Comfort Level and Perceived Barriers to Clozapine Use: Survey of General Psychiatry Residents

2021 ◽  
Author(s):  
Mariam Dvalishvili ◽  
Brian J. Miller ◽  
Sandarsh Surya
Keyword(s):  
Comfort Level ◽  
Perceived Barriers ◽  
Psychiatry Residents ◽  
General Psychiatry

scholarly journals P147: International scope of emergency ultrasound: barriers to utilizing ultrasound to guide central venous catheter placement by providers in Kenya

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S127-S127
Author(s):  
F. Zaver ◽  
K. Boniface ◽  
H. Shokoohi ◽  
B. Wachira ◽  
G. Wanjiku
Keyword(s):  
Central Venous Catheter ◽  
Previous History ◽  
Venous Catheter ◽  
Standard Of Care ◽  
Comfort Level ◽  
Perceived Barriers ◽  
University Hospital ◽  
Central Venous ◽  
International Scope ◽  
Survey Responses

Introduction: While ultrasound (U/S) use for internal jugular central venous catheter (CVC) placement is standard of care in many institutions in North America, most developing countries have not adopted this practice. Previous surveys of American physicians who are not currently using U/S to place CVCs have identified lack of training and equipment availability as the most important barriers to the use of U/S. We sought to identify Kenyan physicians’ perceived barriers to the use of U/S to guide CVC insertion in a resource-constrained environment. Methods: The study was conducted at the Aga Khan University Hospital in Nairobi, Kenya. Physicians participating in a one-hour course teaching U/S guided CVC placement were asked to complete a survey before beginning training, which was used to assess previous experience with U/S, and evaluate perceived barriers to U/S. Survey responses were analyzed using summary statistics and the Rank-Sum test to compare the difference between participants’ responses based on different specialty, gender and previous history of using U/S. Results: There were 23 physicians who completed the course and the survey. They included 6 internal medicine, 5 critical care, 5 anesthesia, 2 emergency medicine and 5 physicians from other specialties. The mean length of practice was 5 years. 52% (95% CI: 0.30-0.73) had put in >20 CVCs. 21.7% (95% CI: 0.08-0.44) of participants had previous U/S training, but none have received any training on the use of U/S for CVC insertion. The respondents expressed agreement on the ease of the use, improved success rate, and decreased failure rate with U/S guidance. However, less agreement was found regarding the perceived superior convenience and cost effectiveness of U/S CVC placement (see Figure). The lack of training or comfort with the U/S and the availability of U/S and equipment to maintain sterility were reported as the main barriers for use. Neither previous U/S experience nor specialty of the respondent significantly affected responses. Conclusion: Barriers to the use of U/S guidance for the placement of CVCs in Nairobi, Kenya are similar to those found among American physicians. These include training and comfort level with U/S in placement of CVCs, as well as resources required for U/S equipment and to keep the field sterile.

Enhancing forensic exposures in residency training

2019 ◽  
Vol 15 (1) ◽  
pp. 13-19
Author(s):  
Tobias Wasser ◽  
Saksham Chandra ◽  
Katherine Michaelsen
Keyword(s):  
Design Methodology ◽  
Psychiatry Residents ◽  
Content Type ◽  
Forensic Evaluations ◽  
Residency Programs ◽  
General Psychiatry ◽  
Before And After ◽  
Secondary Analyses ◽  
Forensic Setting ◽  
The Impact

Purpose The purpose of this paper is to review the impact of a new, brief forensic rotation for general psychiatry residents on the variety of residents’ forensic exposures. Design/methodology/approach The authors surveyed residents who trained before and after the implementation of the new rotation to assess the impact of the rotation on the residents’ forensic experiences during training across a variety of domains. Findings Even in a highly clinical forensic setting, residents participating in the required rotation reported significantly greater variety of forensic experiences than those who had not completed the required rotation, including types of settings and assessments, Rotation completers reported greater exposure to various types of settings and assessments, and courtroom-related experiences, as well as the overall number of forensic exposures. The two groups did not differ in their forensic exposures in general psychiatry settings, civil-forensic evaluations or diverse forensic populations. Secondary analyses showed that increased exposure to court-based experiences and multiple forensic settings was associated with forensic fellowship interest. Originality/value This study demonstrates that a brief, mandatory forensic clinical rotation may increase residents’ exposure to forensic settings, assessments and courtroom-related experiences and that increased exposure to courtroom-based experiences in particular may increase interest in forensic fellowship. While not surprising, the results demonstrate that residents were not otherwise having these forensic experiences and that even time-limited forensic rotations can enhance the breadth of residents’ forensic exposures. Further, the rotation achieved these outcomes without using typical forensic sites but instead highly clinical sites, which may be particularly encouraging to residency programs without ready access to classic forensic rotation sites. This study contributes to the small but expanding body of the literature describing the value of increasing psychiatry residents’ training in clinical forensic psychiatry.

A Descriptive Study of a Spirituality Curriculum for General Psychiatry Residents

2017 ◽  
Vol 41 (4) ◽  
pp. 471-476 ◽  
Author(s):  
Thomas F. McGovern ◽  
Terry McMahon ◽  
Jessica Nelson ◽  
Regina Bundoc-Baronia ◽  
Chuck Giles ◽  
...  
Keyword(s):  
Descriptive Study ◽  
Psychiatry Residents ◽  
General Psychiatry

Training on the DSM-5 Cultural Formulation Interview improves cultural competence in general psychiatry residents: A pilot study

2017 ◽  
Vol 54 (2) ◽  
pp. 179-191 ◽  
Author(s):  
Stacia Mills ◽  
Anna Q. Xiao ◽  
Kate Wolitzky-Taylor ◽  
Russell Lim ◽  
Francis G. Lu
Keyword(s):  
Cultural Competence ◽  
Cultural Diversity ◽  
Assessment Tool ◽  
Cultural Knowledge ◽  
Psychiatry Residents ◽  
Cultural Formulation ◽  
Dsm 5 ◽  
General Psychiatry ◽  
The Mean ◽  
Cultural Formulation Interview

The objective of this study was to assess whether a 1-hour didactic session on the DSM-5 Cultural Formulation Interview (CFI) improves the cultural competence of general psychiatry residents. The main hypothesis was that teaching adult psychiatry residents a 1-hour session on the CFI would improve cultural competence. The exploratory hypothesis was that trainees with more experience in cultural diversity would have a greater increase in cultural competency scores. Psychiatry residents at a metropolitan, county hospital completed demographics and preintervention questionnaires, were exposed to a 1-hour session on the CFI, and were given a postintervention questionnaire. The questionnaire was an adapted version of the validated Cultural Competence Assessment Tool . Paired samples t tests compared pre- to posttest change. Hierarchical linear regression assessed whether pretraining characteristics predicted posttest scores. The mean change of total pre- and posttest scores was significant ( p = .002), as was the mean change in subscales Nonverbal Communications ( p < .001) and Cultural Knowledge ( p = .002). Demographic characteristics did not predict higher posttest scores (when covarying for pretest scores). Psychiatry residents’ cultural competence scores improved irrespective of previous experience in cultural diversity. More research is needed to further explore the implications of the improved scores in clinical practice.

scholarly journals Perception of Substance Use Disorder Training: a Survey of General Psychiatry Residents in Nigeria

2021 ◽  
Author(s):  
Eze U. Chikezie ◽  
Ikenna D. Ebuenyi ◽  
Erefagha Leonardo P. Allagoa ◽  
Ifeoma N. Onyeka
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
English Language ◽  
Psychiatry Residents ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Addiction Psychiatry ◽  
Cross Sectional ◽  
Middle Income ◽  
General Psychiatry

Abstract Objective Substance use disorder (SUD) is a global concern. Evidence from high-income countries suggests that SUD training for psychiatry residents is less than optimal but it is unknown whether the situation is different in low-/middle-income settings. This study assessed psychiatry residents’ perception of their SUD training. Methods A cross-sectional survey was conducted among general psychiatry residents in Nigeria from November 2018 to May 2019. Data were collected through self-completion of an English-language questionnaire with multiple-choice and open-ended questions administered face-to-face and online. Results A total of 51 participants completed the questionnaire, mean age 33.6 years and 76.5% men. Most participants (70.6%) expressed interest in addiction psychiatry, and 47.1% perceived their SUD training as inadequate. When asked to rate satisfaction with the SUD training they have received so far, 52.9% were unsatisfied, and the absence of in-house SUD training (29.4%) was the leading cause of dissatisfaction. For those who were satisfied, the most common reasons were availability of SUD training and treatment-related factors (31.4%). The most frequent suggestions for making addiction psychiatry subspecialty attractive to psychiatry residents were provision of SUD treatment units, structured SUD training, and continuity of such training. Equipping existing SUD treatment units and creating more treatment units were the most common suggestions for improving current SUD training. Conclusion This study demonstrated a high level of interest in addiction psychiatry, but satisfaction with SUD training was mixed. Addressing causes of dissatisfaction and areas suggested for improvement would be necessary to sustain interest.

scholarly journals Enhancing Addictions Training Within the Core Competencies for General Psychiatry Residents

2020 ◽  
Vol 44 (5) ◽  
pp. 611-618
Author(s):  
Justine W. Welsh ◽  
Sandra M. DeJong ◽  
Jeffrey DeVido ◽  
Ann C. Schwartz
Keyword(s):  
Core Competencies ◽  
Psychiatry Residents ◽  
The Core ◽  
General Psychiatry
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