Chowhan Seher, Martin Phillip K, Macaluso Matthew, Bowman Christina, Schroeder Ryan W
Department of Psychiatry and Behavioral Sciences, University of Kansas School of Medicine-Wichita, Wichita, KS.
Department of Psychiatry and Behavioral Neurobiology, The University of Alabama at Birmingham School of Medicine, Birmingham, AL.
Kans J Med. 2021 Aug 4;14(2):197-200. doi: 10.17161/kjm.vol1415200. eCollection 2021.
Neuropsychologists play an important role on multidisciplinary teams with physicians from multiple specialties. The extent of residency training on the use of neuropsychological services is unclear. Medical residents across multiple specialties throughout the United States were surveyed to assess resident education, training, and understanding of neuropsychological services, along with their intent to consult neuropsychologists in the future.
A survey was sent to residents in accredited psychiatry, neurology, family medicine, and internal medicine programs. After data were collected, chi-square group level analyses with post-hoc pairwise comparisons were used to analyze the data.
A total of 434 residents took the survey. The proportion of residents exposed to neuropsychology during residency varied significantly according to specialty (χ (3, N = 419) = 51.4, p < 0.001), with more psychiatry and neurology residents reporting exposure than residents in family medicine or internal medicine. Similarly, the proportion of psychiatry and neurology residents who 'agree' or 'strongly agree' that they understand the nature of neuropsychological services differed significantly from family medicine and internal medicine residents (χ (3, N = 415) = 40.4, p < 0.001). The majority of residents across all specialties (85.7%) reported they are likely to consult/order neuropsychological services in future practice.
The majority of residents in all specialties reported exposure to neuropsychological services in some manner, but forms of exposure varied. Results indicated a need for increased education and training in neuropsychological services, especially within family medicine and internal medicine programs.
神经心理学家在与来自多个专业的医生组成的多学科团队中发挥着重要作用。住院医师培训中关于神经心理服务使用的程度尚不清楚。对美国多个专业的住院医师进行了调查，以评估住院医师对神经心理服务的教育、培训和理解，以及他们未来咨询神经心理学家的意向。
向经认可的精神病学、神经病学、家庭医学和内科项目的住院医师发送了一份调查问卷。收集数据后，采用卡方组水平分析及事后两两比较来分析数据。
共有434名住院医师参与了调查。住院期间接触过神经心理学的住院医师比例因专业不同而有显著差异（χ(3, N = 419) = 51.4，p < 0.001），报告接触过的精神病学和神经病学住院医师比家庭医学或内科住院医师更多。同样，“同意”或“强烈同意”理解神经心理服务性质的精神病学和神经病学住院医师比例与家庭医学和内科住院医师有显著差异（χ(3, N = 415) = 40.4，p < 0.001）。所有专业的大多数住院医师（85.7%）报告称他们在未来的临床实践中可能会咨询/订购神经心理服务。
所有专业的大多数住院医师都报告以某种方式接触过神经心理服务，但接触形式各不相同。结果表明需要加强神经心理服务方面的教育和培训，特别是在家庭医学和内科项目中。
