Ivany Christopher G, Russell Robert K, Vanessa Venezia A, Saito Albert Y
Department of Child and Adolescent Psychiatry, Tripler Army Medical Center, Honolulu, Hawaii, USA.
Acad Psychiatry. 2008 Sep-Oct;32(5):386-92. doi: 10.1176/appi.ap.32.5.386.
The authors describe how one child and adolescent psychiatry fellowship program responded to emerging trends in clinical practice which increasingly demand that child and adolescent psychiatrists lead their colleagues through instruction and supervision.
Data from surveys of recent graduates of child and adolescent training programs were reviewed and the trends were identified. The authors describe the Academic Chief Fellow rotation, which was designed for the fellows to enhance their academic skills by teaching, guiding, and supervising their junior colleagues.
The authors describe the implementation of the new rotation and discuss the fellows' response. They also detail the responses of the medical students and residents who rotated on the child and adolescent psychiatry service under the Academic Chief Fellow.
Greater experience in teaching and supervising others can be meaningfully integrated into existing child and adolescent psychiatry fellowship curricula. Other outcomes may include greater medical student and general psychiatry resident satisfaction with their child and adolescent psychiatry rotation and greater interest among medical students in child and adolescent psychiatry as a career.
作者描述了一个儿童与青少年精神病学 fellowship 项目如何应对临床实践中出现的新趋势，这些趋势越来越要求儿童与青少年精神科医生通过指导和监督来引领他们的同事。
回顾了对儿童与青少年培训项目近期毕业生的调查数据，并确定了相关趋势。作者描述了学术总住院医师轮转，其目的是让住院医师通过教学、指导和监督初级同事来提高他们的学术技能。
作者描述了新轮转的实施情况，并讨论了住院医师的反应。他们还详细说明了在学术总住院医师指导下在儿童与青少年精神科服务部门轮转的医学生和住院医师的反应。
在教学和监督他人方面积累更多经验可以有意义地融入现有的儿童与青少年精神病学 fellowship 课程中。其他成果可能包括医学生和普通精神病学住院医师对他们在儿童与青少年精神病学轮转中的满意度更高，以及医学生对将儿童与青少年精神病学作为职业的兴趣更大。
