HSC Education Days
Document Type
Poster
Publication Date
2-3-2023
Abstract
Introduction: Many practice and policy organizations have recommended integration of behavioral health (BH), including psychiatric services, into primary-care clinics to increase patient access to high-quality care while reducing healthcare costs. Despite the effectiveness of integrated BH (IBH), few psychiatry residents are trained in these models. Currently, no evaluated and published curricula on IBH exists. To address this gap, we created a curriculum to teach different models of IBH to psychiatry residents. Methods: The curriculum was developed within the Kern 6-step theoretical framework and implemented at UNM Sandoval Regional Medical Center (SRMC) family practice clinic. To assess psychiatry residents’ perception of strengths and limitations of this curriculum and its impact on their knowledge, skills, and attitudes, we performed 3 focus groups with 3 classes of residents who completed the rotation from 2017-2019. Results: Regarding knowledge, the residents felt that they gained a general understanding of integrated psychiatry including how it works, its benefits and limitations, and the importance of effective communication between the psychiatrist, primary care providers, and other healthcare professionals. Regarding skills, the discussion led to residents critically appraising the model at SRMC, comparing it with other integrated clinics. Regarding attitudes, the residents who had adequate exposure to the curriculum expressed that it helped them to decide whether they wanted to pursue integrated psychiatry or not. Discussion: Data suggests that from the residents’ perspective the developed curriculum impacted their attitudes, knowledge, and skills consistent with the curriculum learning objectives. The curriculum is generalizable and can be easily implemented in any IBH context. The collected data has led to improvement of the curriculum and will inform the next steps in further developments and assessment of the curriculum.
Recommended Citation
Tehrani, Poonè Haghani; Kelsey J. Sala-Hamrick; Sushilla Knottenbelt; Heidi Rishel Brakey; and Julie G. Salvador. "Rural and Community Psychiatry Residency Rotation: A Quality Improvement Initiative for Resident Training in Integrated Care." (2023). https://digitalrepository.unm.edu/hsc_ed_day/139
Comments
This poster was presented during the University of New Mexico Health Sciences Center Education Days.