Choi Rebekah J, Betancourt Renée M, DeMarco Mario P, Bream Kent D W
Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA, USA.
Acad Psychiatry. 2019 Apr;43(2):191-195. doi: 10.1007/s40596-018-0936-0. Epub 2018 May 22.
Integrated behavioral health (IBH) allows for effective care delivery for patients with mental health and behavioral health disorders in primary care settings. This study assesses the state of exposure current medical students have to the IBH model in family medicine clerkships, in order to augment the readiness of students to participate in IBH as developing professionals.
Clerkship directors at US and Canadian medical schools with a required family medicine run course (n = 141) were asked to estimate the percentage of students exposed to IBH in their clerkships, as part of the Council of Academic Family Medicine Educational Research Alliance (CERA) 2016 survey.
The response rate was 86% (n = 118). Forty-four percent of clerkship directors reported that 0-20% of students are exposed to the IBH model in their clerkships. A comparison of schools with low and high exposure showed no significant differences among clerkship characteristics.
A majority of medical students in the USA and Canada are not exposed to IBH models during their primary care clerkship. Larger systematic studies are needed to elucidate the steps necessary to prepare graduating medical students to collaborate in IBH models.
综合行为健康(IBH)能够在初级保健机构为患有精神健康和行为健康障碍的患者提供有效的护理服务。本研究评估了当前医学生在家庭医学实习中接触IBH模式的情况,以提高学生作为未来专业人员参与IBH的准备程度。
作为学术家庭医学教育研究联盟(CERA)2016年调查的一部分,要求美国和加拿大医学院中设有必修家庭医学课程的实习主任(n = 141)估计其实习中接触IBH的学生百分比。
回复率为86%(n = 118)。44%的实习主任报告称,0 - 20%的学生在实习中接触到IBH模式。对接触程度低和高的学校进行比较,发现实习特征之间无显著差异。
美国和加拿大的大多数医学生在初级保健实习期间未接触到IBH模式。需要进行更大规模的系统研究,以阐明让即将毕业的医学生为参与IBH模式做好准备所需的步骤。