Arizona State University, Phoenix, AZ, USA.
Northcentral University, La Jolla, CA, USA.
Int J Psychiatry Med. 2023 May;58(3):201-213. doi: 10.1177/00912174221086930. Epub 2022 Apr 11.
Workforce development is essential for the dissemination of team-based integrated behavioral healthcare. There is limited literature on training family medicine residents to function within an integrated behavioral health (IBH) system. The purpose of this pilot study was to assess the feasibility and value of an IBH competency-based curriculum for family medicine residents across multiple programs.
Residency programs were recruited using professional listservs and networks to test a competency-based, multi-modal curriculum for preparing residents to practice IBH in primary care. Faculty instructors who led the workshop were invited to complete semi-structured interviews to examine the feasibility and appropriateness of the curriculum. Interview data were analyzed using thematic analysis to identify, analyze, and report patterns. Residents completed a survey of perceived IBH skill and knowledge before and after training. A paired-sample t-test was used to determine significant differences pre- and post-training.
All five instructors completed interviews. Results suggest IBH training is valuable. Instructors gave specific feedback on online modules, implementation flexibility, and adjusting faculty development to differing levels of experience. Nineteen of forty residents (48%) completed anonymous pre-, post-, and retrospective-training surveys. Residents reported an increase in competence after training.
The results of this pilot suggest that IBH training implementation is feasible, desirable, timely, and may improve resident ability to work on an IBH team. Training should accommodate variations in program structure and faculty expertise.
劳动力发展对于团队为基础的综合行为医疗保健的传播至关重要。关于培训家庭医学住院医师在综合行为健康（IBH）系统中发挥作用的培训文献有限。本试点研究的目的是评估多个人才培养计划中基于 IBH 能力的课程对家庭医学住院医师的可行性和价值。
通过专业列表服务和网络招募住院医师计划，以测试一门基于能力的多模式课程，为居民在初级保健中实践 IBH 做好准备。邀请领导研讨会的教师指导员完成半结构化访谈，以检查课程的可行性和适当性。使用主题分析对访谈数据进行分析，以识别、分析和报告模式。居民在培训前后完成了一项关于感知 IBH 技能和知识的调查。使用配对样本 t 检验确定培训前后的显著差异。
所有五位教师指导员都完成了访谈。结果表明，IBH 培训具有价值。指导员对在线模块、实施灵活性以及根据不同经验水平调整教师发展提供了具体反馈。40 名居民中有 19 名（48%）完成了匿名的培训前、培训后和回顾性培训调查。居民报告培训后能力有所提高。
这项试点研究的结果表明，IBH 培训的实施是可行的、可取的、及时的，并且可能提高居民在 IBH 团队中工作的能力。培训应适应计划结构和教师专业知识的差异。
