Szeftel Roxy, Hakak Rashelle, Meyer Stephanie, Naqvi Syed, Sulman-Smith Heidi, Delrahim Katia, Rapaport Mark
Department of Psychiatry, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA.
Acad Psychiatry. 2008 Sep-Oct;32(5):393-9. doi: 10.1176/appi.ap.32.5.393.
The authors assess the effectiveness of a specialized telepsychiatry training and supervision training model.
Fifteen residents and eight child fellows rotated through Cedars Sinai Medical Center Telepsychiatry Developmental Disability Clinic and completed questionnaires of knowledge and self-assessed skills at commencement and completion of the rotation. The supervision was on site, side-by-side, and directive.
Both the residents and the fellows demonstrated improvement. Increase in knowledge was equal in the study cohorts, while residents' self-assessed skills were significantly greater than the fellows'.
A telepsychiatry clinic appears to be an appropriate setting in which to provide direct supervision. Exposure to such opportunities early in training may yield a greater impact.
作者评估一种专门的远程精神病学培训及督导培训模式的有效性。
15名住院医师和8名儿童研究员在雪松西奈医疗中心远程精神病学发育障碍诊所轮转，并在轮转开始和结束时完成知识问卷及自我评估技能问卷。督导是现场、并肩且具有指导性的。
住院医师和研究员均有进步。研究队列中知识增长程度相同，而住院医师自我评估的技能显著高于研究员。
远程精神病学诊所似乎是提供直接督导的合适场所。在培训早期接触此类机会可能会产生更大影响。
