Training in Telepsychiatry

Mucic, Davor; Hilty, Donald M.

doi:10.1007/978-981-10-2350-7_26

Cited by 1 publication

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“…Interest in TBH by patients, students, and psychiatric residents and fellows has significantly increased from the 1990s and 2000s (Glover et al 2013 ; Hilty et al 2020d ), but technological experiences can be difficult, and early systems had problems; this affected user experience, and some were hesitant to share their concerns (Hilty et al 2013 ; Myers et al 2015 ). Residents across medicine have attributed inadequate experience with telemedicine, false beliefs of teachers, and speculation about efficacy as the key limiting factors (Glover et al 2013 ; Mucic and Hilty 2018 ). Patients, clinicians, and others adopt technology on a continuum from slow to fast based on motivation and other factors like generation/age (i.e., digital natives versus immigrants) (Wang et al 2013 ).…”

Section: Introductionmentioning

confidence: 99%

A Survey of Residents/Fellows, Program Directors, and Faculty About Telepsychiatry: Clinical Experience, Interest, and Views/Concerns

Cruz

Orchard

Shoemaker

et al. 2021

J. technol. behav. sci.

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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.

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