检索结果-内蒙古大学图书馆

Therapeutic alliance as a measurable psychotherapy skill

ACADEMIC PSYCHIATRY 2003年第3期27卷 160-165页

作者： Summers, RE Barber, JP Univ Penn Sch Med Dept Psychiat Philadelphia PA 19104 USA Univ Penn Sch Med Ctr Psychotherapy Res Philadelphia PA 19104 USA

Out of the Babel of psychotherapy models, concepts, and techniques, the therapeutic alliance stands out as a measurable phenomenon that has been shown to have a robust effect on treatment outcome. The therapeutic alliance may be a "holy grail" of psychotherapy competency because it is a validated concept that is predictive of outcome, more powerfully predictive than alternative indices, clearly defined, easily measured, and may have educational and training value. This communication reviews the concept of therapeutic alliance, the methods for measuring it, and its relationship with outcome. We also summarize the literature on how trainees acquire the ability to develop a therapeutic alliance, and evaluate the pedagogical techniques for improving trainees' skills in this area. Finally, we present recommendations for the use of therapeutic alliance measurement in residency training for competency assessment purposes, and for pedagogical approaches for improving residents' therapeutic alliance building skills.

关键词：教育考核实习医师和住院医师职务结果与过程评价(卫生保健) 专业能力职业病人关系精神病学/教育心理疗法/标准治疗结果人类

来源：评论

学校读者我要写书评

暂无评论

Incorporating pain management training into the psychiatry residency curriculum

引用

ACADEMIC PSYCHIATRY 2003年第1期27卷 1-11页

作者： Leo, RJ Pristach, CA Streltzer, J SUNY Buffalo Dept Psychiat Sch Med & Biomed Sci Erie Cty Med Ctr Buffalo NY 14215 USA Univ Hawaii Dept Psychiat John A Burns Sch Med Honolulu HI 96822 USA

Pain management has received increased attention from the medical community, influenced by societal demands for more effective and comprehensive treatment. In fact, the joint Commission on Accreditation of Health Care Organizations requires that physicians consider pain as "the fifth vital sign." It requires that pain severity be documented by using a standardized pain scale. Unfortunately, the assessment and management of pain is difficult. Pain is more than a sensation;it is influenced by emotional, cognitive, and psychosocial factors. The role of the psychiatrist in managing patients with pain has received increasing attention. The American Board of Psychiatry and Neurology now offers a subspecialty certification in Pain Management. While certification is warranted for those who practice extensively in this area, the general psychiatrist should also have familiarity with those issues that are likely to arise in treating patients with pain. Toward this end, the following guide-lines are proposed for pain management training to be incorporated into the residency training curriculum. (Academic Psychiatry 2003;27:1-11).

关键词：镇痛药阿片类/治疗应用抗焦虑药/治疗应用抗惊厥药/治疗应用抗抑郁药/治疗应用抗精神病药/治疗应用焦虑/药物疗法焦虑/病因学慢性病课程谵妄/药物疗法谵妄/病因学抑郁/药物疗法抑郁/病因学教育实习医师和住院医师职务疼痛/诊断疼痛/药物疗法疼痛/心理学疼痛测定病人医疗小组精神病学/教育物质相关性障碍/病因学物质相关性障碍/预防和控制教学/方法人类

来源：评论

学校读者我要写书评

暂无评论

The clerk crisis clinic: A novel educational program

引用

ACADEMIC PSYCHIATRY 2003年第2期27卷 82-87页

作者： Lofchy, J UHN Toronto Western Hosp Toronto ON M5T 2S8 Canada Univ Hlth Network Emergency Serv Dept Psychiat Toronto ON Canada Univ Toronto Dept Psychiat Toronto ON Canada

Objective: Although there is a literature discussing and describing medical students providing psychotherapy, there has been little written about students doing crisis therapy with an emergency department patient population. At the University of Toronto, third-year clinical clerks can do a rotation in the Clerk Crisis Clinic where they are assigned patients who are preselected from the emergency department population. The author describes the program and presents results from questionnaires given to patients and students between 1997 and 2000. Methods: Students met individually with their patients for six sessions, with supervision provided twice a week in a group setting by a senior resident or staff psychiatrist. A modified Consumer Satisfaction Questionnaire was used to survey the patients at the end of their treatment. The medical students completed a therapist evaluation of services form, created for this clinic, at the end of the rotation. Results: Feedback from both patients and students has been positive. Patients have been satisfied with the therapy and have not expressed any difficulty working with students as therapists. Students have found the experience useful and relevant to their training. Conclusions: Medical students arc capable of providing crisis therapy to selected patient populations.

关键词：危机干预急诊室医院实习医师和住院医师职务精神障碍/治疗病人满意度职业病人关系精神病学/教育学生医科成年人女(雌)性人类男(雄)性

来源：评论

学校读者我要写书评

暂无评论

Assessing sexual health behaviors of resident physicians and graduate students

引用

ACADEMIC PSYCHIATRY 2003年第1期27卷 44-49页

作者： Williams, JK Goebert, D Univ Hawaii Dept Psychiat John A Burns Sch Med Honolulu HI 96822 USA

Objective: To compare the sexual practices of 44 resident physicians with those of 88 non-medical graduate students, including law students and master's-level social work students, by using the Safe Sex Behavioral Questionnaire (SSBQ). Methods: In a cross-sectional survey, the SSBQ, used to assess the sexual practices of these two groups, was distributed to participants at a state university via their campus mailboxes, along with a return address envelope, to help ensure anonymity. Results: The educational cohorts did not differ. Overall, participants reported engaging in high-risk sexual behaviors. Women with multiple partners were more likely to engage in increased risky behaviors, whereas men with multiple partners were more likely to use condoms. Conclusions: Physicians, although educated about healthy sexual behaviors, are still engaging in unsafe safe. The reasons for the discrepancy between knowledge and practice need to be explored. (Academic Psychiatry 2003;27:44-49).

关键词：态度避孕套/统计学和数值数据横断面研究教育医学研究生实习医师和住院医师职务冒险性别因素性行为/心理学学生医科/心理学学生医科/统计学和数值数据成年人女(雌)性人类男(雄)性

来源：评论

学校读者我要写书评

暂无评论

Competency assessment in the McMaster Psychotherapy Program

引用

ACADEMIC PSYCHIATRY 2003年第3期27卷 166-173页

作者： Weerasekera, P Antony, MM Bellissimo, A Bieling, P Shurina-Egan, J Spencer, A Whyte, R Wolpert-Zur, A McMaster Univ Dept Psychiat & Behav Neurosci St Josephs Hosp Fdn Hamilton ON L8P 3B6 Canada

In January 2001 the Residency Review Committee (RRC) mandated that all psychiatric training programs must demonstrate competency in five forms of psychotherapy. Assessing competency in psychotherapy is a complex and difficult task, with many conceptual and practical issues needing consideration before programs are implemented. Existing competency-based programs can offer some assistance to institutions struggling with this issue. This paper discusses competency assessment in the McMaster Psychotherapy Program, paying special attention to instruments used in the evaluation process. Preliminary results with respect to resident satisfaction with the Program and resident competency in certain therapies are also discussed.

关键词：聘任鉴定课程教育医学研究生/标准教育考核/方法实习医师和住院医师职务专业能力精神病学/教育心理疗法/教育心理疗法/标准人类

来源：评论

学校读者我要写书评

暂无评论

Encountering suicide: The experience of psychiatric residents

引用

ACADEMIC PSYCHIATRY 2003年第2期27卷 93-99页

作者： Pilkinton, P Etkin, M Marshfield Clin Fdn Med Res & Educ Marshfield WI 54449 USA Univ Manitoba Dept Psychiat Winnipeg MB R3T 2N2 Canada

Objective: The authors sought to determine how often psychiatric residents encountered completed suicide, how it affected them, and what supports were available and most useful to them. Methods: Psychiatric residents completed questionnaires about their encounters with completed suicide during residency. Questionnaire items asked about the resident's relationship to the deceased, the impact of the suicide on the resident, what supports were available and useful to residents, and whether residents had received education about suicide. Postgraduate education directors were similarly surveyed about their programs. Results: Of 197 respondents, 61.4% had encountered one or more completed suicides during their residency. Of the suicides, 61% were by patients and 16.5% by a colleague, friend, or relative;22.3% of the residents had encountered both. The most common context was suicide by a patient the resident had seen on call or in consultation;next was suicide by a fellow physician. The greatest impact on residents was on their emotional health, followed by how they assess patients and their medicolegal view of psychiatry. Friends and fellow residents were identified as significant supports. Residents were reluctant to use employee assistance programs, citing confidentiality and insurance issues. Only one-third of residents received education on the impact Of suicide on trainees. Postgraduate education directors' responses closely reflected those of residents. Only one-third of postgraduate education directors reported having a policy in place in the event Of suicide. Conclusions: Suicide is a commonly encountered, stressful event for trainees. Additional supports, education, and policies should be implemented to address this issue.

关键词：数据收集情绪实习医师和住院医师职务医生病人关系精神病学/教育社会支持应激心理学自杀成年人女(雌)性人类男(雄)性

来源：评论

学校读者我要写书评

暂无评论

Closing the loop: Assessing the effectiveness of psychiatric competency measures

引用

ACADEMIC PSYCHIATRY 2003年第3期27卷 131-135页

作者： Bienenfeld, D Klykylo, W Lehrer, D Wright State Univ Dept Psychiat Dayton OH 45401 USA Wright State Univ Div Child & Adolescent Psychiat Dayton OH 45401 USA SUNY Upstate Med Univ Dept Psychiat & Behav Sci Syracuse NY USA

Background: During the past several years there has been a growing emphasis on competency assessment in graduate education in all specialties, including psychiatry. Methods of assessment are continuously being devised and refined. Objective: To outline principles and methods of assessing the validity of competency measures and their relevance to trainees. Methods: The authors reviewed the literature relevant to competency assessment and quality improvement in the fields of elementary and secondary education, adult learning, undergraduate medical education, and postgraduate medical training. Three means were used to evaluate the assessment program: 1) The authors surveyed graduates and credentialing agencies for feedback on the relevance of the measures they previously developed for current and envisioned future practice of psychiatry;2) They measured the completion rates of competency measures by residents in the first 3 years of a program, measuring general psychiatric competencies;and 3) They surveyed residents and faculty regarding satisfaction with the existing process. Results: Despite small numbers, the results indicated that measures devised in 1998 were relevant to the practice of psychiatry in 2001 and envisioned by practitioners for the subsequent 5 to 10 years. Resident completion rates of competency requirements indicated that the structure of the measures was appropriately paced to parallel the learning expectations of the training program. Participant satisfaction with the process of developing and implementing the measures was high. Conclusions: While devising and implementing competency assessments is critical, the process should not stop with the application of the measures. Ongoing evaluation of these measures for their continued suitability is essential. Training programs can readily determine the effectiveness of competency programs and improve them as necessary.

关键词：教育医学研究生/标准教育考核终点测定全体教工医学院校/标准实习医师和住院医师职务专业能力精神病学/标准心理疗法/标准质量控制人类

来源：评论

学校读者我要写书评

暂无评论

Use of the mechanistic case diagramming technique to teach the biopsychosocial-cultural formulation to psychiatric clerks

引用

ACADEMIC PSYCHIATRY 2003年第2期27卷 88-92页

作者： Guerrero, APS Hishinuma, ES Serrano, AC Ahmed, I Univ Hawaii Dept Psychiat John A Burns Sch Med Honolulu HI 96813 USA Univ Hawaii Dept Pediat John A Burns Sch Med Honolulu HI 96813 USA

Objective: Biopsychosocial-cultural formulation is an essential skill for medical students to become familiar with during their psychiatry clerkship. The authors describe their use of mechanistic case diagramming to demonstrate to students, in a single teaching session, how to construct a biopsychosocial-cultural formulation, and they present results of an evaluation of the session's effect on students. Methods: Questionnaires exploring students' views and understanding of biopsychosocial-cultural formulation were administered to 16 students before and after teaching sessions. Results: Significant increases were observed after the teaching sessions in self-reported understanding of and comfort with presenting a biopsychosocial-cultural formulation and in ratings of the importance of showing linkages between biological, psychological, and sociocultural factors. Conclusions: The technique of mechanistic case diagramming may be a useful approach for teaching biopsychosocial-cultural formulation.

关键词：文化特征健康状况实习医师和住院医师职务病史记录精神卫生模型生物学职业病人关系精神病学/教育社会条件成年人女(雌)性人类男(雄)性

来源：评论

学校读者我要写书评

暂无评论

Assessing the information needs of psychiatric residents

引用

ACADEMIC PSYCHIATRY 2003年第2期27卷 100-103页

作者： Abromitis, RA Saghafi, E Folb, BL Western Psychiat Inst & Clin Lib Hlth Sci Lib Syst Pittsburgh PA 15213 USA

Objective: Staff at the Western Psychiatric Institute and Clinic Library conducted a survey of residents and fellows to determine their informational needs and their interest in an orientation to the library's resources. Methods: A brief questionnaire was distributed to the facility's 59 psychiatric residents and fellows to determine their awareness of 12 library resources and services (e.g., online databases and database searches conducted by librarians), their interest in an orientation to these resources and services, their self-rated level of skill in using them, whether they would attend training sessions, and, if so, when the best time for such sessions might be. Results: A total of 28 questionnaires were returned. Respondents favored an orientation (82%) and indicated that a 1-hour session would be appropriate, although the best time to hold it was less clear. Fifty percent or more were aware of each of the six resources they would be most likely to use in their work. Nearly all had used MEDLINE, but most respondents had not used most of the other resources and services. Conclusions: Instruction on the use of information resources can be useful to psychiatric residents and fellows. On the basis of the survey results, a library orientation session was developed to address the information needs indicated by respondents and to enhance their skills in retrieving pertinent literature for clinical care and research. A post-orientation questionnaire indicated that the session was useful and well received.

关键词：数据收集健康知识态度实践信息服务实习医师和住院医师职务图书馆医学 MEDLINE 精神病学/教育成年人人类

来源：评论

学校读者我要写书评

暂无评论

Assessing residents' competence in psychotherapy

引用

ACADEMIC PSYCHIATRY 2003年第3期27卷 145-147页

作者： Giordano, FL Briones, DE Texas Tech Univ Hlth Sci Ctr Div Psychiat El Paso TX USA

Objective: This paper describes the development of a method for assessing resident competence in the five forms of psychotherapy specified in the program requirements for residency training in psychiatry. Method: Concomitant with the rise of evidence-based medicine. There has been a movement toward evidence-based training from the Accreditation Council for Graduate Medical Education (ACGME). In the year 2000, the Residency Review Committee (RRC) for psychiatry issued specific requirements for the assessment of residency competence competence in five forms of psychotherapy. This paper describes how a system of assessment was developed using "brainstorming" and the Delphi method to meet these requirements and gives examples of the assessment tools that were utilized. Conclusion: A simple system that does not overly tax limited faculty resources can be developed to meet the new RRC requirements.

关键词：德尔菲技术教育考核循证医学实习医师和住院医师职务专业能力精神病学/教育心理疗法/教育心理疗法/标准人类

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：