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Article: What do primary care doctors get out of a year-long postgraduate course in community psychological medicine

TitleWhat do primary care doctors get out of a year-long postgraduate course in community psychological medicine
Authors
Keywordsfamily physicians
general practice
mental disorders
postgraduate training
primary care
Issue Date2011
PublisherBaywood Publishing Co., Inc. The Journal's web site is located at http://www.baywood.com/journals/PreviewJournals.asp?Id=0091-2174
Citation
International Journal Of Psychiatry In Medicine, 2011, v. 42 n. 2, p. 133-149 How to Cite?
AbstractObjective: There are increasing expectations on primary care doctors to care for patients with common mental health problems. This study examines the outcomes of a postgraduate training course in psychological medicine for primary care doctors. Methods: A questionnaire developed by the research team was sent to the Course graduates (year 2003-2007). A retrospective design was adopted to compare their clinical practice characteristics before and after the Course. Differences in the ratings by the respondents before and after the Course were analyzed using the nonparametric Wilcoxon signed rank test. Results: Sixty-nine graduates replied with a response rate of 58.5% (69/118). Most respondents were confident of diagnosing (96.9%) and managing (97.0%) common mental health problems after the Course, compared to 50.0% and 50.7%, respectively, before the Course. Most graduates had modified their approach, increased their attention and empathy to patients with mental health problems. The percentage of respondents having enough time to treat these patients had increased from 55.8% to 72.1%. The median number of patients with mental health problems seen per week was in the range of 3-6 before, and had increased to the range of 7-10 after the Course. The proportion of respondents being confident of making appropriate referrals had increased from 72.8% to 97.0%, while the number of referrals to psychiatrists had dropped significantly. Conclusions: The Course is effective in improving graduates' confidence, attitude, and skills in treating patients with common mental health problems. There are significant increases in the number of mental health patients handled, increased confidence in making referrals to psychiatrists, and decreased percentage of patients being referred. © 2011, Baywood Publishing Co., Inc.
Persistent Identifierhttp://hdl.handle.net/10722/151763
ISSN
2015 Impact Factor: 0.824
2015 SCImago Journal Rankings: 0.439
ISI Accession Number ID
Funding AgencyGrant Number
Committee on Research and Conference Grants of The University of Hong Kong200807176094
Funding Information:

This study was funded by Committee on Research and Conference Grants of The University of Hong Kong [grant number 200807176094].

References

 

DC FieldValueLanguage
dc.contributor.authorLam, TPen_HK
dc.contributor.authorGoldberg, Den_HK
dc.contributor.authorTse, EYYen_HK
dc.contributor.authorLam, KFen_HK
dc.contributor.authorMak, KYen_HK
dc.contributor.authorLam, EWWen_HK
dc.date.accessioned2012-06-26T06:28:01Z-
dc.date.available2012-06-26T06:28:01Z-
dc.date.issued2011en_HK
dc.identifier.citationInternational Journal Of Psychiatry In Medicine, 2011, v. 42 n. 2, p. 133-149en_HK
dc.identifier.issn0091-2174en_HK
dc.identifier.urihttp://hdl.handle.net/10722/151763-
dc.description.abstractObjective: There are increasing expectations on primary care doctors to care for patients with common mental health problems. This study examines the outcomes of a postgraduate training course in psychological medicine for primary care doctors. Methods: A questionnaire developed by the research team was sent to the Course graduates (year 2003-2007). A retrospective design was adopted to compare their clinical practice characteristics before and after the Course. Differences in the ratings by the respondents before and after the Course were analyzed using the nonparametric Wilcoxon signed rank test. Results: Sixty-nine graduates replied with a response rate of 58.5% (69/118). Most respondents were confident of diagnosing (96.9%) and managing (97.0%) common mental health problems after the Course, compared to 50.0% and 50.7%, respectively, before the Course. Most graduates had modified their approach, increased their attention and empathy to patients with mental health problems. The percentage of respondents having enough time to treat these patients had increased from 55.8% to 72.1%. The median number of patients with mental health problems seen per week was in the range of 3-6 before, and had increased to the range of 7-10 after the Course. The proportion of respondents being confident of making appropriate referrals had increased from 72.8% to 97.0%, while the number of referrals to psychiatrists had dropped significantly. Conclusions: The Course is effective in improving graduates' confidence, attitude, and skills in treating patients with common mental health problems. There are significant increases in the number of mental health patients handled, increased confidence in making referrals to psychiatrists, and decreased percentage of patients being referred. © 2011, Baywood Publishing Co., Inc.en_HK
dc.languageengen_US
dc.publisherBaywood Publishing Co., Inc. The Journal's web site is located at http://www.baywood.com/journals/PreviewJournals.asp?Id=0091-2174-
dc.relation.ispartofInternational Journal of Psychiatry in Medicineen_HK
dc.subjectfamily physiciansen_HK
dc.subjectgeneral practiceen_HK
dc.subjectmental disordersen_HK
dc.subjectpostgraduate trainingen_HK
dc.subjectprimary careen_HK
dc.subject.meshAttitude Of Health Personnelen_US
dc.subject.meshCommunity Psychiatry - Educationen_US
dc.subject.meshCurriculumen_US
dc.subject.meshEducation, Medical, Graduateen_US
dc.subject.meshEducational Measurementen_US
dc.subject.meshEmpathyen_US
dc.subject.meshHong Kongen_US
dc.subject.meshHumansen_US
dc.subject.meshMental Disorders - Diagnosis - Therapyen_US
dc.subject.meshPhysician's Practice Patternsen_US
dc.subject.meshPhysician-Patient Relationsen_US
dc.subject.meshPhysicians, Primary Care - Educationen_US
dc.subject.meshPilot Projectsen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshReferral And Consultationen_US
dc.subject.meshRetrospective Studiesen_US
dc.titleWhat do primary care doctors get out of a year-long postgraduate course in community psychological medicineen_HK
dc.typeArticleen_HK
dc.identifier.emailLam, TP: tplam@hku.hken_HK
dc.identifier.emailLam, KF: hrntlkf@hkucc.hku.hken_HK
dc.identifier.authorityLam, TP=rp00386en_HK
dc.identifier.authorityLam, KF=rp00718en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.2190/PM.42.2.cen_HK
dc.identifier.pmid22409093-
dc.identifier.scopuseid_2-s2.0-83655164624en_HK
dc.identifier.hkuros200251-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-83655164624&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume42en_HK
dc.identifier.issue2en_HK
dc.identifier.spage133en_HK
dc.identifier.epage149en_HK
dc.identifier.isiWOS:000299590700003-
dc.publisher.placeUnited States-
dc.identifier.scopusauthoridLam, TP=55232643600en_HK
dc.identifier.scopusauthoridGoldberg, D=7401442597en_HK
dc.identifier.scopusauthoridTse, EYY=25640445800en_HK
dc.identifier.scopusauthoridLam, KF=8948421200en_HK
dc.identifier.scopusauthoridMak, KY=7102680251en_HK
dc.identifier.scopusauthoridLam, EWW=54782903200en_HK

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