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Psychiatric Education

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Diane Aubin, Sharla King
The expression "shame and blame" has often been used to describe the culture within healthcare when a mistake is made. There has been little exploration, however, on the shame healthcare professionals experience after a mistake. Based on an original grounded theory study on the psychological impact of mistakes on health professionals, this article explores why the healthcare environment is a perfect ecosystem for growing shame, how individuals are coping or not coping with the negative effects of this powerful emotion and what might be done at the system, organizational and team level to mitigate these negative effects...
January 2018: Healthcare Quarterly
Chris B T Rietmeijer, Daniëlle Huisman, Annette H Blankenstein, Henk de Vries, Fedde Scheele, Anneke W M Kramer, Pim W Teunissen
CONTEXT: Direct observation (DO) of residents' performance, despite the importance that is ascribed to it, does not readily fit in with the practice of postgraduate medical education (PGME); it is infrequent and the quality of observation may be poor in spite of ongoing efforts towards improvement. In recent literature, DO is mostly portrayed as a means to gather information on the performance of residents for purposes of feedback and assessment. The role of DO in PGME is likely to be more complex and poorly understood in the era of outcome-based education...
July 24, 2018: Medical Education
Lara J Cooke, Diane Duncan, Laura Rivera, Shawn K Dowling, Christopher Symonds, Heather Armson
BACKGROUND: Audit and feedback interventions may be strengthened using social interaction. With this in mind, the Calgary office of the Alberta Physician Learning Program developed a process for audit and group feedback for physician groups. As a part of a larger project to develop a practical approach to the design and implementation of audit and group feedback projects, we explored patterns of physician behavior during facilitated audit and group feedback sessions. METHODS: Six audit and group feedback sessions were recorded, transcribed, and analyzed thematically to derive a conceptual model of physicians' behaviors during audit and group feedback sessions...
July 31, 2018: Implementation Science: IS
Lauren Vogel
No abstract text is available yet for this article.
May 22, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Caroline Mercer
No abstract text is available yet for this article.
June 4, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Lauren Vogel
No abstract text is available yet for this article.
July 3, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Lauren Vogel
No abstract text is available yet for this article.
July 3, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Roger Collier
No abstract text is available yet for this article.
July 23, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Lisa Parker, Lisa Bero, Donna Gillies, Melissa Raven, Barbara Mintzes, Jon Jureidini, Quinn Grundy
PURPOSE: Many who seek primary health care advice about mental health may be using mobile applications (apps) claiming to improve well-being or relieve symptoms. We aimed to identify how prominent mental health apps frame mental health, including who has problems and how they should be managed. METHODS: We conducted a qualitative content analysis of advertising material for mental health apps found online in the United States, the United Kingdom, Canada, and Australia during late 2016...
July 2018: Annals of Family Medicine
Barbara Griffin, Jaime Auton, Robbert Duvivier, Boaz Shulruf, Wendy Hu
This study compared the profile of those who, after initial failure to be selected, choose to reapply to study medicine with those who did not reapply. It also evaluates the chance of a successful outcome for re-applicants. In 2013, 4007 applicants to undergraduate medical schools in the largest state in Australia were unsuccessful. Those who chose to reapply (n = 665) were compared to those who did not reapply (n = 3342). Results showed that the odds of re-applying to medicine were 55% less for those from rural areas, and 39% more for those from academically-selective schools...
August 2, 2018: Advances in Health Sciences Education: Theory and Practice
Ann C Schwartz, Amber Frank, Justine W Welsh, Kelly Blankenship, Sandra M DeJong
OBJECTIVE: The primary purpose of this article is to review the findings of a 2017 survey of psychiatry training program directors to identify current gaps and barriers in addictions training in general adult psychiatry programs. METHODS: The American Association of Directors of Psychiatric Residency Training (AADPRT) Taskforce on Addictions was created in 2017 with the aim of determining what programs need to improve addictions training in psychiatry residency programs and identifying ways to meet these needs...
August 2, 2018: Academic Psychiatry
Tejal K Gandhi, Gary S Kaplan, Lucian Leape, Donald M Berwick, Susan Edgman-Levitan, Amy Edmondson, Gregg S Meyer, David Michaels, Julianne M Morath, Charles Vincent, Robert Wachter
In 2009, the National Patient Safety Foundation's Lucian Leape Institute (LLI) published a paper identifying five areas of healthcare that require system-level attention and action to advance patient safety.The authors argued that to truly transform the safety of healthcare, there was a need to address medical education reform; care integration; restoring joy and meaning in work and ensuring the safety of the healthcare workforce; consumer engagement in healthcare and transparency across the continuum of care...
July 17, 2018: BMJ Quality & Safety
Eric R Pedersen, Lisa Rubenstein, Ryan Kandrack, Marjorie Danz, Bradley Belsher, Aneesa Motala, Marika Booth, Jody Larkin, Susanne Hempel
BACKGROUND: Depression is a common mental health disorder for which clinical practice guidelines have been developed. Prior systematic reviews have identified complex organizational interventions, such as collaborative care, as effective for guideline implementation; yet, many healthcare delivery organizations are interested in less resource-intensive methods to increase provider adherence to guidelines and guideline-concordant practices. The objective of this systematic review was to assess the effectiveness of healthcare provider interventions that aim to increase adherence to evidence-based treatment of depression in routine clinical practice...
July 20, 2018: Implementation Science: IS
Andrea Gingerich, Vijay Daniels, Laura Farrell, Sharla-Rae Olsen, Tara Kennedy, Rose Hatala
CONTEXT: The concept of entrustment has garnered significant attention in medical specialties, despite variability in supervision styles and entrustment decisions. There is a need to further study the enactment of supervision on inpatient wards to inform competency-based assessment design. METHODS: Attending physicians, while supervising on clinical teaching inpatient wards, were invited to describe a recent moment of enacting supervision with an internal medicine resident...
June 25, 2018: Medical Education
Kuo-Su Chen, Lynn Monrouxe, Yi-Hsuan Lu, Chang-Chyi Jenq, Yeu-Jhy Chang, Yu-Che Chang, Pony Yee-Chee Chai
CONTEXT: The flipped classroom (FC), reversing lecture and homework elements of a course, is popular in medical education. The FC uses technology-enhanced pre-class learning to transmit knowledge, incorporating in-class interaction to enhance higher cognitive learning. However, the FC model is expensive and research on its effectiveness remains inconclusive. The aim of this study was to compare the efficacy of the FC model over traditional lecture-based (LB) learning by meta-analysis...
June 25, 2018: Medical Education
Tamara Pringsheim, Thomas R E Barnes
No abstract text is available yet for this article.
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
Michael Hessler, Daniel M Pöpping, Hanna Hollstein, Hendrik Ohlenburg, Philip H Arnemann, Christina Massoth, Laura M Seidel, Alexander Zarbock, Manuel Wenk
OBJECTIVES: Results from end-of-course student evaluations of teaching (SETs) are taken seriously by faculties and form part of a decision base for the recruitment of academic staff, the distribution of funds and changes to curricula. However, there is some doubt as to whether these evaluation instruments accurately measure the quality of course content, teaching and knowledge transfer. We investigated whether the provision of chocolate cookies as a content-unrelated intervention influences SET results...
June 29, 2018: Medical Education
Joanne Goldman, Ayelet Kuper, Brian M Wong
It is widely accepted that quality improvement (QI) education should be experiential. Many training programs believe that making QI learning "hands-on" through project-based learning will translate into successful learning about QI. However, this pervasive and overly simplistic interpretation of experiential QI learning, and the general lack of empirical exploration of the factors that influence experiential learning processes, may limit the overall impact of project-based learning on educational outcomes...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Marit Helene Hem, Bert Molewijk, Elisabeth Gjerberg, Lillian Lillemoen, Reidar Pedersen
BACKGROUND: Professionals within the mental health services face many ethical dilemmas and challenging situations regarding the use of coercion. The purpose of this study was to evaluate the significance of participating in systematic ethics reflection groups focusing on ethical challenges related to coercion. METHODS: In 2013 and 2014, 20 focus group interviews with 127 participants were conducted. The interviews were tape recorded and transcribed verbatim. The analysis is inspired by the concept of 'bricolage' which means our approach was inductive...
June 5, 2018: BMC Medical Ethics
Agnes Ayton, Ali Ibrahim
BACKGROUND: Eating disorders affect 1%-4% of the population and they are associated with an increased rate of mortality and multimorbidity. Following the avoidable deaths of three people the parliamentary ombudsman called for a review of training for all junior doctors to improve patient safety. OBJECTIVE: To review the teaching and assessment relating to eating disorders at all levels of medical training in the UK. METHOD: We surveyed all the UK medical schools about their curricula, teaching and examinations related to eating disorders in 2017...
July 2018: Postgraduate Medical Journal
2018-06-07 11:18:44
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