Teaching residents mental health care |
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Authors: | Robert C Smith Heather Laird-Fick Francesca C Dwamena Laura Freilich Brian Mavis Katelyn Grayson-Sneed Dale D’Mello Mark Spoolstra David Solomon |
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Institution: | 1. 788 Service Road, Michigan State University, Dept. of Medicine, East Lansing, MI 48824, USA;2. 965 Fee Road, Michigan State University, Office of Medical Education Research and Development, East Lansing, MI 48824, USA;3. 404 Wilson Road, Michigan State University, Dept. of Communication, East Lansing, MI, USA;4. 965 Fee Road, Michigan State University, Dept. of Psychiatry, East Lansing, MI 48824, USA;5. 100 Michigan Street NE, Michigan State University, Dept. of Medicine, Grand Rapids, MI 49503, USA |
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Abstract: | ObjectiveWe tested the hypothesis that trained medical faculty can train residents effectively in a mental health care model.MethodsAfter the authors trained medical faculty intensively for 15 months in primary care mental health, the newly trained faculty taught medical residents intensively. Residents were evaluated pre- and post-residency and compared to non-equivalent control residents in another city. Using ANOVA, the primary endpoint was residents’ use of a mental health care model with simulated patients. Secondary endpoints were residents’ skills using models for patient-centered interviewing and for informing and motivating patients.ResultsFor the mental health care model, there was a significant interaction between study site and time (F?=?33.51, p?<?.001, Eta2?=?.34); mean pre-test and post-test control group scores were 8.15 and 8.79, respectively, compared to 7.44 and 15.0 for the intervention group. Findings were similarly positive for models of patient-centered interviewing and informing and motivating.ConclusionsTraining medical faculty to teach residents a mental health care model offers a new educational approach to the widespread problem of poor mental health care.Practice ImplicationsWhile the models tested here can provide guidance in conducting mental health care, further evaluation of the train-the-trainer program for preparing residents is needed. |
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Keywords: | Medical education Mental health Communication Patient-centered Residents |
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