Geist R, Simon L
Department of Psychiatry, The Hospital for Sick Children, Toronto, Ontario.
Paediatr Child Health. 1999 Mar;4(2):119-23. doi: 10.1093/pch/4.2.119.
Paediatricians have described themselves as feeling insufficiently trained to manage young people (and their families) with significant psychosocial distress and mental illness - who can comprise a large proportion of their practices. A continuing medical education program for a group of four paediatricians who treat the paediatric mental health needs of a large Ontario catchment area with few mental health resources is described. At a monthly educational and consultation clinic, the paediatricians discuss and personally interview their own patients and referrals while a child psychiatrist and a psychiatric social worker, using a two-way mirror, assist them to develop psychosocial interviewing skills and techniques, and diagnostic formulations.
儿科医生表示，他们觉得自己在管理有严重心理社会困扰和精神疾病的年轻人（及其家庭）方面训练不足，而这类人群在他们的诊疗实践中占很大比例。本文介绍了一项针对四位儿科医生的继续医学教育项目，这些医生负责满足安大略省一个大型集水区内儿童心理健康需求，而该地区心理健康资源稀缺。在每月一次的教育与咨询诊所中，儿科医生们讨论并亲自访谈自己的患者及转诊患者，同时，一名儿童精神科医生和一名精神科社会工作者通过双向镜协助他们培养心理社会访谈技能和技巧，以及进行诊断分析。
