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实施和评估教育研讨会以增加初级保健提供者和医学生在精神保健方面的舒适度。

Implementation and Evaluation of Educational Workshops to Increase Primary Care Provider and Medical Student Comfort in Psychiatric Care.

机构信息

The University of Texas Medical Branch at Galveston, Galveston, TX, USA.

出版信息

Acad Psychiatry. 2024 Jun;48(3):244-248. doi: 10.1007/s40596-024-01960-4. Epub 2024 Apr 3.

DOI:10.1007/s40596-024-01960-4
PMID:38570407
Abstract

OBJECTIVE

Mental health treatment is often initiated in primary care settings, but many primary care providers (PCPs), residents, and medical students report discomfort in managing psychiatric conditions. This study evaluated the effect of an educational workshop that featured an evidence-based psychopharmacology clinical decision support tool (CDST) on trainee confidence and willingness to treat psychiatric conditions.

METHODS

Participants completed pre- and post-workshop surveys. Nine months after the workshop, a subset of trainees participated in a focus group.

RESULTS

Of the participants, 62.5% of the obstetrics-gynecology (OB-GYN) resident physicians (10/16) and 100% of the medical students (18/18) completed both pre- and post-surveys. Following the workshop, OB-GYN resident physicians reported significantly improved confidence in treating psychiatric disorders (p < 0.001), sense of having psychiatric support tools (p < 0.001), and knowledge of treating psychiatric disorders (p = 0.021). Medical students reported significantly improved confidence in treating psychiatric disorders (p < 0.001), willingness to devise treatment plans for psychiatric disorders (p = 0.024), sense of having psychiatric support tools (p < 0.001), knowledge of treating psychiatric disorders (p < 0.001), and comfort in presenting a psychiatric treatment plan to an attending (p = 0.003). Most focus group participants (93.75%; 15/16) reported that they continued to use the CDST, and it increased their confidence in formulating psychiatric treatment plans.

CONCLUSIONS

These findings suggest that educational workshops that introduce high-quality psychopharmacology CDSTs may be an effective method for improving provider comfort in treating psychiatric disorders.

摘要

目的

精神健康治疗通常在初级保健环境中启动,但许多初级保健提供者(PCP)、住院医师和医学生报告在管理精神疾病方面感到不适。本研究评估了一个教育研讨会的效果,该研讨会的特点是一个基于证据的精神药理学临床决策支持工具(CDST),以提高学员对治疗精神疾病的信心和意愿。

方法

参与者完成了预研讨会和后研讨会的调查。在研讨会 9 个月后,一组学员参加了焦点小组。

结果

在参与者中,62.5%的妇产科住院医师(10/16)和 100%的医学生(18/18)完成了前测和后测。参加研讨会后,妇产科住院医师报告在治疗精神障碍方面的信心显著提高(p < 0.001),有精神科支持工具的感觉(p < 0.001),以及治疗精神障碍的知识(p = 0.021)。医学生报告在治疗精神障碍方面的信心显著提高(p < 0.001),愿意为精神障碍制定治疗计划(p = 0.024),有精神科支持工具的感觉(p < 0.001),治疗精神障碍的知识(p < 0.001),以及在主治医生面前提出精神治疗计划的舒适度(p = 0.003)。大多数焦点小组参与者(93.75%;15/16)报告说他们继续使用 CDST,这提高了他们制定精神治疗计划的信心。

结论

这些发现表明,引入高质量精神药理学 CDST 的教育研讨会可能是提高提供者治疗精神疾病舒适度的有效方法。

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本文引用的文献

1
Leveraging the utility of pharmacogenomics in psychiatry through clinical decision support: a focus group study.通过临床决策支持在精神病学中利用药物基因组学的效用:一项焦点小组研究。
Ann Gen Psychiatry. 2019 Aug 8;18:13. doi: 10.1186/s12991-019-0237-3. eCollection 2019.
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Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision.临床决策支持:25年回顾与25年展望
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Interventions to improve provider diagnosis and treatment of mental disorders in primary care. A critical review of the literature.
改善基层医疗中医疗服务提供者对精神障碍的诊断和治疗的干预措施。文献综述。
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