Residents Teaching Residents: Results of an Interdisciplinary Educational Endeavor
Tóm tắt
Resident physicians across disciplines are engaged in teaching at multiple levels. Available literature focuses on medical student education and intra-disciplinary teaching. The national shortage of psychiatrists coupled with an increasing mental illness burden necessitates development of creative interdisciplinary collaboration. The authors report on an interdisciplinary, resident-to-resident didactic series assessing whether such a model could improve internal medicine resident comfort with managing psychiatric illness on inpatient medical wards. Internal medicine residents were assessed regarding their comfort level with managing certain common inpatient psychiatric presentations before and after the delivery of a teaching curriculum designed and delivered by psychiatry residents. Internal medicine residents’ overall confidence with identifying and managing common psychiatric problems on inpatient medical wards improved. Comfort level with managing depression and demoralization and determining decisional capacity both improved to a statistically significant degree. Collaborative, interdisciplinary care is complex and its benefits can be difficult to assess. Data from this study showed that interdisciplinary teaching at the resident level has the potential to be an effective means for building collaboration and can lead to a subjective improvement in comfort managing common inpatient psychiatric presentations on medical wards. Additionally, qualitative observations suggest that such an intervention can improve interdisciplinary collaboration.
Tài liệu tham khảo
Berger JS, Daneshpayeh N, Sherman M, Gaba N, Keller J, Perel L, et al. Anesthesiology residents-as-teachers program: a pilot study. J Grad Med Educ. 2012;4(4):525–8. https://doi.org/10.4300/JGME-D-11-00300.1.
McKean AJ, Palmer BA. Psychiatry resident-led tutorials increase medical student knowledge and improve national board of medical examiners shelf exam scores. Acad Psychiatry. 2015;39(3):309–11. https://doi.org/10.1007/s40596-014-0277-6.
Yedidia MJ, Schwartz MD, Hirschkorn C, Lipkin M Jr. Learners as teachers: the conflicting roles of medical residents. J Gen Intern Med. 1995;10(11):615–23. https://doi.org/10.1007/BF02602745.
Cullimore AJ, Dalrymple JL, Dugoff L, Hueppchen NA, Casey PM, Chuang AW, et al. The obstetrics and gynaecology resident as teacher. J Obstet Gynaecol Can. 2010;32(12):1176–85. https://doi.org/10.1016/S1701-2163(16)34743-0.
Donovan A. Radiology residents as teachers: current status of teaching skills training in United States residency programs. Acad Radiol. 2010;17(7):928–33. https://doi.org/10.1016/j.acra.2010.03.008.
Kitts RL, Christodoulou J, Goldman S. Promoting interdisciplinary collaboration: trainees addressing siloed medical education. Acad Psychiatry. 2011;35(5):317–21. https://doi.org/10.1176/appi.ap.35.5.317.
National Institute of Mental Health. Any mental illness among adults. Available from: https://www.nimh.nih.gov/health/statistics/prevalence/any-mental-illness-ami-among-us-adults.shtml . Last accessed 16 Mar 2017.
Health Resources and Services Administration/National Center for Health Workforce Analysis; Substance Abuse and Mental Health Services Administration/Office of Policy, Planning, and Innovation. 2015. National projections of supply and demand for behavioral health practitioners: 2013–2025. Rockville, Maryland. Available from: https://bhw.hrsa.gov/sites/default/files/bhw/health-workforce-analysis/research/projections/behavioral-health2013-2025.pdf . Last access 16 Mar 2017.
Association of American Medical Colleges. New research confirms looming physician shortage. Available from: https://www.aamc.org/newsroom/newsreleases/458074/2016_workforce_projections_04052016.html . Last accessed 16 Mar 2017.
Rossom RC, Solberg LI, Magnan S, Crain AL, Beck A, Coleman KJ, et al. Impact of a national collaborative care initiative for patients with depression and diabetes or cardiovascular disease. Gen Hosp Psychiatry. 2017;44:77–85. https://doi.org/10.1016/j.genhosppsych.2016.05.006.