Evidence map›Paper›PMID 42432339›Full record

ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2026

A Quality Improvement Initiative to Improve Psychiatry Trainees' Knowledge and Confidence in Levels of Care.

Khalid O Alshaibani, Kira Tiula, Varsha Radhakrishnan

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Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Khalid O AlshaibaniTufts Medical Center, Boston, MA, USA. kh.shaibani@gmail.com.
Kira TiulaTufts Medical Center, Boston, MA, USA.
Varsha RadhakrishnanTufts Medical Center, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate a brief educational intervention designed to improve psychiatry residents' confidence and knowledge in making level-of-care (LOC) decisions for patients in crisis.

methodsPsychiatry residents at Tufts Medical Center participated in a quality improvement initiative consisting of a self-guided didactic session and a structured decision-making tool outlining inpatient, intermediate, and community-based LOC options. Residents completed pre- and post-intervention surveys assessing self-reported confidence and objective knowledge. Data were analyzed using paired Wilcoxon signed-rank tests.

resultsThe intervention was associated with increased residents' overall confidence in LOC decision-making. The largest gains occurred in less familiar intermediate and community-based settings, such as crisis stabilization units and partial hospitalization programs. Residents reported greater awareness of alternatives beyond inpatient admission or discharge, and objective knowledge scores showed consistent improvement across domains.

conclusionsThis quality improvement initiative was associated with increased psychiatry trainees' knowledge and confidence in navigating LOC decisions. This initiative highlighted a potential educational gap in our program and suggests that brief, structured curricula may help increase familiarity with intermediate care options.

Indexed as

Clinical CompetenceHealth Knowledge, Attitudes, PracticeInternship and ResidencyPsychiatryQuality ImprovementCurriculumHumansPsychiatristsEmergency psychiatryLevels of carePsychiatry educationQuality improvementResidency training

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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.