Implementation of a Psychiatry Consultation-Liaison Service 'Conseminar'

Autor: Nate A. Sowa, Donald L. Rosenstein, Rishika Reddy, Gary J. Gala, Sarah L. Laughon, Rebekah P. Nash, Eliza M. Park, Jonathan S. Gerkin
Rok vydání: 2021
Předmět:
Zdroj: Journal of the Academy of Consultation-Liaison Psychiatry. 62:472-477
ISSN: 2667-2960
DOI: 10.1016/j.jaclp.2020.12.010
Popis: Background The field of consultation-liaison psychiatry has generated a relatively small number of rigorous clinical trials that guide clinical care. Consequently, there is a need for a consensus-building process to inform best practices for common clinical dilemmas in consultation-liaison psychiatry. Objective We review several consensus-building approaches in academic medicine and describe a novel educational process called a “conseminar,” which is intended to minimize the variability in teaching and practice on a service staffed by multiple faculty members. Methods The conseminar is an iterative group exercise among faculty who attend on a consultation-liaison service. Faculty members generate a list of candidate topics and then prioritize those topics for a focused and critical literature review, aided by a librarian. In the absence of definitive clinical trial data or established practice guidelines, the faculty articulates a consensus “best-practice” approach and creates a brief document that summarizes specific recommendations for learners on the service. Conclusions The conseminar process can minimize variability among consultation-liaison faculty within a single institution with respect to the diagnostic and treatment recommendations conveyed to trainees. Furthermore, conseminar documents can be shared across institutions to promote more consistent teaching and practice within consultation-liaison psychiatry.
Databáze: OpenAIRE