Mental health from the perspective of primary care residents: a pilot survey.

Autor:	Iskandar JW; Departments of Child and Adolescent Psychiatry (Drs Iskandar and Vance) and Psychiatry (Drs Sharma and Mingoia), Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke; Department of Family Medicine, Lewis Gale Medical Center, Salem (Dr Alishayev); and Department of Psychiatry, University of Virginia School of Medicine, Charlottesville (Dr Ali), Virginia., Sharma T; Departments of Child and Adolescent Psychiatry (Drs Iskandar and Vance) and Psychiatry (Drs Sharma and Mingoia), Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke; Department of Family Medicine, Lewis Gale Medical Center, Salem (Dr Alishayev); and Department of Psychiatry, University of Virginia School of Medicine, Charlottesville (Dr Ali), Virginia., Alishayev I; Departments of Child and Adolescent Psychiatry (Drs Iskandar and Vance) and Psychiatry (Drs Sharma and Mingoia), Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke; Department of Family Medicine, Lewis Gale Medical Center, Salem (Dr Alishayev); and Department of Psychiatry, University of Virginia School of Medicine, Charlottesville (Dr Ali), Virginia., Mingoia J; Departments of Child and Adolescent Psychiatry (Drs Iskandar and Vance) and Psychiatry (Drs Sharma and Mingoia), Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke; Department of Family Medicine, Lewis Gale Medical Center, Salem (Dr Alishayev); and Department of Psychiatry, University of Virginia School of Medicine, Charlottesville (Dr Ali), Virginia., Vance JE; Departments of Child and Adolescent Psychiatry (Drs Iskandar and Vance) and Psychiatry (Drs Sharma and Mingoia), Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke; Department of Family Medicine, Lewis Gale Medical Center, Salem (Dr Alishayev); and Department of Psychiatry, University of Virginia School of Medicine, Charlottesville (Dr Ali), Virginia., Ali R; Departments of Child and Adolescent Psychiatry (Drs Iskandar and Vance) and Psychiatry (Drs Sharma and Mingoia), Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke; Department of Family Medicine, Lewis Gale Medical Center, Salem (Dr Alishayev); and Department of Psychiatry, University of Virginia School of Medicine, Charlottesville (Dr Ali), Virginia.
Jazyk:	angličtina
Zdroj:	The primary care companion for CNS disorders [Prim Care Companion CNS Disord] 2014 Aug 28; Vol. 16 (4). Date of Electronic Publication: 2014 Aug 28 (Print Publication: 2014).
DOI:	10.4088/PCC.14m01662
Abstrakt:	Objective: Primary care physicians are increasingly providing psychiatric care in the United States. Unfortunately, there is limited learning opportunity or exposure to psychiatry during their residency training. This survey was conducted to assess primary care resident interaction with mental health professionals and their satisfaction, knowledge, preference, and comfort with the delivery of mental health care in primary health care settings. Method: On the basis of available published literature, a 20-question survey was formulated. Following receipt of the institutional review board's approval, these questions were sent via e-mail in February 2012 to internal and family medicine residents (N = 108) at 2 teaching hospitals in southwest Virginia. Analysis of the electronically captured data resulted in a response rate of 32%. Descriptive analysis was used to examine the results. Results: The responses were equally divided among male and female residents and family medicine and internal medicine residents. There were several interesting findings from the survey. No correlations were noted between the gender of residents, type or location of the medical school, or having had a psychiatric rotation during residency and the reported comfort level treating patients with psychiatric illness or the desire to see psychiatric patients in the future. A positive correlation was found between the residents' training level and their belief about the percentage of mental health providers who have mental health problems. Conclusions: The current training model to acclimate primary care residents to the field of mental health appears to have major limitations. RESULTS of this pilot survey can serve as a guide to conduct prospective, multicenter studies to identify and improve psychiatric training for primary care residency programs.
Databáze:	MEDLINE
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