and textual relations which characterize this relationship. Beginning in the everyday teaching and learning work of faculty members and nursing students in a collaborative baccalaureate nursing program, the social organization of mental health nursing education is explicated and the textual processes are outlined...
December 13, 2017: International Journal of Nursing Education Scholarship
https://www.readbyqxmd.com/read/29233315/student-pharmacist-experiences-as-inpatient-psychiatry-medication-education-group-leaders-during-an-early-immersion-program
#15
Jacqueline E McLaughlin, Lindsey Kennedy, Shauna Garris, Suzanne C Harris, Ashley Hillman, Nicole R Pinelli, Denise H Rhoney
BACKGROUND AND PURPOSE: While research suggests that pharmacists generally hold positive attitudes toward consumers of psychiatric medications, they often feel less comfortable talking about these medications and providing services for patients with mental illness. The purpose of this program was to train second and third year student pharmacists as psychiatry medication education groups leaders and to examine resulting student self-efficacy and mental health stigma. EDUCATIONAL ACTIVITY AND SETTING: In partnership with the University of North Carolina (UNC) Eshelman School of Pharmacy, the inpatient psychiatry service at UNC Medical Center expanded weekly medication education groups with the help of trained student pharmacists...
September 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233149/advances-in-clinical-pharmacy-education-in-germany-a-quasi-experimental-single-blinded-study-to-evaluate-a-patient-centred-clinical-pharmacy-course-in-psychiatry
#16
Monika Dircks, Andreas Mayr, Annette Freidank, Johannes Kornhuber, Frank Dörje, Kristina Friedland
BACKGROUND: The pharmacy profession has shifted towards patient-centred care. To meet the new challenges it is necessary to provide students with clinical competencies. A quasi-experimental single-blinded teaching and learning study was carried out using a parallel-group design to evaluate systematically the benefits of clinical teaching in pharmacy education in Germany. METHODS: A clinical pharmacy course on a psychiatric ward was developed and implemented for small student groups...
December 12, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29231006/-characteristics-of-schizophrenia-patients-homicide-behaviors-and-their-correlations-with-criminal-capacity
#17
Z W Sun, T T Shi, P X Fu
OBJECTIVES: To explore the characteristics of schizophrenia patients' homicide behaviors and the influences of the assessments of criminal capacity. METHODS: Indicators such as demographic and clinical data, characteristics of criminal behaviors and criminal capacity from the suspects whom were diagnosed by forensic psychiatry as schizophrenia (n=110) and normal mental (n=70) with homicide behavior, were collected by self-made investigation form and compared...
February 2017: Fa Yi Xue za Zhi
https://www.readbyqxmd.com/read/29230987/-comparison-of-criminal-characteristics-in-depression-patients-and-schizophrenics-with-homicide-behavior
#18
J Wang, P X Fu, Y L Gao, M X Zhu, T T Shi
OBJECTIVES: To explore the criminal characteristics of forensic psychiatry expertise in depression patients and schizophrenics with homicide behavior. METHODS: A total of 40 depression (depressive episode) patients and 50 schizophrenics with homicide behavior were randomly assigned into the study group and control group, respectively. Data of demographic and criminal characteristic of the two groups were collected by a self-designed questionnaire, and then were compared...
June 2017: Fa Yi Xue za Zhi
https://www.readbyqxmd.com/read/29220581/high-stakes-collaborative-testing-why-not
#19
Ruth E Levine, Nicole J Borges, Brenda J B Roman, Lisa R Carchedi, Mark H Townsend, Jeffrey S Cluver, Julia Frank, Oma Morey, Paul Haidet, Britta M Thompson
Phenomenon: Studies of high-stakes collaborative testing remain sparse, especially in medical education. We explored high-stakes collaborative testing in medical education, looking specifically at the experiences of students in established and newly formed teams. APPROACH: Third-year psychiatry students at 5 medical schools across 6 sites participated, with 4 participating as established team sites and 2 as comparison team sites. For the collaborative test, we used the National Board of Medical Examiners Psychiatry subject test, administering it via a 2-stage process...
December 8, 2017: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29216609/what-kinds-of-factors-affect-the-academic-outcomes-of-university-students-with-mental-disorders-a-retrospective-study-based-on-medical-records
#20
Terumi Ishii, Hirokazu Tachikawa, Yuki Shiratori, Takafumi Hori, Miyuki Aiba, Keisuke Kuga, Tetsuaki Arai
AIMS: University students that suffer from mental disorders seem to have difficulty graduating. Therefore, we investigated risk and protective factors of dropping out with the aim of improving such students' academic outcomes. METHODS: First, we statistically compared the academic outcomes of 203 undergraduate students who received treatment in the Department of Psychiatry of the Tsukuba University Health Center to those of matched controls. Second, clinical factors of 370 mentally ill students were statistically compared between the dropout and graduate groups...
December 2, 2017: Asian Journal of Psychiatry
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