Dr. Wasser is Chief Medical Officer, Whiting Forensic Hospital, Connecticut Department of Mental Health and Addiction Services, Middletown, CT and Associate Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Mr. Chandra is in Private Statistical Consultation Practice, Providence, RI. Dr. Chaffkin is a PGY-4 Psychiatry Resident, Yale School of Medicine, New Haven, CT. Dr. Michaelsen is Assistant Professor of Psychiatry, University of Washington School of Medicine, Seattle, WA, and Attending Psychiatrist, VA Puget Sound Health Care System, Seattle, WA.
J Am Acad Psychiatry Law. 2022 Jun;50(2):231-239. doi: 10.29158/JAAPL.210065-21. Epub 2022 Mar 9.
The authors surveyed general psychiatry residents across the United States to better understand residents' experiences with forensic training and to identify variables with the greatest impact on residents' exposure to, comfort with, and desire to learn more about forensic populations and settings. The survey inquired about these topics and the forensic psychiatry resources available at residents' training institutions. Respondents ( = 129) spanned eight of ten U.S. census regions. Residents' comfort with forensic psychiatry was low, whereas desire to learn was high. Residents' number of exposures and comfort increased with greater forensic experience in residency. Fewer than half of residents had completed a forensic rotation, were required to complete a forensic rotation, or had robust forensic resources available to them. Residents who had completed a dedicated forensic rotation had significantly greater forensic exposures and comfort; a finding that remained significant even after controlling for participants' PGY status. Among residents pursuing fellowship training, residents interested in forensic fellowship had more exposures during residency. This study represents the first published effort to survey general psychiatry residents from multiple residency programs regarding their forensic experiences in training. These results have implications for educators interested in developing broader exposure to and comfort with forensic psychiatry.
作者调查了全美的一般精神病学住院医师,以更好地了解住院医师在法医培训方面的经验,并确定对住院医师接触、适应和渴望了解法医人群和环境影响最大的变量。该调查询问了这些主题以及住院医师培训机构提供的法医精神病学资源。受访者( = 129)来自美国十个普查区中的八个。住院医师对法医精神病学的舒适度较低,但学习的愿望很高。住院医师的接触次数和舒适度随着住院期间法医经验的增加而增加。不到一半的住院医师完成了法医轮班,被要求完成法医轮班,或者有丰富的法医资源。完成专门法医轮班的住院医师有更多的法医接触和舒适度;即使在控制参与者 PGY 状态后,这一发现仍然具有统计学意义。在接受奖学金培训的住院医师中,对法医奖学金感兴趣的住院医师在住院期间有更多的接触。这项研究代表了首次发表的努力,调查了来自多个住院医师培训计划的一般精神病学住院医师,了解他们在培训中的法医经验。这些结果对有兴趣扩大法医精神病学接触和适应的教育工作者具有重要意义。