Evidence map›Paper›PMID 41345622›Full record

ReviewBMC medical education2025

Evaluating training and competency assessment in public and community psychiatry: a narrative review.

David R A Coelho, John A Davis, Richard O Bido Medina, Oliver Freudenreich, Isabel T Lagomasino, Alex S Keuroghlian

Abstract readReview
In one paragraph

Review in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

David R A CoelhoDivision of Public and Community Psychiatry, Massachusetts General Hospital, Boston, MA, USA. daraujocoelho@mgh.harvard.edu.
John A DavisDepartment of Medicine, University of California, San Francisco, CA, USA.
Richard O Bido MedinaDivision of Public and Community Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Oliver FreudenreichDivision of Public and Community Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Isabel T LagomasinoDivision of Public and Community Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Alex S KeuroghlianDivision of Public and Community Psychiatry, Massachusetts General Hospital, Boston, MA, USA.

Funding

Massachusetts Department of Mental Health 025798
6 · The paper itself

Abstract

backgroundPublic and Community Psychiatry training prepares residents to care for underserved populations, including people with severe mental illness (SMI), people with substance use disorder (SUD), sexual and gender minorities, and those experiencing homelessness. While Public and Community Psychiatry training primarily occurs in psychiatry rotations, core competencies, such as addressing stigma and providing care for marginalized communities, are also essential in other medical specialties. Assessment methods vary widely, making competency evaluation challenging. This review aimed to examine educational assessments in Public and Community Psychiatry training and evaluate their effectiveness in measuring resident competencies.

methodsWe conducted a narrative review assessing knowledge, behaviors, and competencies in Public and Community Psychiatry training. A search was performed across PubMed, ERIC, and PsycINFO in August 2024. Studies using validated tools or custom surveys were included. Abstracts, reviews, and non-English publications were excluded.

resultsForty-one studies were categorized into five focus areas: general Public and Community Psychiatry assessment, SMI and mental health stigma, SUD, other marginalized populations, and specialized training. Validated tools such as the Community Attitudes Toward the Mentally Ill Scale (CAMI), Drug and Drug Problems Perceptions Questionnaire (DDPPQ), Health Professionals' Attitudes Toward the Homeless Inventory (HPATHI), Genderism and Transphobia Scale (GTS), and Competency Assessment Instrument for Violence Risk (CAI-V) demonstrated reliability. However, many studies relied on non-validated tools and assessed only short-term changes, limiting generalizability.

conclusionsWhile validated tools show promise, the lack of standardized, longitudinal assessments limits competency assessment. Integrating validated tools into structured frameworks with long-term assessments could improve training evaluation and better prepare residents across different specialties to provide care for underserved populations.

Indexed as

Clinical CompetenceCommunity PsychiatryEducational MeasurementInternship and ResidencyHumansMental DisordersEducational assessmentMedical educationPublic and community psychiatryResidency programsUnderserved populations

Identifiers

PMID41345622
PMCPMC12781789

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.