Ramdawar Abigail, Bozinoff Nikki, Lazare Kimberly
Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
J Med Educ Curric Dev. 2024 Apr 9;11:23821205241238642. doi: 10.1177/23821205241238642. eCollection 2024 Jan-Dec.
Family physicians report feeling inadequately prepared to meet the evolving mental health care needs of the population. Little scholarship exists evaluating the effectiveness of curricula designed to teach mental health and addiction (MH&A) care to family medicine (FM) residents. As such, the purpose of this study was to explore the experiences of recent FM residency graduates in providing mental health care, and their perceptions of mental health training gaps during their residencies.
A qualitative descriptive study design was conducted by 8 recent graduates of the University of Toronto's FM residency program, who participated in semi-structured video interviews. A thematic analysis approach was used to collect and analyze the data.
Through thematic analysis, 3 overarching themes were developed: (1) barriers in providing mental health and addiction care, (2) curriculum renewal, and (3) the role of FPs and professional identity. Consistent with the literature, the majority of recent FM graduates expressed discomfort when managing patients with mental health and addiction concerns. Additionally, participants perceived residency program time constraints, rotational site differences, and limited exposure to marginalized populations all impacted learning and mastery of skills.
The findings of this study underscore current gaps within the FM residency curriculum and highlight the need to address current curricular deficits.
家庭医生表示，他们觉得自己没有做好充分准备来满足人群不断变化的心理健康护理需求。评估旨在向家庭医学住院医师传授心理健康与成瘾护理（MH&A）课程有效性的学术研究很少。因此，本研究的目的是探讨近期家庭医学住院医师毕业生在提供心理健康护理方面的经历，以及他们对住院期间心理健康培训差距的看法。
多伦多大学家庭医学住院医师项目的8名近期毕业生进行了一项定性描述性研究设计，他们参与了半结构化视频访谈。采用主题分析法收集和分析数据。
通过主题分析，形成了3个总体主题：（1）提供心理健康与成瘾护理的障碍，（2）课程更新，以及（3）家庭医生的角色和职业认同。与文献一致，大多数近期家庭医学毕业生在管理有心理健康和成瘾问题的患者时表示不自在。此外，参与者认为住院医师项目的时间限制、轮转地点差异以及对边缘化人群的接触有限，都影响了技能的学习和掌握。
本研究结果强调了家庭医学住院医师课程目前存在的差距，并突出了解决当前课程缺陷的必要性。
