Clinical Care of Patients with Neurocognitive Disorders : A Qualitative Study of the Psychiatric Residency Training Experience

© 2024. The Author(s), under exclusive licence to American Association of Chairs of Departments of Psychiatry, American Association of Directors of Psychiatric Residency Training, Association for Academic Psychiatry and Association of Directors of Medical Student Education in Psychiatry..

OBJECTIVE: Few data describe how general psychiatry residencies prepare trainees to care for individuals with neurocognitive disorders (NCDs), despite increasing recognition of the need for psychiatrists to provide care for the growing numbers of patients with NCD. This study aims to identify training needs and approaches, as the resident experience is one important perspective that can be added to others, such as milestones developed by expert educators.

METHODS: The authors conducted three focus groups of third- and fourth-year general adult psychiatry residency trainees from three different training programs in May and June of 2021. Focus groups consisted of three to eight unique participants per group. Qualitative data analysis techniques derived in grounded theory were utilized to identify themes.

RESULTS: Four main themes emerged from the focus groups: unique challenges of NCD care, intrinsic rewards of working with families, perceived gaps in educational experiences, and limited comfort in future practice.

CONCLUSIONS: Participants expressed that aspects of NCD care were fundamentally different than care for other mental health conditions encountered in psychiatry residency. They found the progressive nature of the disease to be particularly challenging, and they also expressed challenges with clinical interviews and establishing rapport with individuals with NCDs. However, working with families was especially rewarding. Regardless of training program, participants expressed a need for additional longitudinal and diversified training opportunities to prepare them for future practice in this area.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:48

Enthalten in:

Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry - 48(2024), 2 vom: 30. März, Seite 143-147

Sprache:

Englisch

Beteiligte Personen:

Duong, Karen T [VerfasserIn]
Khasnavis, Siddharth [VerfasserIn]
Welsh, William J [VerfasserIn]
Camp, Mary E [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Neurocognitive disorders
Older adults
Residency education
Scope of practice
Work with family

Anmerkungen:

Date Completed 21.03.2024

Date Revised 21.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s40596-023-01932-0

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367816334