Addressing mental health issues in primary care: An initial curriculum for medical residents

被引：38

作者：

Smith, Robert C. ^{[1
,2
,3
]}

Laird-Fick, Heather ^{[1
]}

D'Mello, Dale ^{[2
,3
]}

Dwamena, Francesca C. ^{[1
,2
,3
]}

Romain, Amy ^{[4
]}

Olson, James ^{[4
]}

Kent, Karen ^{[4
]}

Blackman, Karen ^{[2
,3
,5
]}

Solomon, David ^{[1
,6
]}

Spoolstra, Mark ^{[7
]}

Fortin, Auguste H. ^{[8
]}

Frey, Jeffery ^{[2
,3
]}

Ferenchick, Gary ^{[1
]}

Freilich, Laura ^{[1
]}

Meerschaert, Carmen ^{[1
]}

Frankel, Richard ^{[9
]}

机构：

[1] Michigan State Univ, Coll Human Med, Dept Med, E Lansing, MI 48824 USA

[2] Michigan State Univ, Coll Human Med, Dept Psychiat, E Lansing, MI 48824 USA

[3] Michigan State Univ, Coll Osteopath Med, Dept Psychiat, E Lansing, MI 48824 USA

[4] EW Sparrow Hosp, Dept Family Med, Lansing, MI USA

[5] Michigan State Univ, Coll Human Med, Dept Family Med, E Lansing, MI 48824 USA

[6] Michigan State Univ, Coll Human Med, Off Med Educ Res & Dev, E Lansing, MI 48824 USA

[7] Michigan State Univ, Coll Human Med, Dept Med, Grand Rapids, MI USA

[8] Yale Univ, Sch Med, Dept Med, New Haven, CT 06510 USA

[9] Indiana Univ Sch Med, Dept Med, Indianapolis, IN 46202 USA

来源：

PATIENT EDUCATION AND COUNSELING | 2014年 / 94卷 / 01期

关键词：

Biopsychosocial training; Mental health training; Residents; Curriculum; SOMATIZATION DISORDER PATIENTS; UNEXPLAINED SYMPTOMS; PSYCHOLOGICAL TREATMENT; COLLABORATIVE CARE; CONTROLLED-TRIAL; EDUCATION; OUTCOMES; PAIN; INTERVENTION; MANAGEMENT;

D O I：

10.1016/j.pec.2013.09.010

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: Many express concern that modern medicine fails to provide adequate psychosocial and mental health care. Our educational system has not trained the primary care providers who care for most of these patients. Our objective here is to propose a quantum change: prepare residents and students during all years of training so that they are as effective in treating psychosocial and mental health issues as they are medical problems. Method: We operationalize this objective, following Kern, by developing an intensive 3-year curriculum in psychosocial and mental health care for medical residents based on models with a strong evidence-base. Results: We report an intensive curriculum that can guide others with similar training interests and also initiate the conversation about how best to prepare residency graduates to provide effective mental health and psychosocial care. Conclusion: Identifying specific curricula informs education policy-makers of the specific requirements they will need to meet if psychosocial and mental health training are to improve. Practice Implications: Training residents in mental health will lead to improved care for this very prevalent primary care population. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

引用

页码：33 / 42

页数：10

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