Abstract
Objective
In the first year of training, psychiatry residents progress from direct supervision to indirect supervision but factors predicting time to transition between these levels of supervision are unknown. This study aimed to examine times for transition to indirect levels of supervision and to identify resident factors associated with slower progression.
Methods
The authors compiled data from training files from years 2011–2015, including licensing exam scores, age, gender, medical school, month of first inpatient psychiatry rotation, and transition times between levels of supervision. Correlational analysis examined the relationship between these factors. Univariate analysis further examined the relationship between medical school training and transition times between supervision levels.
Results
Among the factors studied, only international medical school training was positively correlated with time to transition to indirect supervision and between levels of indirect supervision.
Conclusions
International medical graduate (IMG) interns in psychiatry training may benefit from additional training and support to reach competencies required for the transition to indirect supervision.
References
ACGME Program Requirements for Graduate Medical Education in Psychiatry. Accreditation Council for Graduate Medical Education. 2016. Pages 29–31.http://www.acgme.org/Specialties/Program-Requirements-and-FAQs-and-Applications/pfcatid/21/Psychiatry. Accessed 19 June 2017.
ACGME Program Requirements for Graduate Medical Education in Psychiatry. Accreditation Council for Graduate Medical Education. 2016. Page 31.http://www.acgme.org/Specialties/Program-Requirements-and-FAQs-and-Applications/pfcatid/21/Psychiatry. Accessed 19 June 2017.
Jain G, Mazhar MN, Uga A, Punwani M, Broquet KE. Systems-based aspects in the training of IMG or previously trained residents: comparison of psychiatry residency training in the United States, Canada, the United Kingdom, India, and Nigeria. Acad Psychiatry. 2012;36(4):307–15.
Program NRM. Results and data: 2016 main residency match®. Washington, DC: National Resident Matching Program; 2016.
Sockalingam S, Hawa R, Al-Battran M, Abbey SE, Zaretsky A. Preparing international medical graduates for psychiatry residency: a multi-site needs assessment. Acad Psychiatry. 2012;36(4):277–81.
Funding
This study was supported by the Department of Psychiatry at The University of Oklahoma School of Community Medicine, Tulsa, Oklahoma, USA.
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This study was approved by the University of Oklahoma School of Community Medicine IRB as an exempted study. All data were de-identified. Special protections for subject records privacy were observed and included restricting access to resident records for data collection to faculty authors only.
Disclosures
On behalf of all authors, the corresponding author states that there is no conflict of interest.
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Touchet, B., Walker, A., Flanders, S. et al. A Pilot Study Examining Factors Influencing Readiness to Progress to Indirect Supervision Among First Year Residents in a General Psychiatry Training Program. Acad Psychiatry 42, 207–211 (2018). https://doi.org/10.1007/s40596-017-0801-6
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DOI: https://doi.org/10.1007/s40596-017-0801-6