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Psychiatry residents' experiences with systems-based practice: a qualitative survey
Joanna L Fried1, Melissa R Arbuckle, Michael Weinberg
1New York University School of Medicine, New York, NY, USA, joannafriedMD@gmail.com.
Objective:
The aim of this study is to analyze qualitative data collected during field-testing of an instrument to assess psychiatric residents' experiences with systems-based practice (SBP).
Methods:
A total of 237 psychiatry residents from 6 levels of training in 12 different psychiatry residency training programs responded to a 60-item instrument measuring their experiences with SBP during residency. Qualitative techniques adapted from content analysis were used to review narrative responses to open-ended questions on the instrument.
Results:
Certain themes emerged in the residents' answers reflecting their opinions about the opportunities for (and barriers to) performing SBP in their work.
Conclusions:
Psychiatric residents express an eagerness for opportunities to learn about and perform SBP but often feel constrained by the lack of resources, teaching, and supervision. Moreover, many residents desire a better understanding of healthcare economics and how to factor cost consideration into clinical care.
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