Evolving Roles and Needs of Psychiatry Chief Residents During the COVID-19 Pandemic and Beyond.

IF 3.4 Q1 HEALTH POLICY & SERVICES Journal of Healthcare Leadership Pub Date : 2023-01-01 DOI:10.2147/JHL.S408556
Badr Ratnakaran, Sarah Hanafi, Heather Wobbe, Molly Howland
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Abstract

Psychiatry chief residents have diverse leadership roles within psychiatry residency programs. Chief residents have historically been viewed as "middle managers", and other leadership roles include administrative work, teaching, and advocacy for residents. Chief residents also help in managing the logistics of complex healthcare systems and mediating between many groups with conflicting needs and perspectives. The COVID-19 pandemic has changed the functioning of psychiatry residency programs, and this has also led to the evolution of the roles of the chief residents in psychiatry. During the COVID-19 pandemic, the chief residents had to help with adapting to the changes in teaching and clinical work with residents and faculty. They had to liaison with various healthcare providers in making decisions related to COVID-19 in residency programs. Along with these changes, chief residents also had to advocate for the wellbeing and needs of their fellow residents. This perspective article is written by authors who have served during or after the transition to the COVID-19 pandemic. We discuss our experiences as chief residents as well as evolving roles and wellness needs of chief residents in psychiatry. Based on the administrative, advocacy, academic and middle management roles of chief residents in psychiatry and their wellbeing, we also make recommendations for support and interventions needed for chief residents in the context of the COVID-19 pandemic and beyond.

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在COVID-19大流行期间及以后,精神科住院总医师的角色和需求不断变化。
精神科住院总医师在精神科住院医师项目中扮演着不同的领导角色。总住院医师历来被视为“中层管理人员”,其他领导角色包括行政工作、教学和为住院医师辩护。总住院医师还帮助管理复杂医疗系统的后勤,并在许多需求和观点相互冲突的群体之间进行调解。2019冠状病毒病大流行改变了精神病学住院医师项目的运作,这也导致了精神病学总住院医师角色的演变。在2019冠状病毒病大流行期间,住院总医师必须帮助住院医师和教职员工适应教学和临床工作的变化。在住院医师项目中,他们必须与各种医疗服务提供者联系,做出与COVID-19相关的决定。随着这些变化,总住院医师还必须倡导其他住院医师的福利和需求。这篇观点文章是由在COVID-19大流行期间或之后任职的作者撰写的。我们讨论了我们作为总住院医师的经验,以及精神病学总住院医师的角色演变和健康需求。根据总住院医师在精神病学及其福祉方面的行政、宣传、学术和中层管理角色,我们还为总住院医师在COVID-19大流行及其他背景下所需的支持和干预措施提出建议。
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来源期刊
Journal of Healthcare Leadership
Journal of Healthcare Leadership HEALTH POLICY & SERVICES-
CiteScore
5.40
自引率
2.30%
发文量
27
审稿时长
16 weeks
期刊介绍: Efficient and successful modern healthcare depends on a growing group of professionals working together as an interdisciplinary team. However, many forces shape the delivery of healthcare; changes are being driven by the markets, transformations in concepts of health and wellbeing, technology and research and discovery. Dynamic leadership will guide these necessary transformations. The Journal of Healthcare Leadership is an international, peer-reviewed, open access journal focusing on leadership for the healthcare professions. The publication strives to amalgamate current and future healthcare professionals and managers by providing key insights into leadership progress and challenges to improve patient care. The journal aspires to inform key decision makers and those professionals with ambitions of leadership and management; it seeks to connect professionals who are engaged in similar endeavours and to provide wisdom from those working in other industries. Senior and trainee doctors, nurses and allied healthcare professionals, medical students, healthcare managers and allied leaders are invited to contribute to this publication
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