Evaluation of psychiatric training in the emergency room

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Abstract

Records of 233 patients evaluated by psychiatric residents in the Emergency Room and subsequently reevaluated by senior psychiatrists in the Acute Treatment Clinic were examined for gross discrepancies in diagnosis, mental status, prescribed medication, and appropriate disposition of outpatients to a crisis clinic. The work in the Emergency Room was rated satisfactory in 90% of the cases. Length of training heightened the agreement between residents and senior staff on the mental status examination, the diagnosis and, to a lesser extent, the medication. There was no relationship between length of training and the agreement about the disposition. This was probably due to the lack of follow-up of the patients by the residents who had seen them in the Emergency Room. It was concluded that for optimal training purposes the Emergency Room experience should be combined with work in a crisis clinic where residents continue to treat patients whom they have referred from the Emergency Room.

Original languageEnglish (US)
Pages (from-to)585-589
Number of pages5
JournalComprehensive Psychiatry
Volume18
Issue number6
DOIs
StatePublished - Jan 1 1977

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ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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