The effectiveness of telepsychiatry video for clinical care is well established, and clinician and psychiatry resident interest in it is growing—particularly in light of the COVID-19 impact. Still, few residency programs in the United States have core curricula, rotations/electives available, and competencies, and many faculty have no experience. A survey was sent via national organization listserves for residents, fellows, faculty, and program directors to complete. The survey queried demographics, clinical experience and interest, and views/concerns, using Likert-like and yes/no questions. Descriptive statistics and other analyses compared the groups to assess impact of clinical experience on interest and views/concerns. Respondents (N = 270) have limited clinical experience with telepsychiatry (46% none), with trainees having less than others, and yet, most were very interested or interested in it (68%). Trainees (N = 123) have concerns about being prepared for future practice. Clinical experience with video in the range of 6–20 h appears to dramatically increase interest and reduce concerns, though less time has a positive effect. Respondents have concerns about connectivity, medico-legal issues, and clinical effectiveness (e.g., diverse populations, psychosis, and emergencies) with telepsychiatry. More research is needed to assess current clinical and curricular experience, interest, and concerns. Additional curricular interventions during residency and fellowship training could build skills and confidence, if this is feasible, and the benefits outweigh the costs.

Telepsychiatry's effectiveness is well established, and interest in it is growing, despite few residency/fellowship core curricula and rotations. A link to a cross-sectional survey was sent via national organization listservs for psychiatry residents, fellows, faculty, and program directors to complete. The survey queried demographics, clinical experience, and views/concerns about telepsychiatry. Descriptive statistics and other analyses compared groups to assess the impact of amount clinical experience and psychiatric specialty (general vs. child and adolescent psychiatry), on interest, and views/concerns about the practice of telepsychiatry. All respondents (N = 270; child psychiatry N = 89) have limited clinical experience with telepsychiatry (46% overall; 49% of non-child had none versus 40% child). Trainees (N = 123; child N = 43) expressed less interest than others. All respondents expressed worry about ability to do a physical exam, connectivity, medico-legal issues, and fit for diverse populations. Child respondents expressed less concern than others, but they reported more worry about loss of nonverbal cues. Clinical experience with telepsychiatry in the range of 6-20 h appears to build interest and allay concerns, though 1-5 h also may have a positive impact. More research is needed to assess clinical experience, interest, and concerns for adult and child psychiatry trainees and clinicians. Replicable, curricular interventions appear to be indicated.

ResumoEste trabalho demonstra o ganho potencial de energia elétrica que é conseguido alterando a velocidade dos motores elétricos do sistema de desempoeiramento através da utilização de inversores de freqüência. A proposta prevê a alteração da velocidade, desenvolvendo uma nova forma de se controlar a vazão não mais por variação de posição de dampers mas por variação de velocidade dos ventiladores considerando as fases do processo. As seguintes fases são consideradas no processo: carregamento, sopro, amostragem, redução, vazamento, slag splashing, tempo entre carregamento e sopro e ociosidade. Sendo o ganho expressivo nos momentos de ociosidade do convertedor MRP-L. Com a proposta de redução de 65% da energia consumida o projeto se torna viável devido a um pay-back menor que 2,5 anos. Este projeto foi implantando no final de março de 2017 e o ganho na redução do consumo de energia elétrica está na ordem de 55%. Palavras-chave:Sistema desempoeiramento MRP-L, Economia Energia. FREQUENCY INVERTER IN APERAM SOUTH AMERICA MRPL FANS EXHAUST SYSTEM -TIMÓTEO PLANT AbstractThis work demonstrates the potential save of electric energy that is achieved by changing the speed of the electric motors of the dedusting system through the use of frequency inverters. The proposal foresees the change of speed, developing a new way of controlling the flow no longer by variation of position of dampers but by variation of speed of the fans considering the steps of the process. The following steps are considered in the process: charging, oxigen blowing, sampling, reduction, tapping, slag splashing, time between charging and blowing and idleness. The expressive gain is on the idle moments of the MRP-L converter. With the proposed reduction of 65% of energy consumed the project becomes viable due to a payback of less than 2.5 years. This project was implemented at the end of March 2017 and the save in the reduction of the consumption of electric energy is in the order of 55%.