Development and Implementation of an Integrated Care Fellowship.

Autor: Ratzliff ADH; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA. Electronic address: annar22@uw.edu., Toor R; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA., Erickson JM; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA., Bauer AM; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA., Duncan MH; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA., Chang D; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA., Chwastiak L; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA., Raue PJ; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA., Unutzer J; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA.
Jazyk: angličtina
Zdroj: Journal of the Academy of Consultation-Liaison Psychiatry [J Acad Consult Liaison Psychiatry] 2022 May-Jun; Vol. 63 (3), pp. 280-289. Date of Electronic Publication: 2022 Feb 03.
DOI: 10.1016/j.jaclp.2022.01.006
Abstrakt: Background: Integrated care is a common approach to leverage scarce psychiatric resources to deliver mental health care in primary care settings.
Objective: Describe a formal clinical fellowship devoted to professional development for the integrated care psychiatrist role.
Methods: The development of a formal year-long clinical fellowship in integrated care is described. The curriculum consists of an Integrated Care Didactic Series, Integrated Care Clinical Skill Experiences, and Integrated Care System-Based Leadership Experiences. Evaluation of impact was assessed with descriptive statistics.
Results: We successfully recruited 3 classes of fellows to the Integrated Care Fellowship, with 5 program graduates in the first 3 years. All 5 graduated fellows were hired into integrated care and/or telepsychiatry positions. Integrated Care fellows had a high participation rate in didactics (mean attendance = 80.6%; n = 5). We received a total of 582 didactic evaluations for the 151 didactic sessions. On a scale of 1 (poor) to 6 (fantastic), the mean quality of the interactive learning experience was rated as 5.33 (n = 581) and the mean quality of the talk was 5.35 (n = 582). Rotations were rated with the mean overall teaching quality of 4.98/5 (n = 76 evaluations from 5 fellows).
Conclusions: The Integrated Care clinical fellowship serves as a model for training programs seeking to provide training in clinical and systems-based skills needed for practicing integrated care. Whether such training is undertaken as a standalone fellowship or incorporated into existing consultation-liaison psychiatry programs, such skills are increasingly valuable as integrated care becomes commonplace in practice.
(Copyright © 2022 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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