Document Detail


Psychiatric residents' experience conducting disability evaluations.
MedLine Citation:
PMID:  20431102     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The increasing frequency and societal cost of psychiatric disability underscore the need for accuracy in evaluating patients who seek disability benefits. The authors investigated senior psychiatric residents' experiences performing disability evaluations, their self-assessment of competence for this task, and whether they perceived a need for more training.
METHODS: Seventy-nine third- and fourth-year psychiatric residents in Massachusetts and Rhode Island training programs were surveyed from May to June in 2008. Participants were asked about the frequency of requests and completion of disability evaluations, the practice patterns followed when performing evaluations, the identification of role and potential conflict of interest in doing evaluations, and their sense of preparedness and need for more training.
RESULTS: Residents reported having limited experience performing disability evaluations and followed a variety of practice patterns when performing evaluations. They reported having a limited understanding of what constitutes psychiatric disability and a lack of confidence in their ability to perform evaluations accurately. A significant minority had identified patients as disabled despite believing otherwise. A majority of residents reported receiving no didactics on psychiatric disability and desired more training.
CONCLUSION: Residents may be unprepared to perform disability evaluations. Residency programs may need to provide additional training.
Authors:
Paul P Christopher; Robert J Boland; Patricia R Recupero; Katharine A Phillips
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry     Volume:  34     ISSN:  1545-7230     ISO Abbreviation:  Acad Psychiatry     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-04-30     Completed Date:  2010-08-10     Revised Date:  2010-12-17    
Medline Journal Info:
Nlm Unique ID:  8917200     Medline TA:  Acad Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  211-5     Citation Subset:  IM    
Affiliation:
UMass Medical School, Department of Psychiatry, 55 Lake Avenue North, Worcester, MA 01655, USA. paul.christopher@umassmed.edu
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MeSH Terms
Descriptor/Qualifier:
Clinical Competence
Disability Evaluation*
Humans
Internship and Residency*
Psychiatry / education*
Grant Support
ID/Acronym/Agency:
K24 MH063975-11/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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