Margolis R B, Duckro P N, Sata L S, Merkel W T
Department of Psychiatry and Human Behavior, St. Louis University Medical Center.
Int J Psychiatry Med. 1987;17(3):249-60. doi: 10.2190/y13a-3g7l-5wh9-duud.
This article reports a survey of attitudes and current practices regarding behavioral medicine in American and Canadian medical school departments of psychiatry. Participants were eighty-two chairpersons of departments of psychiatry. Five major areas were addressed concerning the existence, location, and composition of behavioral medicine faculty and their contribution to training and research programs. Results indicate that behavioral medicine is represented in the majority of medical schools and teaching hospitals. Faculty tended to be located in psychiatry. A majority of the respondents did not think that behavioral medicine should be considered a separate clinical specialty area, but in actual practice behavioral medicine was distinct from consultation/liaison psychiatry as often as integrated with it. The analysis of subjects and methods taught in residency training programs suggested a meaningful trend in the data. The implications of these results for models underpinning traditional medical education and psychosomatic medicine are discussed.
本文报道了一项针对美国和加拿大医学院校精神科部门关于行为医学的态度及当前实践的调查。参与者为82位精神科部门主任。调查涉及行为医学教职人员的存在情况、所在位置、构成及其对培训和研究项目的贡献等五个主要方面。结果表明，大多数医学院校和教学医院都设有行为医学相关内容。教职人员往往隶属于精神科。大多数受访者认为行为医学不应被视为一个独立的临床专科领域，但在实际实践中，行为医学与会诊/联络精神病学既经常相互融合，又同样存在明显区别。对住院医师培训项目中所教授的主题和方法的分析表明数据呈现出一种有意义的趋势。文中还讨论了这些结果对支撑传统医学教育和心身医学的模式的影响。
