Recommendations for Training Psychiatry Residents in Psychosomatic Medicine

Heinrich, Thomas; Schwartz, Ann C.; Zimbrean, Paula C.; Lolak, Sermsak; Wright, Mark T.; Brooks, Kristen; Ernst, Carrie L.; Gitlin, David

doi:10.1016/j.psym.2013.12.016

Cited by 20 publications

(11 citation statements)

References 14 publications

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“…The topics identified by the respondents in this study provide important information to guide psychiatric residency programs about how to evolve current curriculum to prepare psychiatrists for a role in integrated care [3]. Many of the identified learning needs of psychiatric consultants are consistent with previous recommendations from the psychosomatic medicine literature [9] and the emerging integrated care literature [7]. These findings support the notion that there are common key topics regularly encountered by a psychiatric consultant on an integrated care team.…”

Section: Discussionsupporting

confidence: 77%

Perceived Educational Needs of the Integrated Care Psychiatric Consultant

et al. 2015

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The information provided in this report suggests likely educational needs of the integrated care psychiatric consultant and provides insight into the learning needs of other integrated care team members. Defining clear priorities related to the three roles of the integrated care psychiatric consultant (clinical consultant, clinical educator, and clinical team leader) will be helpful to inform residency training programs to prepare psychiatrists for work in this emerging field of psychiatry.

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Section: Discussionsupporting

confidence: 77%

Perceived Educational Needs of the Integrated Care Psychiatric Consultant

et al. 2015

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“…Experts recommend that programs consider including an ambulatory CLP training experience during residency training. 20 However, in a recent survey, only about one-third of the programs offered an outpatient consultation or liaison training experience. 1…”

Section: Discussionmentioning

confidence: 99%

“…Outpatient training could be provided in any of the following areas: liaison to outpatient settings (e.g., primary care clinic); consultation to specific patient populations (e.g., outpatient transplant evaluations); and outpatient CL clinics." Heinrich et al 20 Length of rotation: "If an outpatient rotation is the trainee's primary exposure to CLP, it should be a minimum of 6 months in duration to maximize the possibility of continuity of care." Rotation site(s): "An ambulatory CL experience provides exposure to different patient populations and models of care and strong consideration should be given to including such experiences as a part of residency training.…”

Section: Guidelinementioning

confidence: 99%

“…19 Updated ACLP (at that time, Academy of Psychosomatic Medicine) guidelines for training psychiatry residents in CLP in 2014 expanded on the recommendation for an ambulatory experience, noting the valuable exposure to diverse patient populations and models of care, and the opportunity to design an outpatient integrated care experience to complement the inpatient CLP experience. 20 The authors proposed including ambulatory CLP rotations within the 12month outpatient residency requirement and allowed for the possibility that the outpatient rotation could serve as the primary exposure to CLP. Core competencies elucidated by the authors referenced an outpatient CLP experience as well.…”

Section: Introductionmentioning

confidence: 99%

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The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee

et al. 2020

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Background: As mental health services in outpatient medical clinics expand, psychiatrists must be trained to practice in these settings. Objectives: The Academy of Consultation-Liaison Psychiatry residency education subcommittee convened a writing group with the goal of summarizing the current evidence about outpatient consultation-liaison psychiatry (CLP) training and providing a framework for CLP educators who are interested in developing outpatient CLP rotations within their programs. Method: MEDLINE (via PubMed), Embase, and PsycINFO (via OVID) were reviewed each from inception to December 2019, for psychiatric CLP services in ambulatory settings that involved residents or fellows. The CLP education guidelines were reviewed for recommendations relevant to outpatient CLP. We also searched MedEd portal for published curriculums relevant to CLP. The group held 2 conferences to reach consensus about recommendations in setting up outpatient CLP rotations. Results: Seventeen articles, 3 Academy of Consultation-Liaison Psychiatry-supported guidelines, and 8 online didactic resources were identified as directly reporting on the organization and/or impact of an outpatient CLP rotation. These manuscripts indicated that residents found outpatient CLP rotations effective and relevant to their future careers. However, the literature provided few recommendations for establishing formal outpatient CLP training experiences. Conclusions: Outpatient CLP rotations offer multiple benefits for trainees, including exposure to specific clinical scenarios and therapeutic interventions applicable only in the outpatient setting, increased continuity of care, and the unique experience of providing liaison and education to non-mental health providers. The article outlines recommendations and examples for developing outpatient CLP rotations which CLP educators can incorporate in their programs.

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“…The consultation situation should be particularly favourable for psychiatric intervention, at least in the dimensions of time and place. [10][11][12][13][14] The CLP service may thus be considered valid for implementing compliance with CLP interventions and evaluating their effectiveness. In particular referring to description of population and clinical variables sending requests by internet, performing consultation within 24 hrs.…”

Section: Discussionmentioning

confidence: 99%

Referral Patterns in Consultation Liaison Psychiatry in a Tertiary Hospital

Settem¹,

Nandamuri²,

Gopal³

2019

jemds

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BACKGROUND Over the past two decades, research in psychiatry has identified the importance of Consultation-Liaison Psychiatry (CLP). However, this awareness has not yet brought significant change in research and particularly in clinical practice causing increased mortality and the morbidity. This retrospective case record analysis describes the Consultation Liaison patterns from January 2015 to December 2017 in the GSL General Hospital, a tertiary hospital in Rajanagaram. We wanted to evaluate the referral patterns to psychiatry department in a tertiary care hospital during the study period. METHODS A retrospective case record analysis of the psychiatric outpatient referrals from all the departments of GSL General Hospital from January 2015 to December 2017 was carried out. The parameters included were source of referral, reason for referral, symptomatology, relevant medical history, investigations and the provisional diagnosis. The results obtained were statistically analysed. RESULTS The findings of the present study show that prevalence of referrals has increased over the years. Other variables like marital status, lifestyle, and locality were compared but with no statistical significance. Psychoses, mood disorders, anxiety spectrum disorders and drug dependence formed the main junk of referrals and most of the organic part of the referrals is from the department of Neurology. CONCLUSIONS Our study showed that psychiatrists must create more awareness among their colleagues from other medical departments about the importance of liaison failing which could lead to incomplete treatment and continuous morbidity.

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Recommendations for Training Psychiatry Residents in Psychosomatic Medicine

Cited by 20 publications

References 14 publications

Perceived Educational Needs of the Integrated Care Psychiatric Consultant

Perceived Educational Needs of the Integrated Care Psychiatric Consultant

The Educational Value of Outpatient Consultation-Liaison Rotations: A White Paper From the Academy of Consultation-Liaison Psychiatry Residency Education Subcommittee

Referral Patterns in Consultation Liaison Psychiatry in a Tertiary Hospital

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