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[综合医院无精神科病房住院医师精神科毕业后教育的现状]

[Present status in post-graduate psychiatry education for residencies at the general hospital without psychiatric ward].

作者信息

Nakashima Yoshifumi

出版信息

Seishin Shinkeigaku Zasshi. 2005;107(6):570-5.

Abstract

Senior psychiatrists at general hospital without psychiatric ward are usually so short of both manpower and time that they should easily lose incentives to collaborate with residents who would come at least one month under 2004 reform of residency. In this article, the author argue that the handicaps where residents should serve outpatient clinic and consultation-liaison-service at the hospital and experience other hospitals or institutions for relatively short term (mainly only one month at most) are not handicaps at all but features. Supervision during overall period of residency which concerns residents' career development and mental health, peer-supervision using live cameras or video recording, qualitative approach which utilizing weekly problem solution tasks were introduced to maintain incentives to collaboration.

摘要

没有精神科病房的综合医院的资深精神科医生通常人力和时间都非常短缺,以至于他们很容易失去与住院医生合作的动力,在2004年住院医师改革后,住院医生前来实习的时间至少会有一个月。在本文中,作者认为,住院医生在医院门诊和会诊联络服务部门工作,并在其他医院或机构进行相对短期(主要最多只有一个月)实习的这些不利条件根本不是不利条件,而是特点。引入了贯穿住院医师培训全过程的、关乎住院医生职业发展和心理健康的监督,利用实时摄像头或录像进行的同行监督,以及利用每周问题解决任务的定性方法,以保持合作的动力。

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