Psychiatric Resident Participation in an Asylum Clinic: a Single-Institutional Experience.

OBJECTIVE: This study describes the experiences of adult psychiatry residents working in an established faculty-led asylum clinic within a community-based, academic residency program at the Cambridge Health Alliance. METHODS: Eighteen psychiatry residents who participated in the asylum clinic were sent electronic surveys asking about their background and experience. Respondents' responses were collected anonymously. RESULTS: Sixteen out of 18 (89%) trainees responded. Thirteen respondents had a personal history with immigration. Fifty-three percent of residents wanted to utilize their professional standing to advance moral good. Writing up affidavits was noted to be challenging by nine (60%) of 15 trainees. Ninety-four percent (15/16) of trainees noted that they would be willing to perform future evaluations. Most noted that performing evaluations had a significant impact on their clinical practice and their conceptualization of their own roles as psychiatrists. CONCLUSIONS: Participating in asylum evaluations impacts residents' sense of themselves as psychiatrists and expands their views about psychiatrists' roles.

Survey on the Environment and Condition of Korean Psychiatric Residents from 2016 to 2017 Years / 신경정신의학

OBJECTIVES: The authors evaluated the environment and conditions of Korean psychiatric residents to identify important factors for them in determining their satisfaction with training programs. METHODS: Questionnaires on the residency training program were administered to 513 Korean psychiatric residents from 2016 to 2017. The questionnaire was composed of sociodemographic background, work environment and status of the training program. The authors analyzed questionnaire according to the residents' grade and hospital type and identified the significant factors for satisfaction with their training. RESULTS: Compared to the 1st grade, the 4th grade psychiatric residents have significantly less working time, duty days, and more sleep time, mealtime, and annual salary. In the hospital type, the residents of general hospitals and university hospitals have more working time, annual salary, and accessibility to educational material than mental hospitals. The satisfaction with their training is higher in the 1st grade than in the 4th grade, in those with more than six hours of sleep time, and in residents who are satisfied with the accessibility of educational materials. CONCLUSION: Compared to the 1st grade, the working intensity of 4th grade psychiatric residents is lower and their welfare is better. To improve the satisfaction with the training program, it is necessary to make efforts to increase the sleep time of residents, improve the accessibility of educational material, identify the problem of the training program, particularly in the 4th grade, and make institutional improvements.

Emotional Reaction of Psychiatric Nurses and Resident Physicians toward Suicidal Behavior in Psychiatric Inpatients / 정신간호학회지

PURPOSE: In this study, emotional reaction of psychiatric nurses and resident physicians toward suicidal behavior of psychiatric inpatients was examined. METHODS: Subjects were 396 working in general hospitals or mental hospitals. Demographic factors, exposure to suicidal behaviors, mood states, and impact of event scores were collected between April and July 2008. Mood state was measured with Korean Edition of Profile of Mood States (K-POMS). Impact of event was measured with Impact of Event Scale-revised (IES-R). RESULTS: Of the respondents, 90.9% experienced at least one inpatient suicidal behavior. Emotional responses of respondents after their patients' suicidal behavior were shock, anxiety, self-doubt and disbelief. Mood states were negative for those who had worked over 10 years, had experienced colleagues quitting and were significantly different according to patient's diagnosis, period of maintaining emotions, and level of stress. Impact of event was high among those who were nurses, had worked in mental hospitals, had worked over 10 years, had experienced colleagues quitting and were significantly differenced according to job status, patient's diagnosis, period of maintaining emotion, and level of stress. CONCLUSION: This study confirms that suicidal behaviors of inpatients are commonly encountered and significantly stressful events for psychiatric nurses and physicians.