Juul Dorthea, Lyness Jeffrey M, Thomas Christopher R, Faulkner Larry R
American Board of Psychiatry and Neurology Inc., Deerfield, IL, USA.
University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Acad Psychiatry. 2019 Feb;43(1):51-55. doi: 10.1007/s40596-018-0922-6. Epub 2018 Jun 25.
A survey of recently certified psychiatrists was conducted to obtain their feedback about the contribution of the primary care and neurology components of residency training to their professional development and to their current needs as practitioners.
A 22-item survey was developed based on issues discussed at a forum on residency competence requirements and administered electronically to four cohorts of recently certified psychiatrists.
The response rate was 17% (1049/6083). Overall, the respondents described both their primary care and neurology experiences as helping them accomplish several goals for their professional development. The majority were satisfied with their primary care training and felt well-prepared to enter practice. The most common suggestions for improving the primary care component were better integration with psychiatry and providing longitudinal experiences and more outpatient experience. They were somewhat less satisfied with their neurology training, and only about half felt well-prepared for the neurologic aspects of psychiatry practice. The most common suggestions for improving neurology training were to provide more time in neurology with experiences that were more relevant to psychiatry such as outpatient and consultation experiences. Some also thought longitudinal experiences would be useful.
These psychiatrists were generally satisfied with the primary care and neurology components of residency training and felt that they had contributed to their professional development. Their suggestions for improvement contribute to the rich discussion among training directors and other psychiatry educators about these components of residency training.
对近期获得认证的精神科医生进行一项调查，以获取他们对于住院医师培训中的初级保健和神经科部分对其职业发展以及当前执业需求所做贡献的反馈。
基于住院医师能力要求论坛上讨论的问题编制了一份包含22个条目的调查问卷，并以电子方式发放给四组近期获得认证的精神科医生。
回复率为17%（1049/6083）。总体而言，受访者表示他们的初级保健和神经科经历都有助于他们实现职业发展的多个目标。大多数人对初级保健培训感到满意，并觉得为进入临床做好了充分准备。关于改进初级保健部分最常见的建议是更好地与精神病学整合、提供纵向经历以及更多门诊经历。他们对神经科培训的满意度略低，只有约一半的人觉得为精神科执业的神经科方面做好了充分准备。关于改进神经科培训最常见的建议是在神经科安排更多时间，提供与精神病学更相关的经历，如门诊和会诊经历。一些人还认为纵向经历会有所帮助。
这些精神科医生总体上对住院医师培训中的初级保健和神经科部分感到满意，并觉得这些部分对他们的职业发展有帮助。他们提出的改进建议有助于培训主任和其他精神病学教育工作者就住院医师培训的这些部分展开丰富的讨论。
