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Psychiatric Education

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470 papers 100 to 500 followers
https://www.readbyqxmd.com/read/28485074/integrated-and-implicit-how-residents-learn-canmeds-roles-by-participating-in-practice
#1
REVIEW
Nienke Renting, A N Janet Raat, Tim Dornan, Etienne Wenger-Trayner, Martha A van der Wal, Jan C C Borleffs, Rijk O B Gans, A Debbie C Jaarsma
CONTEXT: Learning outcomes for residency training are defined in competency frameworks such as the CanMEDS framework, which ultimately aim to better prepare residents for their future tasks. Although residents' training relies heavily on learning through participation in the workplace under the supervision of a specialist, it remains unclear how the CanMEDS framework informs practice-based learning and daily interactions between residents and supervisors. OBJECTIVES: This study aimed to explore how the CanMEDS framework informs residents' practice-based training and interactions with supervisors...
September 2017: Medical Education
https://www.readbyqxmd.com/read/28493429/trust-and-risk-a-model-for-medical-education
#2
Arvin Damodaran, Boaz Shulruf, Philip Jones
CONTEXT: Health care delivery, and therefore medical education, is an inherently risky business. Although control mechanisms, such as external audit and accreditation, are designed to manage risk in clinical settings, another approach is 'trust'. The use of entrustable professional activities (EPAs) represents a deliberate way in which this is operationalised as a workplace-based assessment. Once engaged with the concept, clinical teachers and medical educators may have further questions about trust...
September 2017: Medical Education
https://www.readbyqxmd.com/read/28771776/developing-and-rewarding-teachers-as-educators-and-scholars-remarkable-progress-and-daunting-challenges
#3
David M Irby, Patricia S O'Sullivan
CONTEXT: This article describes the scholarly work that has addressed the fifth recommendation of the 1988 World Conference on Medical Education: 'Train teachers as educators, not content experts alone, and reward excellence in this field as fully as excellence in biomedical research or clinical practice'. PROGRESS: Over the past 30 years, scholars have defined the preparation needed for teaching and other educator roles, and created faculty development delivery systems to train teachers as educators...
August 3, 2017: Medical Education
https://www.readbyqxmd.com/read/28949033/translating-medical-school-social-missions-to-student-experiences
#4
Rachel H Ellaway, Kaatje Van Roy, Robyn Preston, Jennene Greenhill, Amy Clithero, Salwa Elsanousi, Janet Richards, Charlie Labarda, Lisa Graves, Marykutty Mammen, Abbas A Assayed, Sara Willems
CONTEXT: There is a growing focus on the social missions of medical schools as a way of expressing an institutional commitment to service, responsibility and accountability. However, there has been little exploration of how a social mission translates to student experiences. METHODS: This multicentre study explored how the social missions of eight medical schools (from Australia, Belgium, Canada, the Philippines, South Africa, Sudan and the USA) translated to their medical education programmes, and how their students perceived the mission...
September 26, 2017: Medical Education
https://www.readbyqxmd.com/read/28984354/cpd-of-the-future-a-partnership-between-quality-improvement-and-competency-based-education
#5
Joan Sargeant, Brian M Wong, Craig M Campbell
CONTEXT: Many of those involved in continuing professional development (CPD) over the past 10 years have engaged in discussions about its goals and activities. Whereas in the past CPD was viewed as an education intervention directed towards the medical expert role, recent research highlights the need to expand the scope of CPD and to promote its more explicit role in improving patient care and health outcomes. Recent developments in quality improvement (QI) and competency-based medical education (CBME), guided by appropriate theories of learning and change, can shed light on how the field might best advance...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28707179/the-grades-that-clinical-teachers-give-students-modifies-the-grades-they-receive
#6
Michael Paget, Gurbir Brar, Pamela Veale, Kevin Busche, Sylvain Coderre, Wayne Woloschuk, Kevin McLaughlin
Prior studies have shown a correlation between the grades students receive and how they rate their teacher in the classroom. In this study, the authors probe this association on clinical rotations and explore potential mechanisms. All In-Training Evaluation Reports (ITERs) for students on mandatory clerkship rotations from April 1, 2013 to January 31, 2015 were matched with the corresponding student's rating of their teacher (SRT). The date and time that ITERs and SRTs were submitted was used to divide SRTs into those submitted before versus after the corresponding ITER was submitted...
July 13, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28956195/qualitative-analysis-of-mmi-raters-scorings-of-medical-school-candidates-a-matter-of-taste
#7
Mette K Christensen, Eva Lykkegaard, Ole Lund, Lotte D O'Neill
Recent years have seen leading medical educationalists repeatedly call for a paradigm shift in the way we view, value and use subjectivity in assessment. The argument is that subjective expert raters generally bring desired quality, not just noise, to performance evaluations. While several reviews document the psychometric qualities of the Multiple Mini-Interview (MMI), we currently lack qualitative studies examining what we can learn from MMI raters' subjectivity. The present qualitative study therefore investigates rater subjectivity or taste in MMI selection interview...
September 27, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28856918/original-opinion-the-use-of-bloom-s-taxonomy-to-teach-and-assess-the-skill-of-the-psychiatric-formulation-during-vocational-training
#8
Wayne A de Beer
OBJECTIVES: This paper proposes the use of the cognitive domain of Bloom's Taxonomy, an educational classification system, to guide the critical thinking required for the composition of the psychiatric formulation during the various stages of specialist training. CONCLUSIONS: Bloom's Taxonomy offers a hierarchical, structured approach to clinical reasoning. Use of this method can assist supervisors and trainees to understand better the concepts of and offer a developmental approach to critical reasoning...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28912829/mental-health-leadership-and-patient-access-to-care-a-public-private-initiative-in-south-africa
#9
Christopher Paul Szabo, Jennifer Fine, Pat Mayers, Shan Naidoo, Tuviah Zabow
BACKGROUND: Mental health leadership is a critical component of patient access to care. More specifically, the ability of mental health professionals to articulate the needs of patients, formulate strategies and engage meaningfully at the appropriate level in pursuit of resources. This is not a skill set routinely taught to mental health professionals. METHODS: A public-private mental health leadership initiative, emanating from a patient access to care programme, was developed with the aim of building leadership capacity within the South African public mental health sector...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28942693/training-to-reduce-behavioral-health-disparities-how-do-we-optimally-prepare-family-medicine-residents-for-practice-in-rural-communities
#10
Jennifer S Robohm
Family physicians are a critical part of the healthcare system in rural areas, but little is known about the training they need to more effectively address behavioral health disparities. Practicing family physicians in Montana were surveyed about the behavioral health needs of their patients, the behavioral resources at their disposal, their prioritization of a number of behavioral skills and interventions in the training of family physicians, factors that limit their own use of behavioral skills, and the extent of their behavioral science training...
January 1, 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28963306/junior-doctor-psychiatry-placements-in-hospital-and-community-settings-a-phenomenological-study
#11
Sharon Beattie, Paul E S Crampton, Cathleen Schwarzlose, Namita Kumar, Peter L Cornwall
OBJECTIVES: The proportion of junior doctors required to complete psychiatry placements in the UK has increased, due in part to vacant training posts and psychiatry career workforce shortages, as can be seen across the world. The aim of this study was to understand the lived experience of a Foundation Year 1 junior doctor psychiatry placement and to understand how job components influence attitudes. DESIGN: The study was conducted using a cross-sectional qualitative phenomenological approach...
September 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28754157/why-did-you-choose-psychiatry-a-qualitative-study-of-psychiatry-trainees-investigating-the-impact-of-psychiatry-teaching-at-medical-school-on-career-choice
#12
A Appleton, S Singh, N Eady, M Buszewicz
BACKGROUND: There is no consensus regarding the optimal content of the undergraduate psychiatry curriculum as well as factors contributing to young doctors choosing a career in psychiatry. Our aim was to explore factors which had influenced psychiatry trainees' attitudes towards mental health and career choice. METHOD: Qualitative in-depth interviews with 21 purposively sampled London psychiatry trainees analysed using the Framework method. RESULTS: Early exposure and sufficient time in undergraduate psychiatry placements were important in influencing psychiatry as a career choice and positive role models were often very influential...
July 28, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28596907/implementing-mhgap-training-to-strengthen-existing-services-for-an-internally-displaced-population-in-pakistan
#13
A Humayun, I Haq, F R Khan, N Azad, M M Khan, I Weissbecker
BACKGROUND: In 2014, over a million people were internally displaced after the launch of a military operation in North Waziristan, a tribal region on Pakistan's side of the Durand Line. Despite security concerns and restrictions, a collaborative mental health and psychosocial support initiative was undertaken in the district of Bannu. Monthly mental health camps were conducted for a period of 6 months by a multidisciplinary mental health team. The initiative also helped to assess mental health needs and plan training for primary care staff to strengthen existing resources...
2017: Global Mental Health
https://www.readbyqxmd.com/read/28617011/the-long-road-from-policy-to-practice
#14
Patricia B Nemec, Michelle G Mullen
TOPIC: As behavioral health care policies evolve, based on shifting paradigms and a developing base of evidence, day-to-day practices at the direct service level must change. Workforce development initiatives are a critical component to effect such change yet may be overlooked, underfunded, or implemented in ways that are ineffective. PURPOSE: This article highlights considerations for training focused on policy, for training issues relevant across recent policy initiatives, and components of effective workforce development initiatives...
June 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28642259/staff-experiences-and-perceptions-of-working-with-in-patients-who-are-suicidal-qualitative-analysis
#15
Yvonne Awenat, Sarah Peters, Emma Shaw-Nunez, Patricia Gooding, Daniel Pratt, Gillian Haddock
BackgroundSuicidal behaviour is frequent in psychiatric in-patients and much staff time and resources are devoted to assessing and managing suicide risk. However, little is known about staff experiences of working with in-patients who are suicidal.AimsTo investigate staff experiences of working with in-patients who are suicidal.MethodQualitative study guided by thematic analysis of semi-structured interviews with mental health staff with experience of psychiatric in-patient care.ResultsTwenty staff participated...
August 2017: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/28649873/can-you-snooze-your-way-to-an-a-exploring-the-complex-relationship-between-sleep-autonomic-activity-wellbeing-and-performance-in-medical-students
#16
Erin Cvejic, Shiny Huang, Uté Vollmer-Conna
OBJECTIVE: Medical training brings with it multiple stressors, including demanding workloads in highly competitive environments, with well-documented impact on psychiatric morbidity. This study evaluated the impact of sleep-related factors on psychological wellbeing, cognitive task performance and academic standing in medical students. METHODS: A total of 59 undergraduate medical students took part in this cross-sectional study over two consecutive days. Participants responded to questionnaires about their physical and psychological health, sleep, functioning and academic performance at the initial visit...
June 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28557933/transforming-medical-assessment-integrating-uncertainty-into-the-evaluation-of-clinical-reasoning-in-medical-education
#17
Suzette Cooke, Jean-Francois Lemay
In an age where practicing physicians have access to an overwhelming volume of clinical information and are faced with increasingly complex medical decisions, the ability to execute sound clinical reasoning is essential to optimal patient care. The authors propose two concepts that are philosophically paramount to the future assessment of clinical reasoning in medicine: assessment in the context of "uncertainty" (when, despite all of the information that is available, there is still significant doubt as to the best diagnosis, investigation, or treatment), and acknowledging that it is entirely possible (and reasonable) to have more than "one correct answer...
June 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28618855/stability-of-and-factors-related-to-medical-student-specialty-choice-of-psychiatry
#18
Matthew N Goldenberg, D Keith Williams, John J Spollen
OBJECTIVE: Targeted efforts are needed to increase the number of medical students choosing psychiatry, but little is known about when students decide on their specialty or what factors influence their choice. The authors examined the timing and stability of student career choice of psychiatry compared with other specialties and determined what pre- and intra-medical school factors were associated with choosing a career in psychiatry. METHOD: Using survey data from students who graduated from U...
September 1, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28504023/twelve-tips-for-effective-body-language-for-medical-educators
#19
Andrew J Hale, Jason Freed, Daniel Ricotta, Grace Farris, C Christopher Smith
BACKGROUND: A significant proportion of human communication is nonverbal. Although the fields of business and psychology have significant literature on effectively using body language in a variety of situations, there is limited literature on effective body language for medical educators. AIM: To provide 12 tips to highlight effective body language strategies and techniques for medical educators. METHOD: The tips provided are based on our experiences and reflections as clinician-educators and the available literature...
September 2017: Medical Teacher
https://www.readbyqxmd.com/read/28502249/psychiatric-mental-health-nursing-advanced-practice-workforce-capacity-to-address-shortages-of-mental-health-professionals
#20
Kathleen R Delaney
There is a recognized shortage of mental health professionals licensed to provide the full scope of mental health services, including assessment, diagnosis, and prescribing. Psychiatric mental health advanced practice nurses (PMH APNs) have the education and licensure to provide these services, address provider shortages and increase access to services. Unfortunately, federal reports and mental health workforce studies inaccurately depict important characteristics of PMH APNs, particularly their scope of practice, a situation that creates misunderstanding and impedes workforce planning...
May 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
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