A Pilot Study Examining Factors Influencing Readiness to Progress to Indirect Supervision Among First Year Residents in a General Psychiatry Training Program
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.
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.
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.
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.
KeywordsResidents Supervision Residents Evaluation Workforce International medical graduates
This study was supported by the Department of Psychiatry at The University of Oklahoma School of Community Medicine, Tulsa, Oklahoma, USA.
Compliance with Ethical Standards
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.
On behalf of all authors, the corresponding author states that there is no conflict of interest.
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