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Psychiatry Resident Graduate Comfort With General Medical Issues: Impact of an Integrated Psychiatry-Primary Medical Care Training Track

Received August 31, 2004; revised April 15, 2005; accepted June 15, 2005. Drs. Dobscha, Snyder, and Ganzini are affiliated with Portland VA Medical Center, Behavior Health and Clinical Neurosciences Division, Portland, Oregon and Oregon Health & Science University, Psychiatry, Portland Oregon. Dr. Corson is affiliated with the Portland VA Medical Center, Research Service, Portland, Oregon and Oregon Health & Science University, Psychiatry, Portland Oregon. Address correspondence to Dr. Dobscha, Portland VA Medical Center, P.O. Box 1034 (P3MHDC), Portland, Oregon 97207; steven.dobscha{at}med.va.gov (E-mail). Copyright © 2005 Academic Psychiatry.

OBJECTIVE: To determine if a psychiatry-primary medical care (PPMC) training track impacts comfort and behaviors related to addressing general medical issues after residency. METHOD: Thirty five psychiatry resident graduates completed mailed surveys; nine of them had completed the PPMC track. RESULTS: Compared to non-PPMC participants, PPMC participants felt better prepared to address medical issues and tended to perform more consultations and feel more comfortable referring patients to general medical providers. They were not more likely to perform routine health screenings. Conculsion: Integrated training tracks may impact resident preparedness and career choice but may be insufficient to influence practice behaviors related to delivering general medical care.

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