Transitions in Care: A Workshop to Help Residents and Fellows Provide Safe, Effective Handoffs for Acute Psychiatric Patients

Introduction Focused training in care transitions is an ACGME-required component of resident education. However, there are limited published curricular resources specific to trainees in psychiatry to help develop this crucial skill. Methods We developed a 90-minute interactive workshop on care trans...

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Autores principales: Amber Frank, Rachel Berlin, Solomon Adelsky, Lee Robinson
Formato: article
Lenguaje:EN
Publicado: Association of American Medical Colleges 2020
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Acceso en línea:https://doaj.org/article/8ed4e8c2608f4c51a5cb1fdb5fb7ea3d
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spelling oai:doaj.org-article:8ed4e8c2608f4c51a5cb1fdb5fb7ea3d2021-11-19T14:11:46ZTransitions in Care: A Workshop to Help Residents and Fellows Provide Safe, Effective Handoffs for Acute Psychiatric Patients10.15766/mep_2374-8265.109512374-8265https://doaj.org/article/8ed4e8c2608f4c51a5cb1fdb5fb7ea3d2020-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10951https://doaj.org/toc/2374-8265Introduction Focused training in care transitions is an ACGME-required component of resident education. However, there are limited published curricular resources specific to trainees in psychiatry to help develop this crucial skill. Methods We developed a 90-minute interactive workshop on care transitions in psychiatry for general adult psychiatry residents (PGY 2-PGY 4), child and adolescent fellows, and consult-liaison fellows. Trainees collaborated in interdisciplinary teams to explore a vignette in which a patient moved through four different venues of care (outpatient, emergency department, inpatient medical, and inpatient psychiatric). Guiding questions prompted discussions of critical issues related to logistics and clinical communication for each transition between care environments. Results In a postworkshop anonymous survey, 100% of trainee participants (n = 30) felt the workshop was successful in creating the opportunity to develop relationships with, and learn from, colleagues at other levels of psychiatry training. Ninety percent responded affirmatively that they were able to identify key elements of an effective handoff for an acute psychiatric patient. Eighty-three percent identified being able to describe logistical steps for transferring the care of patients between mental health services at their institution. Discussion Trainee participants found the workshop beneficial for understanding the steps needed to transfer patients between levels of care safely, discussing and debating gray areas with peers and faculty, and developing interdisciplinary relationships within psychiatry. Faculty participants described an interest in using the workshop as a faculty development exercise. This workshop fills a critical gap in available curricula on transitions in care in psychiatry.Amber FrankRachel BerlinSolomon AdelskyLee RobinsonAssociation of American Medical CollegesarticlePsychiatryCare TransitionsTransitionsResidencyFellowshipCase-Based LearningMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution DOAJ
collection DOAJ
language EN
topic Psychiatry
Care Transitions
Transitions
Residency
Fellowship
Case-Based Learning
Medicine (General)
R5-920
Education
L
spellingShingle Psychiatry
Care Transitions
Transitions
Residency
Fellowship
Case-Based Learning
Medicine (General)
R5-920
Education
L
Amber Frank
Rachel Berlin
Solomon Adelsky
Lee Robinson
Transitions in Care: A Workshop to Help Residents and Fellows Provide Safe, Effective Handoffs for Acute Psychiatric Patients
description Introduction Focused training in care transitions is an ACGME-required component of resident education. However, there are limited published curricular resources specific to trainees in psychiatry to help develop this crucial skill. Methods We developed a 90-minute interactive workshop on care transitions in psychiatry for general adult psychiatry residents (PGY 2-PGY 4), child and adolescent fellows, and consult-liaison fellows. Trainees collaborated in interdisciplinary teams to explore a vignette in which a patient moved through four different venues of care (outpatient, emergency department, inpatient medical, and inpatient psychiatric). Guiding questions prompted discussions of critical issues related to logistics and clinical communication for each transition between care environments. Results In a postworkshop anonymous survey, 100% of trainee participants (n = 30) felt the workshop was successful in creating the opportunity to develop relationships with, and learn from, colleagues at other levels of psychiatry training. Ninety percent responded affirmatively that they were able to identify key elements of an effective handoff for an acute psychiatric patient. Eighty-three percent identified being able to describe logistical steps for transferring the care of patients between mental health services at their institution. Discussion Trainee participants found the workshop beneficial for understanding the steps needed to transfer patients between levels of care safely, discussing and debating gray areas with peers and faculty, and developing interdisciplinary relationships within psychiatry. Faculty participants described an interest in using the workshop as a faculty development exercise. This workshop fills a critical gap in available curricula on transitions in care in psychiatry.
format article
author Amber Frank
Rachel Berlin
Solomon Adelsky
Lee Robinson
author_facet Amber Frank
Rachel Berlin
Solomon Adelsky
Lee Robinson
author_sort Amber Frank
title Transitions in Care: A Workshop to Help Residents and Fellows Provide Safe, Effective Handoffs for Acute Psychiatric Patients
title_short Transitions in Care: A Workshop to Help Residents and Fellows Provide Safe, Effective Handoffs for Acute Psychiatric Patients
title_full Transitions in Care: A Workshop to Help Residents and Fellows Provide Safe, Effective Handoffs for Acute Psychiatric Patients
title_fullStr Transitions in Care: A Workshop to Help Residents and Fellows Provide Safe, Effective Handoffs for Acute Psychiatric Patients
title_full_unstemmed Transitions in Care: A Workshop to Help Residents and Fellows Provide Safe, Effective Handoffs for Acute Psychiatric Patients
title_sort transitions in care: a workshop to help residents and fellows provide safe, effective handoffs for acute psychiatric patients
publisher Association of American Medical Colleges
publishDate 2020
url https://doaj.org/article/8ed4e8c2608f4c51a5cb1fdb5fb7ea3d
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AT solomonadelsky transitionsincareaworkshoptohelpresidentsandfellowsprovidesafeeffectivehandoffsforacutepsychiatricpatients
AT leerobinson transitionsincareaworkshoptohelpresidentsandfellowsprovidesafeeffectivehandoffsforacutepsychiatricpatients
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