临床医生的经验与研究生医学教育实施的儿童精神病学准入计划
Lisa Durette1, Crystal Oden2, Nathan Rudig3
1Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA. lisa.durette@unlv.edu.
概括
一个新的儿童精神病学准入计划改善了初级保健临床医生获得心理健康服务的机会. 实习生报告了积极的经验,职业生涯早期的临床医生认为行为健康问题的负担较小.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 主要护理医学 医疗保健
- 心理健康服务研究 心理健康服务研究
背景情况:
- 儿童心理健康管理对初级保健临床医生 (PCC) 提出了挑战.
- 获得儿童精神病学服务的机会往往有限,造成了护理上的差距.
- 需要创新的计划来支持PCC在管理儿科行为健康方面.
研究的目的:
- 评估儿童精神病学准入计划对PCC对儿童心理健康管理的看法的影响.
- 评估实习生在访问计划的管理和利用中的作用.
- 根据多年的后入住经验,识别PCC认知中的差异.
主要方法:
- 实施了一项全州范围的儿童精神病学准入计划,儿童精神病学奖学金提供了覆盖范围,并吸引了学员.
- 在计划启动之前和之后,对PCC进行了调查,以衡量人们的看法变化.
- 通过轮换评估收集了实习生反.
主要成果:
- 儿童心理医疗中心报告说,在计划启动后,对儿童精神病学的感知获取有统计学上的显著改善.
- 与经验更丰富的临床医生相比,不到四年后住院培训的临床医生报告说,对行为健康问题的积极影响更大.
- 实习生对轮换的评价始终是积极的.
结论:
- 全州范围的接入计划对PCC报告的儿童精神病学接入产生了积极的影响.
- 儿童精神病学研究员发现临床轮换经验是有利的.
- 经验较少的PCC认为,与行为健康相关的临床负担有所改善,并减少了临床负担.
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