在公共和社区精神病学中评估培训和能力评估:叙述性审查
David R A Coelho1, John A Davis2, Richard O Bido Medina3
1Division of Public and Community Psychiatry, Massachusetts General Hospital, Boston, MA, USA. daraujocoelho@mgh.harvard.edu.
BMC medical education
|December 4, 2025
概括
公共和社区精神病学培训需要更好的评估工具. 虽然存在一些经过验证的尺度,但标准化,长期评估对于有效培训居民照顾多样化,服务不足的人口至关重要.
科学领域:
- 精神病学是一个精神病学.
- 医学教育 医学教育
- 公共卫生 公共卫生
背景情况:
- 公共和社区精神病学培训为服务不足的人群配备了居民,包括那些患有严重精神疾病 (SMI),物质使用障碍 (SUD),LGBTQ+个人和无家可归的人群.
- 核心竞争力,如减少耻辱和关心边缘化群体,在医疗专业中至关重要,而不仅仅是精神病学.
- 目前对这些能力的评估方法多样化和不一致,阻碍了有效的评估.
研究的目的:
- 审查和评估用于公共和社区精神病学培训的教育评估.
- 确定这些评估在衡量居民为边缘化社区服务的能力方面的有效性.
主要方法:
- 一个叙事审查研究发表到2024年8月.
- 在PubMed,ERIC和PsycINFO数据库中进行的搜索.
- 包括使用经过验证的工具或定制调查的研究;不包括摘要,评论和非英语出版物.
主要成果:
- 41项研究涵盖了一般评估,SMI,SUD,边缘化人口和专业培训.
- 经过验证的工具,如CAMI,DDPPQ,HPATHI,GTS和CAI-V显示出可靠性.
- 许多研究使用了未经验证的工具,并专注于短期结果,限制了概括性.
结论:
- 经过验证的评估工具显示出潜力,但在标准化框架中未得到充分利用.
- 缺乏标准化的纵向评估,阻碍了综合能力评估.
- 将经过验证的工具整合到结构化,长期评估框架中,可以加强培训,并为各种患者护理做好准备.
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