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Residency training in emergency psychiatry : changes between 1980 and 1990.

J R Hillard1, B Zitek, O J Thienhaus

  • 1Department of Psychiatry, University of Cincinnati, Mail Location 559, 231 Bethesda Avenue, Cincinnati, OH, 45267-0559, USA.

Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
|January 21, 2014
PubMed
Summary

Emergency psychiatry training improved between 1980 and 1990, with more required duty and block rotations. Residents reported increased patient load stress but less faculty-related stress, indicating progress and need for further enhancement.

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Area of Science:

  • Psychiatry
  • Medical Education

Background:

  • Emergency psychiatry training is crucial for resident preparedness.
  • Changes in training programs may impact resident experience and skills.

Purpose of the Study:

  • To compare emergency psychiatry training in residency programs between 1980 and 1990.
  • To identify trends and resident perceptions of training quality.

Main Methods:

  • Independent random samples of residency programs surveyed in 1980 and 1990.
  • Data collected on training requirements, rotations, faculty time, and patient load.

Main Results:

  • Increased required daytime emergency service duty (50% to 80%) and block rotations (23% to 48%) by 1990.
  • More faculty time and patient visits per shift in 1990.
  • Residents reported higher patient load stress but lower faculty-related stress in 1990.

Conclusions:

  • Emergency psychiatry training showed significant improvement from 1980 to 1990.
  • Despite improvements, further enhancements in training are still necessary.
  • Training evolution reflects increased demands and resource allocation.