From the American Board of Psychiatry and Neurology (D.J., L.R.F.), Deerfield, IL; Department of Neurology (L.G., H.P.A.), University of Iowa Carver College of Medicine, Iowa City; and Department of Neurology (S.A.O.), Boston University School of Medicine, MA.
Neurology. 2021 Feb 2;96(5):233-236. doi: 10.1212/WNL.0000000000010857. Epub 2020 Sep 10.
To obtain feedback from early career adult and pediatric neurologists about the psychiatry component of residency training.
A survey was developed and administered electronically to 4 cohorts of recently certified American Board of Psychiatry and Neurology diplomates.
The response rate was 16% (431/2,677) and included 330 adult neurologists and 101 pediatric neurologists. Fewer than half of the respondents described themselves as extremely or quite satisfied with their psychiatry training whereas 26% of the adult neurologists and 33% of the pediatric neurologists felt slightly or not at all prepared for this component of practice. Four themes were identified in the respondents' suggestions for improving psychiatry training: provide more outpatient experience; provide more time/teaching in psychiatry; provide more experience with both pharmacologic and nonpharmacologic psychiatric treatments; and provide more exposure to patients with conditions likely to be encountered in neurology/child neurology practice.
These recent graduates of adult and pediatric neurology residency programs felt underprepared for the psychiatric issues they encountered in their patients. They suggested a number of strategies for better alignment of psychiatry training with the likely demands of practice. A model curriculum recently developed by the American Academy of Neurology's Consortium of Neurology Program Directors and the American Association of Directors of Psychiatric Residency Training also provides guidance for both neurology and psychiatry program directors.
从早期职业成人和儿科神经科医生那里获得住院医师培训中精神病学部分的反馈。
开发了一项调查，并通过电子方式向最近获得美国精神病学和神经病学委员会认证的 4 个队列的医生进行了调查。
应答率为 16%（431/2677），包括 330 名成人神经科医生和 101 名儿科神经科医生。不到一半的受访者对他们的精神病学培训描述为非常满意或相当满意，而 26%的成人神经科医生和 33%的儿科神经科医生感到对这部分实践准备不足。在受访者对改善精神病学培训的建议中确定了四个主题：提供更多的门诊经验；在精神病学方面提供更多的时间/教学；提供更多的药物和非药物精神治疗经验；以及更多地接触可能在神经病学/儿童神经病学实践中遇到的患者。
这些成人和儿科神经科住院医师培训项目的应届毕业生感到对他们在患者中遇到的精神问题准备不足。他们提出了一些策略，以更好地将精神病学培训与实践中的可能需求保持一致。美国神经病学学会的神经病学项目主任联盟和美国精神病学住院医师培训主任协会最近制定的一个模式课程也为神经病学和精神病学项目主任提供了指导。
