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首页> 外文期刊>Psychosomatics >'Call Me, Maybe': Supervisor and Resident Comfort With Indirect Supervision in Psychiatry Training
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'Call Me, Maybe': Supervisor and Resident Comfort With Indirect Supervision in Psychiatry Training

机译：“打电话给我，也许”：主管和居民舒适，在精神科训练中间接监督

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Background: Resident supervision is critical for education and ensuring patient safety. After hours, communication with attendings is variable. Objective: The objective was to identify differences among psychiatry residents and attendings regarding the desired level of supervision for issues that arise overnight in the psychiatric emergency department (ED). Methods: In a single-site psychiatric ED, an electronic survey containing 30 hypothetical scenarios was administered. For each scenario, residents were asked if they would call attendings and attendings whether they would want to be called. Results: 35/44 psychiatry residents and 15117 faculty participated, yielding a response rate of 82%. For five scenarios, faculty preferred that residents call for supervision more frequently than residents indicated they would. These included staff or house staff injuries (60% vs. 22.9%, p = 0.011; 93.3% vs. 62.9%, p = 0.039), a patient using heroin in the ED (53.3% vs. 5.7%, p < 0.001), a conflict with the medical ED attending (100% vs. 65.7%, p = 0.010), and a decision about calling in a backup resident (60% vs. 28.6%, p = 0.036). Conclusions: In a psychiatric ED, attendings prefer greater involvement in cases relating to psychosocial issues, legal concerns, and conflicts with patients. More work is needed to fully understand these differences and their potential impact on patient care and training.
机译：背景：居民监督对于教育至关重要，确保患者安全。经过几个小时，与参加的沟通是可变的。目的：目的是识别精神病学居民的差异，并在精神病学急诊部（ED）过夜出现所需的问题。方法：在单现场精神病学编辑中，管理含有30个假设情景的电子调查。对于每种情况，居民是否被询问他们是否会呼召出席权和履行他们是否想要被调用。结果：35/44精神病学居民和15117名教师参加，收益率为82％。对于五种情景，教师首选居民比居民更频繁地呼吁监督。这些包括员工或房屋员工伤害（60％与22.9％，P = 0.011; 93.3％与62.9％，P = 0.039），在ED中使用海洛因的患者（53.3％对5.7％，P <0.001） ，与医疗ED参加的冲突（100％与65.7％，P = 0.010），以及在备份居民中呼叫的决定（60％与28.6％，P = 0.036）。结论：在精神病的ED中，参加参加较大的涉及与心理社会问题，法律问题和与患者冲突有关的案件。需要更多的工作来充分了解这些差异及其对患者护理和培训的潜在影响。

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