Orchard Kali, Cruz Cesar, Shoemaker Erica Z, Hilty Donald M
Yellowknife Adult and Child Psychiatry, Strongest Families Institute, Yellowknife, NT X1A 1L8 Canada.
Child and Adolescent Psychiatry, USC Institute of Psychiatry & Law, Torrance, CA 3848 USA.
J Technol Behav Sci. 2021;6(2):338-347. doi: 10.1007/s41347-020-00187-y. Epub 2021 Jan 22.
Telepsychiatry's effectiveness is well established, and interest in it is growing, despite few residency/fellowship core curricula and rotations. A link to a cross-sectional survey was sent via national organization listservs for psychiatry residents, fellows, faculty, and program directors to complete. The survey queried demographics, clinical experience, and views/concerns about telepsychiatry. Descriptive statistics and other analyses compared groups to assess the impact of amount clinical experience and psychiatric specialty (general vs. child and adolescent psychiatry), on interest, and views/concerns about the practice of telepsychiatry. All respondents ( = 270; child psychiatry = 89) have limited clinical experience with telepsychiatry (46% overall; 49% of non-child had none versus 40% child). Trainees ( = 123; child = 43) expressed less interest than others. All respondents expressed worry about ability to do a physical exam, connectivity, medico-legal issues, and fit for diverse populations. Child respondents expressed less concern than others, but they reported more worry about loss of nonverbal cues. Clinical experience with telepsychiatry in the range of 6-20 h appears to build interest and allay concerns, though 1-5 h also may have a positive impact. More research is needed to assess clinical experience, interest, and concerns for adult and child psychiatry trainees and clinicians. Replicable, curricular interventions appear to be indicated.
远程精神病学的有效性已得到充分证实，尽管住院医师/专科培训核心课程和轮转项目较少，但对它的兴趣仍在不断增长。通过全国性组织的邮件列表向精神病学住院医师、专科培训学员、教员和项目主任发送了横断面调查的链接，以供他们完成。该调查询问了人口统计学信息、临床经验以及对远程精神病学的看法/担忧。描述性统计和其他分析对不同组进行了比较，以评估临床经验量和精神科专业（成人精神病学与儿童及青少年精神病学）对远程精神病学兴趣以及看法/担忧的影响。所有受访者（n = 270；儿童精神病学领域受访者 = 89）对远程精神病学的临床经验有限（总体为46%；非儿童领域受访者中49%没有相关经验，而儿童领域受访者中这一比例为40%）。实习生（n = 123；儿童领域实习生 = 43）表现出的兴趣低于其他人。所有受访者都对进行体格检查的能力、连接性、医疗法律问题以及适用于不同人群表示担忧。儿童领域受访者的担忧程度低于其他人，但他们表示更担心非语言线索的丢失。6 - 20小时的远程精神病学临床经验似乎能增强兴趣并减轻担忧，不过1 - 5小时的临床经验也可能产生积极影响。需要更多研究来评估成人和儿童精神病学实习生及临床医生的临床经验、兴趣和担忧。似乎需要可复制的课程干预措施。
