Subject(s)
Antidepressive Agents/administration & dosage , Diphenhydramine/administration & dosage , Hypnotics and Sedatives/administration & dosage , Psychiatric Department, Hospital , Psychotic Disorders , Sertraline/administration & dosage , Adolescent , Adolescent Psychiatry , Antipsychotic Agents/administration & dosage , Female , Haloperidol/administration & dosage , Humans , Lorazepam/administration & dosage , Psychotic Disorders/complications , Psychotic Disorders/drug therapy , Risperidone/administration & dosageSubject(s)
Antipsychotic Agents , Aripiprazole , Bipolar Disorder/drug therapy , Dystonia/chemically induced , Lithium/therapeutic use , Quetiapine Fumarate/therapeutic use , Adolescent , Antiparkinson Agents/therapeutic use , Antipsychotic Agents/adverse effects , Antipsychotic Agents/therapeutic use , Aripiprazole/adverse effects , Aripiprazole/therapeutic use , Benztropine/therapeutic use , Humans , Male , Marijuana Abuse/psychology , Risk-TakingSubject(s)
Antipsychotic Agents/administration & dosage , Clozapine/administration & dosage , Depressive Disorder, Treatment-Resistant/drug therapy , Suicide, Attempted/psychology , Adolescent , Antipsychotic Agents/adverse effects , Clozapine/adverse effects , Depressive Disorder, Treatment-Resistant/psychology , Female , Humans , Male , Transgender Persons/psychologyABSTRACT
The goal of this study was to evaluate treatment practices among psychiatry residents before and 3 months after a course on tobacco use disorder. After completing the course, residents (N=89) reported a significant increase in the frequency in nine of the 12 tobacco use disorder treatment practices studied. Participants reported being more likely to assess patient willingness to quit smoking, advise patients to stop smoking, prescribe treatment medications, and provide cessation treatment. Being a junior vs. senior resident was a significant predictor of increased practices. Completing online training was associated with significant increases in the use of specific tobacco treatments.
Subject(s)
Clinical Competence , Internship and Residency , Psychiatry/education , Smoking Cessation/methods , Tobacco Use Disorder/therapy , Attitude of Health Personnel , Female , Humans , Male , Teaching , United StatesABSTRACT
BACKGROUND AND OBJECTIVES: Despite the overwhelming need for tobacco use disorder (TUD) treatment in behavioral health settings, few models have emerged for training psychiatry residents. One barrier may be a lack of curricula or faculty expertize in this area. The goal of this project was to develop and evaluate a 3 hour online webinar-based course for teaching psychiatry residents about TUD. METHODS: Residents from 42 participating general psychiatry residency programs were emailed a unique link to course materials. Participation was voluntary. RESULTS: Two-hundred and seven residents completed the pretest measuring baseline knowledge and 199 completed the survey measuring attitudes toward treatment of tobacco use. Mean pretest scores were 53.0% correct (SD 19.6), showing low levels of baseline knowledge. Pretest knowledge scores differed by residency year, suggesting no gain in knowledge during residency training. About 80% of participants completed the entire course and posttest evaluations. Paired t tests for 150 individuals who completed both a pretest and posttest indicated a significant increase in knowledge, with a mean gain in score of 35 points. DISCUSSION AND CONCLUSIONS: Many residents reported feeling not well prepared to treat TUD from prior education. The vast majority (98%) felt the program enhanced their professional experience somewhat or substantially or would recommend the program to others (82%). SCIENTIFIC SIGNIFICANCE: Online training for residents is a viable option to address knowledge deficits in TUD. (Am J Addict 2019;28:277-284).
