Development and Implementation of an Integrated Care Fellowship.

Abstract

Integrated care is a common approach to leverage scarce psychiatric resources to deliver mental health care in primary care settings. Describe a formal clinical fellowship devoted to professional development for the integrated care psychiatrist role. The development of a formal year-long clinical fellowship in integrated care is described. The curriculum consists of an Integrated Care Didactic Series, Integrated Care Clinical Skill Experiences, and Integrated Care System-Based Leadership Experiences. Evaluation of impact was assessed with descriptive statistics. We successfully recruited 3 classes of fellows to the Integrated Care Fellowship, with 5 program graduates in the first 3 years. All 5 graduated fellows were hired into integrated care and/or telepsychiatry positions. Integrated Care fellows had a high participation rate in didactics (mean attendance=80.6%; n= 5). We received a total of 582 didactic evaluations for the 151 didactic sessions. On a scale of 1 (poor) to 6 (fantastic), the mean quality of the interactive learning experience was rated as 5.33 (n= 581) and the mean quality of the talk was 5.35 (n= 582). Rotations were rated with the mean overall teaching quality of 4.98/5 (n=76 evaluations from 5 fellows). The Integrated Care clinical fellowship serves as a model for training programs seeking to provide training in clinical and systems-based skills needed for practicing integrated care. Whether such training is undertaken as a standalone fellowship or incorporated into existing consultation-liaison psychiatry programs, such skills are increasingly valuable as integrated care becomes commonplace in practice.