Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin,Milwaukee, WI 53226, USA.
Acad Psychiatry. 2010 Mar-Apr;34(2):109-14. doi: 10.1176/appi.ap.34.2.109.
As researchers make progress in understanding genetic aspects of mental illness and its treatment, psychiatrists will increasingly need to understand and interpret genetic information specific to psychiatric disorders. Little is known about the extent to which residency programs are preparing psychiatrists for this new role. This study was designed to explore the current state of genetics education in psychiatric residency.
U.S. psychiatric residency educators and residents were invited to participate in an Internet-based survey.
Out of 509 educators and at least 207 residents contacted, 100 educators and 135 residents from 55 geographically dispersed U.S. psychiatry training programs in diverse settings responded to the survey. Participants rated genetics as somewhat important as a curricular topic but less important than other subjects. Nearly half of the educators reported that their program had few or no faculty with adequate expertise in teaching this subject. Most residents routinely obtained family psychiatric histories when evaluating patients, but most did not feel competent to order and interpret genetic tests or to interpret papers on psychiatric genetics.
This study presents a sobering picture of the state of genetics education in psychiatric residency training. Potential obstacles to improving genetics education include perceptions of the relative importance of genetics in comparison with other topics and a lack of faculty with appropriate expertise.
随着研究人员在理解精神疾病及其治疗的遗传方面取得进展，精神科医生将越来越需要理解和解释特定于精神障碍的遗传信息。对于住院医师培训计划在多大程度上为精神科医生做好了这一新角色的准备，人们知之甚少。本研究旨在探讨精神科住院医师培训中遗传学教育的现状。
邀请美国精神病学住院医师教育工作者和住院医师参加基于互联网的调查。
在联系的 509 名教育工作者和至少 207 名住院医师中，来自 55 个地理位置分散的美国精神病学培训项目的 100 名教育工作者和 135 名住院医师在不同环境下对调查做出了回应。参与者将遗传学评为课程主题的重要程度为中等，但不如其他科目重要。近一半的教育工作者报告说，他们的项目很少或没有具有教授这门学科足够专业知识的教师。大多数住院医师在评估患者时会例行获取家族精神病史，但大多数人认为自己没有能力开遗传检测或解读精神遗传学论文。
本研究描绘了精神科住院医师培训中遗传学教育的严峻现状。改善遗传学教育的潜在障碍包括与其他主题相比，对遗传学相对重要性的看法以及缺乏具有适当专业知识的教师。
