Medical Decision-Making by Psychiatry Residents

Autor/inn/en	El-Mallakh, Rif; Zinner, Jill; Mackey, Amanda; Tamas, Rebecca L.; Martin, Chanley M.; Dalton, Jerad; Dhaliwal, Nitu; Luddington, Nicole; Numan, Farhad U.; Nunes, Ross; Taylor, Stephen; Ye, Lu
Titel	Medical Decision-Making by Psychiatry Residents
Quelle	In: Academic Psychiatry, 31 (2007) 4, S.326-328 (3 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1042-9670
DOI	10.1176/appi.ap.31.4.326
Schlagwörter	Decision Making; Psychiatric Services; Patients; Medical Evaluation; Referral; Graduate Students; Medical Students; Psychiatry; Intervention; Medical Services + Suchen Sie Ihr Suchwort? Decision-making; Entscheidungsfindung; Psychiatric care; Psychiatrische Versorgung; Patient; Graduate Study; Student; Students; Aufbaustudium; Graduiertenstudium; Hauptstudium; Studentin; Psychiatrie; Arzt
Abstract	Objective: Several conspiring factors have resulted in an increase in the level of medical burden in psychiatric patients. Psychiatry residents require increasing levels of medical sophistication. To assess the medical decision-making of psychiatry residents, the authors examined the outcome in subjects initially seen in the emergency psychiatric service and referred to the medical emergency department for medical evaluation and treatment. Method: Psychiatry residents completed a survey sheet for every patient referred for medical evaluation from the emergency psychiatric service. The survey collected information on demographics, the level of subjective concern, and the anticipated level of medical intervention. Results: Twenty-seven medical referrals were made in the 6-week study period. Complete data were available for 23 (85.2%) subjects. Psychiatry residents accurately predicted the medical intervention 43.5% of the time. They overestimated the intervention 26.1% of the time and underestimated the intervention 30.4% of the time. Conclusions: Psychiatry residents' medical decision-making can be improved. Additional research is required to determine whether additional medical training is needed or whether our findings are a consequence of the variability in how different physicians address medical problems. (As Provided).
Anmerkungen	American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Suite 1825, Arlington, VA 22209-3901. Tel: 800-368-5777; Tel: 703-907-7856; Fax: 703-907-1092; e-mail: appi@psych.org; Web site: http://ap.psychiatryonline.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10