Reardon Claudia, May Michael, Williams Kristi
University of Wisconsin School of Medicine and Public Health, Madison, WI, USA,
Acad Psychiatry. 2014 Aug;38(4):476-80. doi: 10.1007/s40596-014-0091-1. Epub 2014 Mar 25.
Recent literature on psychiatry resident outpatient clinic supervision is sparse. In designing outpatient supervision, training directors must balance optimization of patient care, education, and reimbursement. The authors sought to describe current practices for supervision within psychiatry resident outpatient clinics.
Directors of US psychiatric residency training programs were surveyed to examine methods used for supervision and billing in psychiatry resident outpatient clinics.
Seventy of 183 (38%) training directors responded. Most programs utilize live supervision for medication management visits, but psychotherapy supervision is more varied. Billing practices are variable among programs.
This report is intended to help training directors consider options for optimizing patient care and resident education in their outpatient clinics, while maintaining financial solvency. Ultimately, programs should have a way of ensuring all patient cases have some form of ongoing supervision, with possible modification based on training level, resident ability, patient acuity, and appointment type.
近期关于精神科住院医师门诊督导的文献较少。在设计门诊督导时，培训主任必须在优化患者护理、教育和报销之间取得平衡。作者试图描述精神科住院医师门诊督导的当前做法。
对美国精神科住院医师培训项目的主任进行调查，以检查精神科住院医师门诊督导和计费所使用的方法。
183名培训主任中有70名（38%）做出了回应。大多数项目在药物管理访视中采用现场督导，但心理治疗督导方式更多样化。各项目的计费做法各不相同。
本报告旨在帮助培训主任考虑在其门诊诊所优化患者护理和住院医师教育的选项，同时保持财务偿付能力。最终，各项目应有一种方法来确保所有患者病例都有某种形式的持续督导，并可根据培训水平、住院医师能力、患者病情严重程度和预约类型进行调整。
