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Experience Of Resident Presentations In Consultation-Liaison Psychiatry Grand Rounds: Increase Value For Clinical
Edwin S Meresh1, David Daniels1, Murali Rao1
1Department of Psychiatry, Loyola University Medical Center, Maywood, IL 60 153, USA.
Annual Consultation-Liaison (CL) psychiatry grand rounds increased resident interest in CL fellowship. Our program saw 11.5% of residents pursue fellowship post-implementation, exceeding national averages and prior rates.
Area of Science:
- Medical Education
- Psychiatry
- Graduate Medical Training
Background:
- Grand rounds are formal physician meetings for discussing medical care excellence.
- Accreditation Council for Graduate Medical Education (ACGME) mandates resident scholarly activity.
- Consultation-Liaison (CL) psychiatry addresses psychiatric complications in general hospitals, with fellowship training vital for leadership.
Purpose of the Study:
- To evaluate the impact of annual CL grand rounds on resident interest in pursuing CL fellowship.
- To compare the rate of residents pursuing CL fellowship before and after program implementation.
Main Methods:
- Retrospective review of resident interest in CL fellowship.
- Comparison of fellowship pursuit rates pre- and post-CL grand rounds implementation (since 2005).
- Comparison of program-specific rates with national trends from the National Residency Matching Program (NRMP).
Main Results:
- From 2013-2018, 11.5% of residents pursued CL fellowship, compared to 0% before 2013.
- The p-value for the change in pursuit rate was 0.0668 (p < 0.10).
- The program's 11.5% fellowship pursuit rate exceeds the national average of 5.7% (2015-2019 NRMP data).
Conclusions:
- The CL grand rounds educational module appears effective in fostering sustained interest in the CL subspecialty.
- Further prospective studies are recommended to confirm these findings.
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