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Integrating psychiatry into basic clinical skills: A three-year nationwide quantitative assessment of postgraduate training programs.

Authors :
Tamune H
Fujikawa H
Harada H
Kodama T
Sasaki M
Sone D
Sekine M
Ito M
Kato T
Nishizaki Y
Tokuda Y
Source :
PCN reports : psychiatry and clinical neurosciences [PCN Rep] 2024 Sep 25; Vol. 3 (4), pp. e70014. Date of Electronic Publication: 2024 Sep 25 (Print Publication: 2024).
Publication Year :
2024

Abstract

Aim: The aim of this study was to develop quantitative outcome indicators for psychiatric training programs integrated into the General Medicine In-Training Examination (GM-ITE) and to investigate which characteristics correlate with high scores in psychiatry.<br />Methods: A nationwide cross-sectional study was conducted over 3 fiscal years (2021-2023). An anonymous online questionnaire was distributed to postgraduate year 1 and 2 residents who completed the GM-ITE. The primary outcome was GM-ITE score, with a particular focus on psychiatry. Multiple-choice questions for the psychiatry field were created by board-certified psychiatrists with various subspecialties, then reviewed and piloted. Multiple regression analysis examined correlations between GM-ITE score and various resident and facility characteristics.<br />Results: A total of 18,226 residents participated over the 3 years, of whom 5%-6% aspired to specialize in psychiatry. Quantitative scores were effective in the psychiatry field across all 3 years. Psychiatry aspirants had lower scores in internal medicine, emergency, and total scores but higher scores in psychiatry. Residents from university hospitals had lower psychiatry scores, while the number of psychiatry beds and supervising psychiatrists did not correlate with higher psychiatry scores. These findings indicate the need for psychiatric training programs distinct from general internal medicine and emergency training.<br />Conclusion: Based on these quantitative psychiatry scores, this study highlights the necessity of improving physical assessment skills during residency for psychiatry aspirants, who score higher in psychiatry. Future research should identify effective training programs and facility practices that lead to higher psychiatry scores among residents, and thereby better integrate psychiatry into basic clinical skills.<br />Competing Interests: H.T., T.Ko., M.Sa., and D.S. have received an honorarium from JAMEP as exam preparers of the GM‐ITE. Y.N. has received an honorarium from JAMEP as GM‐ITE project manager. Y.T. is the director of JAMEP and has received an honorarium from JAMEP as a speaker at the JAMEP lecture. T.Ka. reports grants from Sumitomo‐Pharma outside the submitted work. T.Ka. is an Editorial Board member of Psychiatry and Clinical Neurosciences Reports and a co‐author of this article. To minimize the bias, he was excluded from all editorial decision‐making. The remaining authors declare no conflict of interest.<br /> (© 2024 The Author(s). Psychiatry and Clinical Neurosciences Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Society of Psychiatry and Neurology.)

Details

Language :
English
ISSN :
2769-2558
Volume :
3
Issue :
4
Database :
MEDLINE
Journal :
PCN reports : psychiatry and clinical neurosciences
Publication Type :
Academic Journal
Accession number :
39329058
Full Text :
https://doi.org/10.1002/pcn5.70014