Department of Psychiatry, Yale University School of Medicine, New Haven, CT.
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY.
Psychosomatics. 2020 Sep-Oct;61(5):436-449. doi: 10.1016/j.psym.2020.05.004. Epub 2020 May 19.
As mental health services in outpatient medical clinics expand, psychiatrists must be trained to practice in these settings.
The Academy of Consultation-Liaison Psychiatry residency education subcommittee convened a writing group with the goal of summarizing the current evidence about outpatient consultation-liaison psychiatry (CLP) training and providing a framework for CLP educators who are interested in developing outpatient CLP rotations within their programs.
MEDLINE (via PubMed), Embase, and PsycINFO (via OVID) were reviewed each from inception to December 2019, for psychiatric CLP services in ambulatory settings that involved residents or fellows. The CLP education guidelines were reviewed for recommendations relevant to outpatient CLP. We also searched MedEd portal for published curriculums relevant to CLP. The group held 2 conferences to reach consensus about recommendations in setting up outpatient CLP rotations.
Seventeen articles, 3 Academy of Consultation-Liaison Psychiatry-supported guidelines, and 8 online didactic resources were identified as directly reporting on the organization and/or impact of an outpatient CLP rotation. These manuscripts indicated that residents found outpatient CLP rotations effective and relevant to their future careers. However, the literature provided few recommendations for establishing formal outpatient CLP training experiences.
Outpatient CLP rotations offer multiple benefits for trainees, including exposure to specific clinical scenarios and therapeutic interventions applicable only in the outpatient setting, increased continuity of care, and the unique experience of providing liaison and education to non-mental health providers. The article outlines recommendations and examples for developing outpatient CLP rotations which CLP educators can incorporate in their programs.
随着门诊医疗诊所的精神卫生服务不断扩大，精神科医生必须接受培训，以便在这些环境中执业。
咨询联络精神病学住院医师教育小组委员会召集了一个写作小组，旨在总结有关门诊联络精神病学（CLP）培训的现有证据，并为有兴趣在其项目中开展门诊 CLP 轮转的 CLP 教育者提供框架。
从开始到 2019 年 12 月，通过 MEDLINE（通过 PubMed）、Embase 和 PsycINFO（通过 OVID），对涉及住院医师或研究员的门诊环境中的精神科 CLP 服务进行了回顾。审查了 CLP 教育指南中与门诊 CLP 相关的建议。我们还在 MedEd 门户中搜索了与 CLP 相关的已发表课程。该小组举行了 2 次会议，就建立门诊 CLP 轮转的建议达成共识。
确定了 17 篇文章、3 项咨询联络精神病学学会支持的指南和 8 个在线教学资源，这些文章直接报告了门诊 CLP 轮转的组织和/或影响。这些文献表明，住院医师认为门诊 CLP 轮转对他们的未来职业有帮助且相关。然而，文献中几乎没有关于建立正式的门诊 CLP 培训经验的建议。
门诊 CLP 轮转为受训者提供了多项益处，包括接触仅在门诊环境中适用的特定临床情况和治疗干预措施、增加连续性护理以及为非心理健康提供者提供联络和教育的独特经验。本文概述了制定门诊 CLP 轮转的建议和示例，CLP 教育者可以将其纳入自己的项目中。
