"Not doing it justice": Perspectives of Recent Family Medicine Graduates on Mental Health and Addictions Training in Residency.

Autor: Ramdawar A; Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada., Bozinoff N; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.; Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada., Lazare K; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.; North York General Hospital, Toronto, ON, Canada.
Jazyk: angličtina
Zdroj: Journal of medical education and curricular development [J Med Educ Curric Dev] 2024 Apr 09; Vol. 11, pp. 23821205241238642. Date of Electronic Publication: 2024 Apr 09 (Print Publication: 2024).
DOI: 10.1177/23821205241238642
Abstrakt: Objectives: Family physicians report feeling inadequately prepared to meet the evolving mental health care needs of the population. Little scholarship exists evaluating the effectiveness of curricula designed to teach mental health and addiction (MH&A) care to family medicine (FM) residents. As such, the purpose of this study was to explore the experiences of recent FM residency graduates in providing mental health care, and their perceptions of mental health training gaps during their residencies.
Methods: A qualitative descriptive study design was conducted by 8 recent graduates of the University of Toronto's FM residency program, who participated in semi-structured video interviews. A thematic analysis approach was used to collect and analyze the data.
Results: Through thematic analysis, 3 overarching themes were developed: (1) barriers in providing mental health and addiction care, (2) curriculum renewal, and (3) the role of FPs and professional identity. Consistent with the literature, the majority of recent FM graduates expressed discomfort when managing patients with mental health and addiction concerns. Additionally, participants perceived residency program time constraints, rotational site differences, and limited exposure to marginalized populations all impacted learning and mastery of skills.
Conclusion: The findings of this study underscore current gaps within the FM residency curriculum and highlight the need to address current curricular deficits.
Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2024.)
Databáze: MEDLINE
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