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Psychiatric education improves internists' knowledge: a three-year randomized, controlled evaluation

S A Cohen-Cole1, J Boker, J Bird

  • 1Department of Psychiatry, Emory University School of Medicine, Atlanta, GA.

Psychosomatic Medicine
|March 1, 1993
PubMed
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Primary care residents improved psychiatric knowledge through two training programs. Combining both (consult-plus-liaison) yielded superior results compared to individual programs, enhancing resident competency.

Area of Science:

  • Medical Education
  • Psychiatry Training
  • Primary Care

Background:

  • Primary care physicians often encounter psychiatric conditions.
  • Effective training programs are crucial for enhancing resident psychiatric knowledge and skills.
  • Evaluating different training modalities is essential for optimizing medical education.

Purpose of the Study:

  • To compare the effectiveness of two distinct psychiatric training programs for primary care residents.
  • To determine if a combined training approach (consultation and liaison) offers superior benefits.
  • To assess the impact of different training durations and formats on knowledge acquisition.

Main Methods:

  • Randomized controlled trial with four arms: control, consultation, liaison, and consult-plus-liaison.

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  • Consultation involved a 1-month Psychiatry Consultation Service rotation.
  • Liaison comprised 31-hour workshops over one year; combined group experienced both sequentially.
  • Oral examinations were administered pre- and post-training to assess knowledge gain.

    • Main Results:

    • Both the consultation and liaison training programs significantly improved residents' psychiatric knowledge.
    • The combined consult-plus-liaison training demonstrated a greater effect size compared to either program alone.
    • Residents exposed to both training modalities showed the most substantial improvement in psychiatric knowledge.

    Conclusions:

    • Both consultation and liaison training programs are effective in enhancing psychiatric knowledge for primary care residents.
    • A sequential exposure to both consultation and liaison training is superior to undergoing either program individually.
    • Integrating diverse training methods can optimize psychiatric education within primary care residency programs.