A curriculum for the psychiatric training of family physicians

Jones, Lesley; Knopke, Harry J.; Parlour, Richard R.; Anderson, Russell L.

doi:10.1016/0163-8343(81)90001-3

Cited by 11 publications

(4 citation statements)

References 30 publications

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“…Improvement was more related to personality and disposition than experience (76). Jones and colleagues (77,78) and Gaskins et al (79) also failed to demonstrate a positive outcome of a program that included seminars and ongoing supervision of patients with chronic psychiatric disorders for 6 months. And Carr et al (80) found no evidence that availability of community consultation improved clinical confidence, referral patterns, or psychiatric knowledge of primary care physicians.…”

Section: Effectivenessmentioning

confidence: 99%

Improving the Psychiatric Knowledge, Skills, and Attitudes of Primary Care Physicians, 1950–2000: A Review

Hodges¹,

Inch²,

Silver³

2001

AJP

200

135

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Section: Effectivenessmentioning

confidence: 99%

Improving the Psychiatric Knowledge, Skills, and Attitudes of Primary Care Physicians, 1950–2000: A Review

Hodges¹,

Inch²,

Silver³

2001

AJP

200

135

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show abstract

“…The importance of family physicians has been highlighted by publications such as a White paper of the American Academy of Family Physicians that referred to mental health services as “an essential component of comprehensive primary medical care.” 95 A model curriculum for the psychiatric training of family practitioners also has been developed. 96 …”

Section: Activities To Reduce Barriersmentioning

confidence: 99%

“…95 A model curriculum for the psychiatric training of family practitioners also has been developed. 96 The primary care version of DSM-IV is designed to assist in the recognition and diagnosis of depression; practice guidelines for treating major depression in adults in primary care settings have been developed by the AHCPR. The American Psychiatric Association, with input from many medical organizations, also has developed treatment guidelines for major depression in adults, which are primarily directed at psychiatrists, but may be helpful to primary care physicians as well.…”

Section: Activities To Reduce Barriersmentioning

confidence: 99%

Awareness, diagnosis, and treatment of depression

1999

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OBJECTIVES:To review recent findings on the epidemiology, burden, diagnosis, comorbidity, and treatment of depression, particularly in general medical settings; to delineate barriers to the recognition, diagnosis, and optimal management of depression in general medical settings; and to summarize efforts under way to reduce some of these barriers. DESIGN:M EDLINE searches were conducted to identify scientific articles published during the previous 10 years addressing depression in general medical settings and epidemiology, co-occurring conditions, diagnosis, costs, outcomes, and treatment. Articles relevant to the objective were selected and summarized. T his report reviews recent findings on the epidemiology, burden, diagnosis, comorbidity, and treatment of depression, particularly in general medical settings; describes barriers to the recognition, diagnosis, and optimal management of depression in general medical settings; and summarizes efforts under way to reduce these barriers. The American Medical Association's Council on Scientific Affairs produced a series of reports on depression in 1991. 1 CONCLUSIONS: METHODSM EDLINE searches were conducted to identify scientific articles published during the previous 10 years addressing depression in general medical settings and epidemiology, co-occurring conditions, diagnosis, costs, outcomes, and treatment. Articles relevant to the objective were selected and summarized.Major depression is the depressive disorder on which most research has been conducted. Other depressive disorders, such as dysthmyic disorder ("chronic" depression) and mixed depressive-anxiety states, are also common in general medical settings but have been studied far less. Similarly, most research has been done in adult populations; this report notes a few instances of information about children. Except for comoribidity, most of the research in this area has been in primary care settings rather than in more specialized medical environments; most research on treatment has been conducted in specialty mental health settings. EPIDEMIOLOGY IN GENERAL MEDICAL SETTINGSDepressive disorders are common in the general population, with a point prevalence of about 2% to 4% for major depressions 2 and about a 20% lifetime risk for the development of major depression or dysthymic disorder. 3,4 The rate of depression among women is 2 to 3 times that of men. 5 These findings are based on large community surveys using structured interviews. Of those seeking help for depression in the United States, nearly three fourths go to a primary care physician rather than to a mental health professional. The most common presentation in primary care is not dysphoria but rather complaints of sleep disturbance, fatigue, or pain. 6 Overall, 5% to 10% of ambulatory primary care patients and 10% to 14% of medical inpatients suffer from major depression. 7

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“…The fact that, theoretically and practically, there has always been a strong relationship between psychiatry and medicine is acknowledged from the start and, thus, this notion is built into all aspects of the curriculum. Without question, the matrix of differentiation between psychological distress, behavioral manifestations, and somatic symptomatology is, indeed, an intrinsic principle in the design and implementation of our curriculum [9][10][11][12]. Another aspect of the curriculum that is strongly emphasized is the integration of the biomedical, behavioral, psychological and sociocultural aspects of psychiatric disorders/ conditions.…”

Section: The Curriculummentioning

confidence: 99%

Training Family Practice Residents in Psychiatry: An Ambulatory Care Training Model

Matorin¹,

Ruiz²

1999

Int J Psychiatry Med

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Primary care residents have always treated a large number of psychiatric patients. Given the current status of our health care system, primary care practitioners should have even a greater role in the future delivery of psychiatric services. In this article, we offer a model of training for primary care residents in psychiatry, which emphasize cost-effectiveness, high quality of care, and ambulatory care settings.

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A curriculum for the psychiatric training of family physicians

Cited by 11 publications

References 30 publications

Improving the Psychiatric Knowledge, Skills, and Attitudes of Primary Care Physicians, 1950–2000: A Review

Improving the Psychiatric Knowledge, Skills, and Attitudes of Primary Care Physicians, 1950–2000: A Review

Awareness, diagnosis, and treatment of depression

Training Family Practice Residents in Psychiatry: An Ambulatory Care Training Model

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