Integration of mental health comorbidity in medical specialty programs in 20 countries.

Autor:	Heinze G; Departamento de Fisiología National Autonomous University of Mexico (UNAM) School of Medicine, Mexico City, Mexico., Sartorius N; Association for the Improvement of Mental Health Programmes, Geneva, Switzerland., Guizar Sanchez DP; Departamento de Fisiología National Autonomous University of Mexico (UNAM) School of Medicine, Mexico City, Mexico., Bernard-Fuentes N; Departamento de Fisiología National Autonomous University of Mexico (UNAM) School of Medicine, Mexico City, Mexico., Cawthorpe D; Department of Psychiatry & Community Health Sciences, Cumming School of Medicine, Institute for Child & Maternal Health, The University of Calgary, Calgary, Canada., Cimino L; Dialogue on Diabetes and Depression, ProConsult, LLC, Las Vegas, USA., Cohen D; Heerhugowaard, Mental Health Organization, Amsterdam, the Netherlands., Lecic-Tosevski D; Serbian Academy of Sciences and Arts, Institute of Mental Health, Scholl of Medicine, University of Belgrade, Belgrade, Serbia., Filipcic I; Faculty of Dental Medicine and Health, Department of Psychiatry, University of Osijek, Osijek, Croatia., Lloyd C; Faculty of Wellbeing, Education and Language Studies, School of Health, Wellbeing and Social Care, The Open University, Milton Keynes, UK., Mohan I; Community, Culture and Mental Health Unit, School of Psychiatry and Clinical Neurosciences, The University of Western Australia, Perth, Australia., Ndetei D; University of Nairobi, Africa Mental Health Research and Training Foundation, Nairobi, Kenya., Poyurovsky M; Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.; Ma'ale HaCarmel Mental Health Center, Tirat Carmel, Israel., Rabbani G; Ma'ale HaCarmel Mental Health Center, Tirat Carmel, Israel., Starostina E; Neurodevelopmental Disability Protection Trustee Board of Bangladesh, Dhaka, Bangladesh., Yifeng W; Department of Endocrinology, Moscow Regional Clinical and Research Institute, Moscow, Russia., EstefaníaLimon L; Departamento de Fisiología National Autonomous University of Mexico (UNAM) School of Medicine, Mexico City, Mexico.
Jazyk:	angličtina
Zdroj:	International journal of psychiatry in medicine [Int J Psychiatry Med] 2021 Jul; Vol. 56 (4), pp. 278-293. Date of Electronic Publication: 2021 Apr 07.
DOI:	10.1177/00912174211007675
Abstrakt:	Methods: A systematic analysis was performed of the medical specialization academic programs of 20 different countries to establish which medical specialties take into account mental health issues in the specialty curricular design and which mental health content these programs address. The criteria that were explored in the educational programs include: 1) name of the medical specialties that take into account mental health content in curriculum design, 2) name of the mental health issues addressed by these programs. After independent review and data extraction, paired investigators compared the findings and reached consensus on all discrepancies before the final presentation of the data. Descriptive statistics evaluated the frequency of the data presented. Results: Internal medicine, family medicine, neurology, pediatrics and geriatrics were the specialties that included mental health topics in their programs. In four countries: Bangladesh, Serbia, the Netherlands and France, 50%of all graduate specialty training programs include mental health content. In ten countries: Germany, Sweden, the United Kingdom, Mexico, Belgium, India, Russia, Canada, Israel and Spain, between 20% and 49% of all graduate specialty training programs include mental health content. In six countries - Brazil, Chile, Colombia, Croatia, Kenya, and the United States-less than 20% of all graduate specialty training programs include mental health content. Discussion: The proposal that we have made in this article should be taken into account by decision-makers, in order to complement the different postgraduate training programs with mental health issues that are frequently present with other physical symptoms. It is not our intention that the different specialists know how to treat psychiatric comorbidities, but rather pay attention to their existence and implications in the diagnosis, evolution and prognosis of many other diseases. The current fragmentation of medicine into ever finer specialties makes the management of comorbidity ever more difficult: a reorientation of post- graduate training might improve the situation.
Databáze:	MEDLINE
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