About: Optimizing Fit: Targeting a Residency Psychiatry Consultation-Liaison Rotation to Various Levels of Training

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Optimizing Fit: Targeting a Residency Psychiatry Consultation-Liaison Rotation to Various Levels of Training
Creator	Beach, Scott Boland, Robert Ernst, Carrie Fischel, Steven Shalev, Daniel
source	Elsevier; Medline; PMC
abstract	INTRODUCTION: Determining the optimal timing and structure for a core residency rotation in consultation-liaison psychiatry (CLP) remains a key challenge for program directors and rotation leaders. Previous surveys have been conducted regarding these questions and guidelines from national organizations have been issued, but practices remain varied among institutions. METHODS: We conducted a narrative review of the literature related to the timing of CLP rotations and generated consensus recommendations based on our experience as program directors, rotation leaders, and residents. RESULTS: Explicit goals of CLP training in residency include identifying and treating psychiatric manifestation of medical illness and communicating effectively with primary teams. Implicit goals of training may include conflict management, limit setting and “thinking dirty.” DISCUSSION: Though CLP rotations earlier in residency often create a better fit within the overarching curriculum and allow for generating early interest in the field, significant amounts of supervision are required and consultees may look to attendings as the primary consultant. Conversely, while later rotations are sometimes challenging to structure with other outpatient responsibilities, they allow for greater autonomy and may map better onto the informal curriculum. A hybrid model, with training spread across multiple years, is another approach that may mitigate some of the disadvantages of confining CL training to a single year. CONCLUSIONS: Compelling arguments can be made for placing the core CLP rotation in PGY-2 or -3 or using a hybrid model. Regardless of placement, program directors and rotation leaders should be mindful of tailoring the rotation to the trainees’ developmental stage.
has issue date	2020-07-17(xsd:dateTime)
bibo:doi	10.1016/j.psym.2020.07.002
bibo:pmid	32778423
has license	no-cc
sha1sum (hex)	008f12871ed535e8b890ce07b2fd28941820fa7b
schema:url	https://doi.org/10.1016/j.psym.2020.07.002
resource representing a document's title	Optimizing Fit: Targeting a Residency Psychiatry Consultation-Liaison Rotation to Various Levels of Training
has PubMed Central identifier	PMC7366985
has PubMed identifier	32778423
schema:publication	Psychosomatics
resource representing a document's body	covid:008f12871ed535e8b890ce07b2fd28941820fa7b#body_text
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