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Academic Psychiatry

, Volume 43, Issue 5, pp 553–554 | Cite as

Re-examining Psychiatry Residents’ Perspectives of Primary Care

  • Bianca T. NguyenEmail author
  • Melissa R. Arbuckle
  • Claudine Jones-Bourne
Letter to the Editor

To the Editor:

In 1980, Robert Hales, a psychiatry resident at that time, recommended that psychiatry residents have “long-term contact and responsibility for medical patients … a review of medical skills immediately before completion of residency training, and direct reinforcement of the biopsychosocial conceptualization of illness” [1]. By rotating through primary care–oriented psychiatry residency programs, he believed medical students would be more attracted to psychiatry as a specialty choice. Nearly 40 years later, applications to psychiatry are on the rise. However, a call for more integrated and longitudinal primary care experience throughout psychiatry residency training remains just as critical, given a more pressing and urgent need: improving the physical health of psychiatric patients.

Disparities in physical health outcomes of psychiatric patients have been well established: patients with severe mental illness have significantly higher rates of medical comorbidity and...

Notes

Compliance with Ethical Standards

The study was reviewed and approved by the Institutional Review Board of the New York State Psychiatric Institute.

Disclosures

On behalf of all authors, the corresponding author states that there is no conflict of interest.

References

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    Hales RE. Primary care in psychiatry residency training. Gen Hosp Psychiatry. 1980;2:148–55.CrossRefPubMedGoogle Scholar
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    Jones-Bourne C, Arbuckle MR. Psychiatry residents’ perspectives of primary care in the psychiatric setting. Acad Psychiatry. 2019 Apr;43(2):196–9.CrossRefPubMedGoogle Scholar
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    Wehr LM, Vanderlip ER, Gibbons PH, Fiedorowicz JG. Psychiatry residents’ perceptions and reported practices in providing primary care. J Grad Med Educ. 2017;9(2):237–40.CrossRefPubMedPubMedCentralGoogle Scholar
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    Annamalai A, Rohrbaugh RM, Sernyak MJ. General medicine training in psychiatry residency. Acad Psychiatry. 2015;39:437–41.CrossRefPubMedGoogle Scholar
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    Jacobs C, Brieler JA, Salas J, Betancourt RM, Cronholm PF. Integrated behavioral health care in family medicine residencies: a CERA survey. Fam Med. 2018;50(5):380–4.CrossRefPubMedGoogle Scholar

Copyright information

© Academic Psychiatry 2019

Authors and Affiliations

  1. 1.Columbia University Medical Center and the New York State Psychiatric InstituteNew YorkUSA

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