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没有精神病学?对家庭医学住院医师心理健康问题培训的评估。

No psychiatry? Assessment of family medicine residents' training in mental health issues.

作者信息

Bethune C, Worrall G, Freake D, Church E

机构信息

Memorial University of Newfoundland (Memorial), St John's.

出版信息

Can Fam Physician. 1999 Nov;45:2636-41.

PMID:10587771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2328665/
Abstract

OBJECTIVE

To assess whether the mental health component of the family medicine residency program at Memorial University of Newfoundland, which contains no formal mental health training with psychiatrists, adequately prepares residents for practice, and to assess which aspects of their training enhanced their mental health skills most.

DESIGN

Cross-sectional mailed survey.

SETTING

A 2-year family practice residency program with a focus on training for rural practice offering integrated and eclectic multidisciplinary mental health training rather than formal psychiatry experience.

PARTICIPANTS

Graduates of the family practice residency program, 1990 to 1995. Completed questionnaires were returned by 62 of 116 physicians.

MAIN OUTCOME MEASURE

Confidence of respondents in dealing with 23 mental health problems.

RESULTS

Respondents felt prepared to address most of the mental health needs of their patients. Higher levels of confidence were associated with lower referral rates. There was no significant relationship between time spent in practice and confidence in dealing with mental health problems. Graduates' confidence correlated with areas in the program identified as strong.

CONCLUSIONS

The program appears to train family doctors effectively to meet the mental health needs of their patients.

摘要

目的

评估纽芬兰纪念大学家庭医学住院医师培训项目的心理健康部分(该项目没有与精神科医生进行的正规心理健康培训)是否能让住院医师充分为执业做好准备,并评估培训的哪些方面对他们心理健康技能的提升作用最大。

设计

横断面邮寄调查。

背景

一个为期两年的家庭医疗住院医师培训项目,重点是为农村医疗实践进行培训,提供综合且兼收并蓄的多学科心理健康培训,而非正规的精神病学经验。

参与者

1990年至1995年家庭医疗住院医师培训项目的毕业生。116名医生中有62名返回了完整的调查问卷。

主要观察指标

受访者处理23种心理健康问题的信心。

结果

受访者认为自己有能力满足患者的大多数心理健康需求。信心水平较高与较低的转诊率相关。执业时间与处理心理健康问题的信心之间没有显著关系。毕业生的信心与项目中被认为优势明显的领域相关。

结论

该项目似乎能有效地培训家庭医生以满足患者的心理健康需求。

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Training in Psychosocial Issues: Survey of family medicine graduates.心理社会问题培训:家庭医学毕业生调查。
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The efficacy of intensive biopsychosocial teaching programs for residents: a review of the literature and guidelines for teaching.针对住院医师的强化生物心理社会教学计划的效果:文献综述与教学指南
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Mental health training of primary care physicians: an outcome study.基层医疗医生的心理健康培训:一项结果研究。
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