What residents should know before starting inpatient psychiatry?

Year 2012, Volume: 17 Issue: 3, 105 - 110, 09.10.2014

Racha Nazir Basappa Venkatesh Ahmad S. Bashir Karim Sedky Steven Lippmann

Abstract

Abstract. Most psychiatry residencies begin clinical training assigned to an inpatient service. This exposes residents to acute, hospitalized mental health crises cases and teaches them teamwork in collaboration with a variety of healthcare professionals. Faculty and staff can facilitate resident transition to hospital practice by orienting them ahead of time with an introduction to clinical and documentation procedures. International medical graduates might benefit from extra training about the American health care system and culture. Once on service, resident guidance by faculty includes educational supervision about interviewing skills, making diagnoses, and clinical management. A self-guided study plan with appropriate literature can initiate a practice of independent learning.

Key words: Adjusting to the inpatient setting, hospital exposure, inpatient education, inpatient training, psychiatry residents, residency training

Keywords

Adjusting to the inpatient setting, hospital exposure, inpatient education, inpatient training, psychiatry residents, residency training

References

• ACGME web site http://www. acgme.org/ acWebsite/downloads/RRC_progReq/400pr07012007. pdf Last accessed on March 27, 2010.
• McMahon GT. Coming to America--international medical graduates in the United States. N Engl J Med 2004; 350: 2435-2437.
• Schwartz T, Park TL. Assaults by Patients on Psychiatric Residents: A Survey and Training Recommendations. Psychiatr Serv 1999; 50: 381-383.
• Synopsis of psychiatry. 10th edition (Editors: Sadock BJ,SadockVA), Philadelphia, PA: Lippincott Williams and Wilkins 2007: 1-1391.
• Desk Reference to the diagnostic criteria from DSM- IV-TR. 4th edition, text rev. Washington, DC: American Psychiatric Association 2000: 1-316.
• Physician Desk Reference. 64th ed. Montvale, NJ: Physician’s Desk Reference, Incorporated 2010: 1- 3643.
• Epocrates website. Available at: https://www.epocrates.com. Last accessed March 27, 2010.
• Sedky K, Steven Lippmann. Psychotropic Medications and Leucopenia. Curr Drug Targets 2006; 7: 1191- 1194.
• Sedky K, Nazir R, Joshi A, Kaur G, Lippmann S. Which psychotropic medications induce hepatotoxicity? Gen Hosp Psychiatry 2012; 34: 53-61.
• Sedky K, Swanljung P, Fallon A. Interpersonal and group dynamics in running a residency call committee. Acad Psychiatry 2007; 31: 84-85.
• Knoff WF, Oken D, Prevost JA. Meeting training needs of foreign psychiatric residents in state hospitals. Hosp Community Psychiatry 1976; 27: 35- 37.
• Singareddy R, Balon R, Karippot A, Aksu E. Should the residency programs train international medical graduates in certain communication skills? Acad Psychiatry 2008; 32: 343-344.
• Nazir R, Sedky K, Paladugu A, Lippmann S. A resident’s question: What to know before starting the outpatient clinic. Primary Psychiatry 2010; 17: 60-64.
• Kramer M. Educational Challenges of International Medical Graduates in Psychiatry. J Am Acad Psychoanal and Dynamic Psych 2006; 34: 163-171.
• Searight HR, Gafford J. Behavioral science education and the international medical graduate. Acad Med 2006; 81: 164-170.
• Sierles FS. Using film as the basis of an American culture course for first-year psychiatry residents. Acad Psychiatry 2005; 29: 100-104.