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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

机译:门诊咨询的教育价值 - 联络旋转:来自咨询学院的白皮书 - 联络精神科居住教育小组委员会

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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.
机译:背景:随着门诊诊所心理健康服务的扩大,精神科医生必须接受在这些环境中执业的培训。目标:会诊联络精神病学住院医师教育小组委员会召集了一个写作小组,目的是总结关于门诊会诊联络精神病学(CLP)培训的现有证据,并为有兴趣在其课程中开展门诊CLP轮换的CLP教育者提供一个框架。方法:从开始到2019年12月,分别对MEDLINE(通过PubMed)、Embase和PsycINFO(通过OVID)在门诊环境中涉及住院医生或研究员的精神科CLP服务进行审查。对CLP教育指南进行了审查,以获得与门诊CLP相关的建议。我们还在MEED门户网站上搜索与中电相关的已出版课程。该小组举行了两次会议,就设立门诊CLP轮换的建议达成共识。结果:17篇文章、3篇咨询联络精神病学学会支持的指南和8篇在线教学资源被确定为直接报告门诊CLP轮换的组织和/或影响。这些手稿表明,居民发现门诊CLP轮换有效,并与他们未来的职业相关。然而,文献对建立正式的门诊CLP培训经验提供了很少的建议。结论:门诊CLP轮换为学员提供了多种好处,包括接触特定的临床场景和仅适用于门诊环境的治疗干预,增加了护理的连续性,以及为非精神健康提供者提供联络和教育的独特经验。这篇文章概述了发展门诊CLP轮换的建议和例子,CLP教育者可以将其纳入他们的项目中。

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