Selwa Linda M, Hales Deborah J, Kanner Andres M
University of Michigan Department of Neurology, Ann Arbor, Michigan, USA.
Neurologist. 2006 Sep;12(5):268-70. doi: 10.1097/01.nrl.0000237137.41108.09.
To improve our ability to teach psychiatry residents during their required 2 months on neurology rotations, we investigated the perceived needs of psychiatry program training directors.
We contacted the program directors organization of the American Psychiatric Association and disseminated a web-based survey to all program directors. The survey asked questions about the format and content of neurology training desired for psychiatry residents. The survey was sent a second time to increase response rate.
Sixty (32%) training directors responded. Overall satisfaction with neurologic education was rated at 3.6 out of 5 (standard deviation +/- 0.96). The specific content areas which elicited the most interest for focused training modules were differential diagnosis and biologic substrates of dementia, evaluation and treatment of drug-related and spontaneous movement disorders, evaluation and management of sleep disorders, cognitive and mood effects of stroke, and inherited disorders. Many program directors commented on perceived weaknesses of inpatient-based exposure to neurology; 78% of responders favored outpatient and consultation settings.
In an era of deliberation about neurobehavioral integration and cross-training of neurologists and psychiatrists, neurologists should strive to provide the best possible multidisciplinary education to psychiatry trainees.
为提高我们在精神科住院医师神经科轮转的2个月必修期间的教学能力，我们调查了精神科住院医师培训项目主任的感知需求。
我们联系了美国精神病学协会的项目主任组织，并向所有项目主任发放了一项基于网络的调查问卷。该调查询问了有关精神科住院医师所需神经科培训的形式和内容的问题。为提高回复率，该调查再次发送。
60名（32%）培训主任回复。对神经科教育的总体满意度在5分制中评分为3.6分（标准差±0.96）。对重点培训模块最感兴趣的具体内容领域是痴呆的鉴别诊断和生物学基础、药物相关和自发性运动障碍的评估和治疗、睡眠障碍的评估和管理、中风的认知和情绪影响以及遗传性疾病。许多项目主任评论了基于住院患者的神经科接触的感知弱点；78%的回复者倾向于门诊和会诊环境。
在一个关于神经行为整合以及神经科医生和精神科医生交叉培训的审议时代，神经科医生应努力为精神科实习生提供尽可能好的多学科教育。
