The Primary Care Consultant Toolkit: Tools for Behavioral Medicine Training for PCPs in Integrated Care

  • Jason SatterfieldEmail author
  • Simone K. Madan

Medical education is in the midst of major changes. Over 50% of US medical schools are currently revising their curricula, and nearly all residency programs are evolving to meet new skill-based competency requirements (Jones, Higgs, de Angelis, & Prideaux, 2001). In large part, these changes reflect an awareness of the evolving health care needs of an increasingly diverse and aging population. Now, more than ever, physicians must understand and utilize social and behavioral factors in health and health care. Unfortunately, practicing providers may find themselves “behind the curve” in both biomedical science and in the more integrative and interdisciplinary ways of thinking about health and disease (IOM, 2004).

Training primary care providers in integrated behavioral health can be a rew-arding, challenging, and frustrating experience full of important possibilities. To teach successfully requires a meaningful understanding of trends in medical education and the evolving medical culture...


Medical Education Behavioral Health Primary Care Provider Goal Setting Agenda Item 
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  1. Chiles, J. A., Lambert, M. J., & Hatch, A. L. (1999). The impact of psychological interventions on medical cost offset: A meta-analytic review. Clinical Psychology: Science and Practice, 6(2), 204–220.CrossRefGoogle Scholar
  2. Cummings, N. A., Cummings, J. L., & Johnson, J. N. (1997). Behavioral Health in Primary Care: A Guide for Clinical Integration. Madison, CT: Psychosocial Press.Google Scholar
  3. Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136.PubMedCrossRefGoogle Scholar
  4. Engel, G. L. (1980). The clinical application of the biopsychosocial model. The American Journal of Psychiatry, 137, 535–544.PubMedGoogle Scholar
  5. Epstein, R. M., & Hundert, E. M. (2002). Defining and assessing professional competence. Journal of the American Medical Association, 287(2), 226–235.PubMedCrossRefGoogle Scholar
  6. Gabbard, G. O. (1985). The role of compulsiveness in the normal physician. JAMA, 254, 2926–2929.PubMedCrossRefGoogle Scholar
  7. Green, M. L. (2001). Identifying, appraising, and implementing medical education curricula: A guide for medical educators. Annals of Internal Medicine, 135, 889–896.PubMedGoogle Scholar
  8. Higgins, E. S. (1994). A review of unrecognized mental illness in primary care; Prevalence, natural history, and efforts to change the course. Archives of Family Medicine, 3, 908–917.PubMedCrossRefGoogle Scholar
  9. Hodges, B., Inch, C., & Silver, I. (2001). Improving the psychiatric knowledge, skills, and attitudes of primary care physicians, 1950–2000: A review. The American Journal of Psychiatry, 158, 1579– 1586.PubMedCrossRefGoogle Scholar
  10. Institute of Medicine. (2004). Improving medical education: enhancing the social and behavioral science content of medical school curricula. Washington DC: National Academy Press.Google Scholar
  11. Ferenchick, G., Simpson, D., Blackman, J., DaRosa, D., & Dunnington, G. (1997). Strategies for efficient and effective teaching in the ambulatory care setting. Academic Medicine, 72(4), 277–280.PubMedCrossRefGoogle Scholar
  12. Grol R., & Grimshaw J. (1999). Evidence-based implementation of evidence-based medicine. Journal on Quality Improvement, 25, 503–513.Google Scholar
  13. Jones, R., Higgs, R., de Angelis, C., & Prideaux, D. (2001). Changing face of medical curricula. Lancet, 357, 699–703.PubMedCrossRefGoogle Scholar
  14. Leon, A. C., Olfson, M., Broadhead, W. E., Barrett, J. E., Blacklow, R. S., Martin, B. K., et al. (1995). Prevalence of mental disorders in primary care: Implications for screening. Archives of Family Medicine, 4, 857–861.PubMedCrossRefGoogle Scholar
  15. McGinnis M., & Foege W. (1993). Actual causes of death. Journal of the American Medical Association, 270, 2207– 2212.PubMedCrossRefGoogle Scholar
  16. Norman G. (2002). Research in medical education: Three decades of progress. British Medical Journal, 324, 1560–1562.PubMedCrossRefGoogle Scholar
  17. Satterfield J. M., Mitteness L., Tervalon M., & Adler N. (2004). Integrating the social and behavioral sciences in an undergraduate medical curriculum: The UCSF essential core. Academic Medicine, 79, 6–15.PubMedCrossRefGoogle Scholar
  18. Schroeder S. A. (1992). The troubled profession: is medicine's glass half full or half empty? Annals of Internal Medicine, 116, 583–592.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.Director of Behavioral Medicine, Division of General Internal MedicineUniversity of CaliforniaSan FranciscoUSA

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