Addressing the Behavioral and Mental Health Educational Gap in Pediatric Residency Training

Poynter, Sue E.; McNeal-Trice, Kenya; Rey, Javier González del

doi:10.1542/peds.2020-0805

Cited by 4 publications

(3 citation statements)

References 9 publications

(21 reference statements)

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“…The erosion of self-confidence and the development of self-doubt throughout one’s career can perpetuate the negative consequences to the health care system overall, which can include a shortened medical career, the deterioration of a psychological safe environment, and burnout. 20,21 …”

Section: Microaggressionmentioning

confidence: 99%

Veiled Harm: Impacts of Microaggressions on Psychological Safety and Physician Burnout

Desai¹,

Conte²,

Nguyen³

et al. 2023

TPJ

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Microaggression is widespread in the health care industry and occurs in every health care delivery setting. It comes in many forms, from subtle to obvious, unconscious to conscious, and verbal to behavioral. Women and minority groups (eg, race/ethnicity, age, gender, sexual orientation) are often marginalized during medical training and subsequent clinical practice. These contribute to the development of psychologically unsafe working environments and widespread physician burnout. Physicians experiencing burnout who work in unsafe psychological environments impact the safety and quality of patient care. In turn, these conditions impose high costs on the health care system and organizations. Microaggressions and psychological unsafe work environments are intricately related and mutually enhanced. Therefore, addressing both simultaneously is a good business practice and a responsibility for any health care organization. Additionally, addressing them can reduce physician burnout, decrease physician turnover, and improve the quality of patient care. To counter microaggression and psychological unsafe, it takes conviction, initiative, and sustainable efforts from individuals, bystanders, organizations, and government agencies.

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Section: Microaggressionmentioning

confidence: 99%

Veiled Harm: Impacts of Microaggressions on Psychological Safety and Physician Burnout

Desai¹,

Conte²,

Nguyen³

et al. 2023

TPJ

View full text Add to dashboard Cite

show abstract

“…Some promising measures include the implementation of dedicated psychiatric teams in pediatric EDs, which may improve the quality of care for patients and prevent unnecessary admissions 19 ; the enhanced use of telepsychiatry to both reduce inpatient hospitalization duration for patients and mitigate the risk of practitioner burnout 20 ; and enacting programs for enhanced behavioral health education for pediatric trainees who are underequipped to care well for the increasing numbers of hospitalized children with serious mental illness. 21 Ultimately, however, these measures represent stopgaps that do not address the core issue of increased rates of pediatric psychopathology with insufficient mental health resources in both the outpatient and dedicated behavioral health inpatient setting to meet this need. If there is any hope in effectively addressing these more deeply entrenched issues, we must be forthright in acknowledging that COVID has not only wrought a state of emergency for children with behavioral health concerns but it also has done the same for those who would seek to care well for them.…”

mentioning

confidence: 99%

“…Given the substantial challenges to all of the above stakeholders affected by the behavioral health inpatient crisis, what opportunities for a constructive response might exist? Some promising measures include the implementation of dedicated psychiatric teams in pediatric EDs, which may improve the quality of care for patients and prevent unnecessary admissions 19 ; the enhanced use of telepsychiatry to both reduce inpatient hospitalization duration for patients and mitigate the risk of practitioner burnout 20 ; and enacting programs for enhanced behavioral health education for pediatric trainees who are underequipped to care well for the increasing numbers of hospitalized children with serious mental illness 21 …”

mentioning

confidence: 99%