Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists

Background: Despite an increase in psychiatry trainees’ interest in global mental health (GMH), there is a lack of relevant training competencies developed using educational frameworks that incorporate viewpoints from high- and low-income countries. Objective: The aim of this study was to determine...

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Autores principales:	Colin Buzza, Anna Fiskin, Jorien Campbell, Jennifer Guo, Jacob Izenberg, Barbara Kamholz, Erick Hung, Bibhav Acharya
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2018
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/19626b19ad09485ba15afbb91549c538
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spelling	oai:doaj.org-article:19626b19ad09485ba15afbb91549c5382021-12-02T07:29:44ZCompetencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists2214-999610.29024/aogh.2382https://doaj.org/article/19626b19ad09485ba15afbb91549c5382018-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2382https://doaj.org/toc/2214-9996Background: Despite an increase in psychiatry trainees’ interest in global mental health (GMH), there is a lack of relevant training competencies developed using educational frameworks that incorporate viewpoints from high- and low-income countries. Objective: The aim of this study was to determine competencies for a two-year post-graduate GMH fellowship for psychiatrists utilizing Kern’s six-step process as a theoretical framework for curriculum development. Methods: We conducted a targeted needs assessment via key informant interviews with a purposive sample of stakeholders (n = 19), including psychiatry trainees, generalist clinicians, medical directors, psychiatrists, researchers, and GMH educators from high- and low-resource settings in the United States and abroad. We analyzed data using a template method of thematic analysis. Findings: We tabulated learning objectives across 20 domains. Broadly, clinical objectives focused on providing supervision for short-term, evidence-based psychotherapies and on identifying red flags and avoiding harmful medication use among vulnerable populations such as children and the elderly. Non-clinical objectives focused on social determinants of health, education, and clinical supervision as part of capacity-building for non-specialists, engagement in a systems-wide project to improve care, and ethical and equitable partnerships that involve reciprocal and bidirectional education. Several competencies were also relevant for global health work in general. Conclusions: A theory-informed framework for curriculum development and a diverse set of key informants can provide educational objectives that meet the priorities of the trainees and the clinical sites in both low- and high-income settings. Limitations of this study include a small sample size and a focus on clinical needs of specific sites, both of which may affect generalizability. Given the focus on training specialists (psychiatrists), the low-resource sites highlighted the importance of educating and supervising their permanent, generalist clinicians, rather than providing direct, independent patient care.Colin BuzzaAnna FiskinJorien CampbellJennifer GuoJacob IzenbergBarbara KamholzErick HungBibhav AcharyaUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 84, Iss 4 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Colin Buzza Anna Fiskin Jorien Campbell Jennifer Guo Jacob Izenberg Barbara Kamholz Erick Hung Bibhav Acharya Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists
description	Background: Despite an increase in psychiatry trainees’ interest in global mental health (GMH), there is a lack of relevant training competencies developed using educational frameworks that incorporate viewpoints from high- and low-income countries. Objective: The aim of this study was to determine competencies for a two-year post-graduate GMH fellowship for psychiatrists utilizing Kern’s six-step process as a theoretical framework for curriculum development. Methods: We conducted a targeted needs assessment via key informant interviews with a purposive sample of stakeholders (n = 19), including psychiatry trainees, generalist clinicians, medical directors, psychiatrists, researchers, and GMH educators from high- and low-resource settings in the United States and abroad. We analyzed data using a template method of thematic analysis. Findings: We tabulated learning objectives across 20 domains. Broadly, clinical objectives focused on providing supervision for short-term, evidence-based psychotherapies and on identifying red flags and avoiding harmful medication use among vulnerable populations such as children and the elderly. Non-clinical objectives focused on social determinants of health, education, and clinical supervision as part of capacity-building for non-specialists, engagement in a systems-wide project to improve care, and ethical and equitable partnerships that involve reciprocal and bidirectional education. Several competencies were also relevant for global health work in general. Conclusions: A theory-informed framework for curriculum development and a diverse set of key informants can provide educational objectives that meet the priorities of the trainees and the clinical sites in both low- and high-income settings. Limitations of this study include a small sample size and a focus on clinical needs of specific sites, both of which may affect generalizability. Given the focus on training specialists (psychiatrists), the low-resource sites highlighted the importance of educating and supervising their permanent, generalist clinicians, rather than providing direct, independent patient care.
format	article
author	Colin Buzza Anna Fiskin Jorien Campbell Jennifer Guo Jacob Izenberg Barbara Kamholz Erick Hung Bibhav Acharya
author_facet	Colin Buzza Anna Fiskin Jorien Campbell Jennifer Guo Jacob Izenberg Barbara Kamholz Erick Hung Bibhav Acharya
author_sort	Colin Buzza
title	Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists
title_short	Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists
title_full	Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists
title_fullStr	Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists
title_full_unstemmed	Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists
title_sort	competencies for global mental health: developing training objectives for a post-graduate fellowship for psychiatrists
publisher	Ubiquity Press
publishDate	2018
url	https://doaj.org/article/19626b19ad09485ba15afbb91549c538
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Competencies for Global Mental Health: Developing Training Objectives for a Post-Graduate Fellowship for Psychiatrists

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