Department of Pediatrics, University of Rochester School of Medicine and Dentistry and Rochester General Hospital, Rochester, New York 14642, USA.
Acad Med. 2011 Feb;86(2):174-9. doi: 10.1097/ACM.0b013e318204ff1d.
To determine whether former pediatric residents trained using a model of integrated behavioral health (BH) care in their primary care continuity clinics felt more comfortable managing BH care and better prepared to collaborate with BH professionals than did peers from the same residency who trained in clinics with a conventional model of BH care.
University of Rochester School of Medicine and Dentistry pediatric residents were assigned to one of two continuity clinic sites. At one site, psychology fellows and faculty were integrated into the clinic teams in the mid-1990s. At the other, conventional patterns of consultation and referral continued. In 2004, the authors surveyed 245 alumni (graduated 1989-2003) about their experiences and their comfort with providing BH care and collaborating with BH providers in their current practice.
A total of 174 alumni (71%) responded. There were significant differences between graduates who trained in the two models. Those who trained in the integrated model were significantly more likely than others to report that they had consulted or planned treatment with a BH provider during residency and to report that their continuity clinic helped prepare them to collaborate with BH providers. They were somewhat more likely to believe that their overall residency training prepared them to manage BH issues in their current practice.
These findings suggest that an integrated training environment, described in detail in the companion article in this issue, can enhance pediatric resident education in the management of BH problems and collaboration with BH specialists.
确定与接受传统行为健康（BH）护理模式培训的儿科住院医师相比，在前瞻性儿科初级保健连续性诊所中接受过综合 BH 护理模式培训的住院医师在管理 BH 护理方面是否更有信心，以及是否更有能力与 BH 专业人员合作。
罗彻斯特大学医学与牙科学院的儿科住院医师被分配到两个连续性诊所中的一个。在一个站点，心理学研究员和教员于 20 世纪 90 年代中期被整合到诊所团队中。而在另一个站点，传统的咨询和转诊模式仍在继续。2004 年，作者对 245 名校友（1989-2003 年毕业）进行了调查，了解他们的经历、提供 BH 护理的舒适度以及在当前实践中与 BH 提供者合作的能力。
共有 174 名校友（71%）做出了回应。两种模式下培训的毕业生之间存在显著差异。在综合模式下培训的毕业生比其他人更有可能报告在住院期间曾咨询或计划与 BH 提供者一起治疗，并且报告他们的连续性诊所帮助他们为与 BH 提供者合作做好了准备。他们稍微更有可能认为他们的整体住院医师培训使他们能够在当前实践中管理 BH 问题。
这些发现表明，详细描述在本期杂志中的配套文章中的综合培训环境可以增强儿科住院医师在管理 BH 问题和与 BH 专家合作方面的教育。
