ABSTRACT
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Subject(s)
Humans , Psychophysiologic Disorders/epidemiology , Stroke/epidemiology , Stroke/prevention & control , Depression/complications , Risk Factors , Stroke/physiopathologyABSTRACT
En esta revisión, se trata de exponer unos criterios básicos que puedan servir como guía para la formación en Psiquiatría de Enlace. Con este objetivo se revisan las bases docentes de este campo y se describen las características que debería tener la rotación por los Servicios o Unidades de Interconsulta y Enlace; todo ello en base a cuatro coordenadas fundamentales: asistencia, docencia, investigación y gestión. Asimismo se propone el contenido curricular del proyecto docente en Psiquiatría de Enlace. La pedagogía de la Psiquiatría de Enlace ha de ser reflexionada; dada la ausencia de publicaciones españolas en este campo, es deseable que la aportación en este trabajo sirva para abrir el debate. Por otra parte, siendo el futuro de esta rama de la Psiquiatría prometedor, en España son pocos los Servicios o Secciones desarrollados y muchos menos los que tienen articulada la docencia; se espera que este panorama asistencial cambie en un futuro no lejano. (AU)
Subject(s)
Humans , Referral and Consultation , Research , PsychiatryABSTRACT
Introducción: La Psiquiatría de enlace constituye una parte fundamental de la formación y la actividad asistencial del médico residente de Psiquiatría. A pesar de ello, el programa oficial de la residencia no define objetivos ni actividades propias de esta rotación. Metodología: Con objeto de conocer la situación actual de la misma en los centros docentes acreditados en nuestro país, y la opinión que sobre ella tienen los médicos residentes, se elaboró una encuesta dirigida a ellos, concretamente a los de tercer y cuarto año, con 41 ítems que valoraban aspectos organizativos de los Servicios de Psiquiatría de Enlace, las características de la rotación, la calidad de la misma según la percibían los residentes y las necesidades subjetivas de formación. Resultados: Se recibió respuesta de al menos un residente de 40 de los 67 centros docentes acreditados. La información recogida reveló, tal como sospechábamos, una gran heterogeneidad en los diversos aspectos estudiados pero además, una insatisfacción por parte de los residentes en cuanto al grado de supervisión y a la rotación en general. Conclusiones: habrá que profundizar sobre todos estos aspectos en futuros estudios con objeto de mejorar la calidad de la rotación en Psiquiatría de Enlace y con ello la del propio Servicio, favoreciendo así, además, la formación de futuros especialistas en esta área de la Psiquiatría (AU)
Subject(s)
Humans , Teaching , Referral and Consultation , Surveys and Questionnaires , Spain , Mental Health Services , PsychiatryABSTRACT
BACKGROUND: Consultation-Liaison Psychiatry plays a major role in the training and clinical activity during the General Psychiatry Residency. Nevertheless, our national residency program for Psychiatry does not define either goals or distinct activities for the C-L Psychiatry rotation. METHODS: In order to: a) assess its current situation within the official teaching centers in Spain and b) determine the perceived opinion of the residents; a 41 item survey was mailed to 253 third and fourth year residents in Psychiatry to evaluate organizational issues of the C-L services, main aspects of this rotation, perceived quality, level of satisfaction and training needs. RESULTS: At least one resident from 40 out of the 67 accredited training centers answered the survey. The information gathered shown, as it was foreseen, that C-L training within the general psychiatry residency is very heterogeneous; furthermore it was documented some unsatisfaction regarding both the level of supervision and the rotation itself. CONCLUSIONS: Future studies are needed to get a closer look at all these aspects in order to improve the quality of both the rotation in C-L psychiatry and the standards of the C-L service itself. This endeavour shall benefit the training in C-L Psychiatry of the future spanish general psychiatrists.
Subject(s)
Psychiatry/education , Referral and Consultation , Surveys and Questionnaires , Teaching , Humans , Mental Health Services , SpainABSTRACT
This review is aimed to provide some basic criteria intended to be useful as a C-L training guideline. Teaching foundations for C-L Psychiatry are reviewed and the main features of the training schemes in C-L Psychiatry Services or Units are outlined taking in to considerations the four main perspectives such as clinical, teaching, research and management activities. Furthermore, a core curriculum for a teaching is recommended. Teaching principles for C-L Psychiatry should be meditated; due to the absence of national publications in this specific area, this article might give the opportunity to get started in an open debate. In spite of a worldwide promising future for C-L Psychiatry, in Spain there are still few Services or units developed and fewer of those providing a formal teaching program, so an opportunity for a major shift is served.
Subject(s)
Psychiatry/education , Referral and Consultation , Humans , ResearchABSTRACT
Every day there are 6000-7000 papers published in science. Since the C-L psychiatrist may be asked to consult on a patient with any medical illness, and who may be on any medical drug, methods need to be developed to review the recent literature and have an awareness of current findings. At the same time, teachers need to develop a current listing of seminal papers for trainees and practitioners of this subspecialty of psychiatry. Experts chosen because of their writings and acknowledged contributions to their subspecialty interests have sifted through thousands of articles to select the ones they regard as the most important for trainees in C-L psychiatry. In addition, certain countries--Spain, Portugal, Germany, Mexico, Australia and Brazil are developing national databases of C-L literature not only for their own use, but also to bring them to the attention of other parts of the world. This fifth iteration of the C-L literature database has especially targeted the period of 1996-1999--the millennium issue--in order to have easier access to contemporary essential studies on common problems. Part II of this issue describes the seminal cardiac drug-psychotropic drug interactions that the C-L psychiatrist may encounter in the most common medical disease in the United States--coronary heart disease--with advise to the practitioner as to their management. The use of the Internet and institutional Intranets is described.
