Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey.
Department of Psychiatry, Miller School of Medicine, Jackson Memorial Hospital, University of Miami, Miami, Florida.
Am J Addict. 2019 Jul;28(4):277-284. doi: 10.1111/ajad.12885. Epub 2019 Apr 16.
Despite the overwhelming need for tobacco use disorder (TUD) treatment in behavioral health settings, few models have emerged for training psychiatry residents. One barrier may be a lack of curricula or faculty expertize in this area. The goal of this project was to develop and evaluate a 3 hour online webinar-based course for teaching psychiatry residents about TUD.
Residents from 42 participating general psychiatry residency programs were emailed a unique link to course materials. Participation was voluntary.
Two-hundred and seven residents completed the pretest measuring baseline knowledge and 199 completed the survey measuring attitudes toward treatment of tobacco use. Mean pretest scores were 53.0% correct (SD 19.6), showing low levels of baseline knowledge. Pretest knowledge scores differed by residency year, suggesting no gain in knowledge during residency training. About 80% of participants completed the entire course and posttest evaluations. Paired t tests for 150 individuals who completed both a pretest and posttest indicated a significant increase in knowledge, with a mean gain in score of 35 points.
Many residents reported feeling not well prepared to treat TUD from prior education. The vast majority (98%) felt the program enhanced their professional experience somewhat or substantially or would recommend the program to others (82%).
Online training for residents is a viable option to address knowledge deficits in TUD. (Am J Addict 2019;28:277-284).
尽管行为健康环境中急需治疗烟草使用障碍(TUD),但针对培训精神科住院医师的模式却寥寥无几。其中一个障碍可能是缺乏这一领域的课程或教师专业知识。本项目的目标是开发并评估一项 3 小时的在线网络研讨会课程,以教授精神科住院医师有关 TUD 的知识。
来自 42 个参与的普通精神科住院医师培训计划的住院医师收到了课程材料的独特链接电子邮件。参与是自愿的。
207 名住院医师完成了测量基线知识的预测试,199 名住院医师完成了测量治疗烟草使用态度的调查。平均预测试分数为 53.0%(标准差 19.6),表明基线知识水平较低。预测试知识得分因住院医师培训年限而异,表明住院医师培训期间没有知识增长。大约 80%的参与者完成了整个课程和课后评估。对完成预测试和课后评估的 150 人进行配对 t 检验表明,知识显著增加,平均得分增加 35 分。
许多住院医师报告称,他们之前的教育使他们对治疗 TUD 的准备不足。绝大多数(98%)人认为该计划在某种程度上增强了他们的专业经验,或者会向他人推荐该计划(82%)。
针对住院医师的在线培训是解决 TUD 知识缺陷的可行选择。