Academic Psychiatry最新文献

Objectives: The National Curriculum in Reproductive Psychiatry (NCRP) was published in 2019 to address a critical gap in psychiatry residency didactic training. However, because the curriculum is available online, diverse users may access it. This study aimed to characterize NCRP users and assess their educational needs to inform future curriculum development.

Methods: A survey was distributed in two phases: (1) via email to 845 registered NCRP users and (2) via social media and professional listservs. The survey assessed user profession, training level, primary reason for using NCRP, satisfaction, and interest in additional materials. Both quantitative and qualitative data were analyzed.

Results: In phase 1, 198 of 845 NCRP users responded to the survey, yielding a response rate of 23%. Forty-two additional responses were received in phase two. Most respondents (81%) reported specializing in psychiatry, and 70% identified as physicians. Over half (56%) described themselves as independent users. Respondents reported high satisfaction with NCRP design and organization. Thematic analysis identified five key themes for improvement, focused on time constraints and content type.

Conclusions: Though originally intended for psychiatry residency programs, the NCRP now also serves a broad, interdisciplinary audience including independent learners. These new users value its structure but would prefer shorter, multimedia-enhanced content. Limited protected time for reproductive psychiatry education, compounded by competing curricular priorities, remains the primary barrier to curriculum incorporation in residency programs. NCRP can advocate for additional integration into formal residency training while also developing flexible materials to support diverse, interdisciplinary learners.

Objective: Providing effective mental health support for physicians in training is crucial due to high rates of burnout and mental health issues. The Accreditation Council for Graduate Medical Education (ACGME) mandates mental health services for trainees. This study explores the provision of mental health services by ACGME-accredited institutions, identifies gaps, and highlights best practices.

Methods: The authors distributed a cross-sectional survey between 11/1/2023 and 1/8/2024 to 816 designated institutional officials at 860 institutions. The survey included questions about resources for counseling, services offered, reporting structure, hours and fees for services, electronic medical record documentation, number and qualifications of counselors, access to a psychiatrist, utilization rates, and respondents' perception regarding the adequacy of services. The authors collected data via REDCap and analyzed it using SAS software.

Results: Of 816 potential responses, 343 (42%) surveys were completed. Responses showed heterogeneity in counseling service offerings across institutions, with most using employee assistance programs (EAPs). More than one-third (38%) of institutions offer counseling services specific to the GME population. Few institutions (16%) provide dedicated GME psychiatry services. Perceived adequacy of mental health services in meeting trainee needs was high overall, with institutions with dedicated GME counseling services reporting higher perceived need fulfillment than those without GME-specific services. Very few institutions had utilization data to report.

Conclusions: Institutions employ diverse methods to meet ACGME mental health service requirements, with internal resources achieving the highest level of perceived need fulfillment. Collection of utilization and outcome data and national reporting are recommended for improved GME counseling guidelines.