Warner Christopher H, Morganstein Joshua, Rachal James, Lacy Timothy
Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Acad Psychiatry. 2007 Jul-Aug;31(4):297-303. doi: 10.1176/appi.ap.31.4.297.
The authors evaluate the current practices and perceptions of graduates of combined family medicine-psychiatry residency programs in the following areas: preparation for practice, boundary formation, and integration of skills sets.
The authors conducted an electronic cross-sectional survey of all nationwide combined family medicine-psychiatry training graduates in the spring of 2005.
Twenty-seven (62.8%) graduates participated. Nearly 30% worked in positions designed specifically for combined trained physicians, though only 11.1% participated in fully integrated practice. The mean time spent practicing psychiatry and family medicine is 70% and 16%, respectively.
Combined trained graduates felt well prepared for practice in both specialties but somewhat less comfortable providing integrated care. Most are in positions that underutilize their ability to integrate family medicine and psychiatry in one practice. Contributing factors may include limited preparation for integration during residency training and lack of integrated job opportunities. Enhancing combined residents' training in the provision of integrated services may optimize their utilization.
作者评估了家庭医学与精神病学联合住院医师培训项目毕业生在以下方面的当前实践和认知：执业准备、界限形成以及技能集整合。
作者于2005年春季对全国所有家庭医学与精神病学联合培训毕业生进行了电子横断面调查。
27名（62.8%）毕业生参与调查。近30%的毕业生从事专门为联合培训医生设计的岗位工作，但只有11.1%参与了完全整合的实践。从事精神病学和家庭医学的平均时间分别为70%和16%。
联合培训的毕业生认为自己对两个专业的执业准备充分，但在提供整合护理方面略显不自在。大多数毕业生所处岗位未能充分利用他们在单一实践中整合家庭医学和精神病学的能力。促成因素可能包括住院医师培训期间整合准备有限以及缺乏整合的工作机会。加强联合住院医师在提供整合服务方面的培训可能会优化对他们的利用。
