Evidence map›Paper›PMID 39329058›Full record

ArticlePCN reports : psychiatry and clinical neurosciences2024

Integrating psychiatry into basic clinical skills: A three-year nationwide quantitative assessment of postgraduate training programs.

Hidetaka Tamune, Hirohisa Fujikawa, Hiroyuki Harada, Tomoyuki Kodama, Masaaki Sasaki, Daichi Sone, Miwa Sekine, Masanobu Ito, Tadafumi Kato, Yuji Nishizaki and 1 more

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Hidetaka TamuneDepartment of Psychiatry and Behavioral Science Juntendo University Graduate School of Medicine Tokyo Japan.ORCID 0000-0002-5581-5720
Hirohisa FujikawaCenter for General Medicine Education, School of Medicine Keio University Tokyo Japan.ORCID 0000-0002-8195-1267
Hiroyuki HaradaDepartment of Psychiatry and Behavioral Science Juntendo University Graduate School of Medicine Tokyo Japan.ORCID 0009-0001-1820-9422
Tomoyuki KodamaKodama Medical Clinic Kamisu Ibaraki Japan.
Masaaki SasakiDepartment of Psychiatry Toranomon Hospital Kajigaya Kawasaki Kanagawa Japan.
Daichi SoneDepartment of Psychiatry Jikei University School of Medicine Tokyo Japan.ORCID 0000-0001-9617-706X
Miwa SekineDivision of Medical Education Juntendo University School of Medicine Tokyo Japan.
Masanobu ItoDepartment of Psychiatry and Behavioral Science Juntendo University Graduate School of Medicine Tokyo Japan.
Tadafumi KatoDepartment of Psychiatry and Behavioral Science Juntendo University Graduate School of Medicine Tokyo Japan.ORCID 0000-0001-7856-3952
Yuji NishizakiDivision of Medical Education Juntendo University School of Medicine Tokyo Japan.ORCID 0000-0002-6964-6702
Yasuharu TokudaMuribushi Okinawa for Teaching Hospitals Urasoe Okinawa Japan.ORCID 0000-0002-9325-7934

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The aim of this study was to develop quantitative outcome indicators for psychiatric training programs integrated into the General Medicine In-Training Examination (GM-ITE) and to investigate which characteristics correlate with high scores in psychiatry. Methods: A nationwide cross-sectional study was conducted over 3 fiscal years (2021-2023). An anonymous online questionnaire was distributed to postgraduate year 1 and 2 residents who completed the GM-ITE. The primary outcome was GM-ITE score, with a particular focus on psychiatry. Multiple-choice questions for the psychiatry field were created by board-certified psychiatrists with various subspecialties, then reviewed and piloted. Multiple regression analysis examined correlations between GM-ITE score and various resident and facility characteristics. Results: A total of 18,226 residents participated over the 3 years, of whom 5%-6% aspired to specialize in psychiatry. Quantitative scores were effective in the psychiatry field across all 3 years. Psychiatry aspirants had lower scores in internal medicine, emergency, and total scores but higher scores in psychiatry. Residents from university hospitals had lower psychiatry scores, while the number of psychiatry beds and supervising psychiatrists did not correlate with higher psychiatry scores. These findings indicate the need for psychiatric training programs distinct from general internal medicine and emergency training. Conclusion: Based on these quantitative psychiatry scores, this study highlights the necessity of improving physical assessment skills during residency for psychiatry aspirants, who score higher in psychiatry. Future research should identify effective training programs and facility practices that lead to higher psychiatry scores among residents, and thereby better integrate psychiatry into basic clinical skills.

Indexed as

clinical competencecross‐sectional studiesinternship and residencymedical educationquality indicators

Identifiers

PMID39329058
PMCPMC11423472

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.