Training in the Management of Psychobehavioral Conditions: A Needs Assessment Survey of Emergency Medicine Residents
Pickett, Jason; Haas, Mary Rose Calderone; Fix, Megan L.; Tabatabai, Ramin R.; Carrick, Angela; Robertson, Jennifer; Barnes, Angelica Veronica; Ondeyka, Amy; Brown, Mary Jane; Edwards, Andrew R.; Dehon, Erin
2019-10
View/ Open
Citation
Pickett, Jason; Haas, Mary Rose Calderone; Fix, Megan L.; Tabatabai, Ramin R.; Carrick, Angela; Robertson, Jennifer; Barnes, Angelica Veronica; Ondeyka, Amy; Brown, Mary Jane; Edwards, Andrew R.; Dehon, Erin (2019). "Training in the Management of Psychobehavioral Conditions: A Needs Assessment Survey of Emergency Medicine Residents." AEM Education and Training 3(4): 365-374.
Abstract
ObjectiveMental health–related ED visits are increasing. Despite this trend, most emergency medicine (EM) residency programs devote little time to psychiatry education. This study aimed to identify EM residents’ perceptions of training needs in emergency psychiatry and self‐confidence in managing patients with psychobehavioral conditions.MethodsA needs assessment survey was distributed to residents at 15 Accreditation Council for Graduate Medical Education–accredited EM programs spanning the U.S. Survey items addressed amount and type of training in psychiatry during residency, perceived training needs in psychiatry, and self‐confidence performing various clinical skills related to emergency psychiatric care. Residents used a 5‐point scale (1 = nothing; 5 = very large amount) to rate their learning needs in a variety of topic areas related to behavioral emergencies (e.g., medically clearing patients, substance use disorders). Using a scale from 0 to 100, residents rated their confidence in their ability to independently perform various clinical skills related to emergency psychiatric care (e.g., differentiating a psychiatric presentation from delirium).ResultsOf the 632 residents invited to participate, 396 (63%) responded. Twelve percent of respondents reported completing a psychiatry rotation during EM residency. One of the 15 participating programs had a required psychiatry rotation. Residents reported that their program used lectures (56%) and/or supervised training in the ED (35%) to teach residents about psychiatric emergencies. Most residents reported minimal involvement in the treatment of patients with psychiatric concerns. The majority of residents (59%) believed that their program should offer more education on managing psychiatric emergencies. Only 14% of residents felt “quite” or “extremely” prepared to treat psychiatric patients. Overall, residents reported the lowest levels of confidence and highest need for more training related to counseling suicidal patients and treating psychiatric issues in special populations (e.g., pregnant women, elderly, and children).ConclusionsMost EM residents desire more training in managing psychiatric emergencies than is currently provided.Publisher
McGraw‐Hill Wiley Periodicals, Inc.
ISSN
2472-5390 2472-5390
Other DOIs
Types
Article
Metadata
Show full item recordCollections
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.