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精神科住院医师的神经精神医学和神经科学教育:态度和障碍。

Neuropsychiatry and neuroscience education of psychiatry trainees: attitudes and barriers.

机构信息

University of Massachusetts Medical School, Worcester, MA, USA,

出版信息

Acad Psychiatry. 2014 Apr;38(2):135-40. doi: 10.1007/s40596-014-0051-9. Epub 2014 Mar 19.

Abstract

OBJECTIVE

The American Association of Directors of Psychiatric Residency Training (AADPRT) Task Force on Neuropsychiatry and Neuroscience Education of Psychiatry Residents was established in 2011 with the charge to seek information about what the field of psychiatry considers the core topics in neuropsychiatry and neuroscience to which psychiatry residents should be exposed; whether there are any "competencies" in this area on which the field agrees; whether psychiatry departments have the internal capacity to teach these topics if they are desirable; and what the reception would be for "portable curricula" in neuroscience.

METHODS

The task force reviewed the literature and developed a survey instrument to be administered nationwide to all psychiatry residency program directors. The AADPRT Executive Committee assisted with the survey review, and their feedback was incorporated into the final instrument.

RESULTS

In 2011-2012, 226 adult and child and adolescent psychiatry residency program directors responded to the survey, representing over half of all US adult and child psychiatry training directors. About three quarters indicated that faculty resources were available in their departments but 39% felt the lack of neuropsychiatry faculty and 36% felt the absence of neuroscience faculty to be significant barriers. Respectively, 64 and 60% felt that neuropsychiatry and psychiatric neuroscience knowledge were very important or critically important to the provision of excellent care. Ninety-two percent were interested in access to portable neuroscience curricula.

CONCLUSIONS

There is widespread agreement among training directors on the importance of neuropsychiatry and neuroscience knowledge to general psychiatrists but barriers to training exist, including some programs that lack faculty resources and a dearth of portable curricula in these areas.

摘要

目的

美国精神病住院医师培训主任协会(AADPRT)神经精神病学和精神病学住院医师神经科学教育工作组成立于 2011 年,任务是寻求有关精神病学领域认为精神病学居民应接触的神经精神病学和神经科学核心主题的信息;该领域是否就这一领域的任何“能力”达成一致;如果需要,精神病学系是否有内部能力教授这些主题;以及神经科学领域的“便携式课程”的接受程度如何。

方法

工作组审查了文献,并开发了一项全国性调查工具,向所有精神病住院医师培训项目主任发放。AADPRT 执行委员会协助调查审查,他们的反馈意见纳入了最终工具。

结果

2011-2012 年,226 名成人和儿童青少年精神病住院医师培训项目主任对调查做出了回应,代表了全美成年和儿童精神病学培训主任的一半以上。大约四分之三的人表示他们的部门有师资资源,但 39%的人认为缺乏神经精神病学师资,36%的人认为缺乏神经科学师资是一个重大障碍。分别有 64%和 60%的人认为神经精神病学和精神神经科学知识对提供卓越护理非常重要或至关重要。92%的人对获得便携式神经科学课程感兴趣。

结论

培训主任普遍认为神经精神病学和神经科学知识对普通精神科医生很重要,但存在培训障碍,包括一些缺乏师资资源和这些领域缺乏便携式课程的项目。

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