Abstract
This article was migrated. The article was marked as recommended. Many individuals with mental health issues first discuss them with their family physicians, who provide initial assessment and may also be the primary resource for treatment. Nevertheless, physicians-in-training may find it challenging to address these needs within the confines of a busy practice and without training specific to addressing psychological issues with patients. It is, therefore, vital that residency programs equip trainees to examine psychological aspects of current and future practice. At Memorial University, psychology faculty at the Student Wellness and Counselling Centre provide a weekly interpersonal process recall seminar (IPR) to first-year medical residents. This inter-professional training includes three components 1) peer consultation discussion, including difficult and/or interesting patients, 2) didactic psychotherapy component, on topics such as motivational interviewing, diversity and stages of change and, 3) video review of standardized and real patient encounters, during which residents are provided with detailed feedback on their interactions with patients. During IPR, participants develop knowledge, confidence and competence to work effectively with a variety of patients from a psychological perspective. The opportunity to develop inter-professional relationships is a noteworthy additional benefit. This paper will provide a description of the IPR training program and student feedback regarding the experience. Residents were asked to complete a 48-item questionnaire that assessed residents' attitudes to three distinct components of the 11-week course. The purpose of this research was to understand what aspects of the psychotherapy training were evaluated most highly by residents and why these specific aspects were valued.
Highlights
A 2003 review of mental health services in Canada, conducted by the Canadian Collaborative Mental Health Initiative, found that one in five Canadians reports having one or more mental health issues over the course of their lifetime
A 2007 Canadian mixed method study of the management of mental health problems by general practitioners (GP’s) in Alberta, found that approximately 25% of patient visits are for mental health issues (Fluery et al, 2007)
The study was reviewed by the Human Research Ethics Authority (HREA) and ethics approval was not required, as the study was for the purpose of program evaluation.Participants: All residents participating in the Interpersonal Process Recall Seminar (IPR) seminar were eligible to participate and data collection occurred over one academic year (July 2015 – June 2016)
Summary
A 2003 review of mental health services in Canada, conducted by the Canadian Collaborative Mental Health Initiative, found that one in five Canadians reports having one or more mental health issues over the course of their lifetime. It is important to note that many people who identified as having a mental health issue reported that they did not get the assistance they needed (CCMHI, 2003). Physicians are often the first point of contact for many people with mental health issues, frequently provide initial assessment and may be the primary resource for treatment (Saillant, Hudelson, Dominicé Dao & Junod Perron, 2016). A 2007 Canadian mixed method study of the management of mental health problems by general practitioners (GP’s) in Alberta, found that approximately 25% of patient visits are for mental health issues (Fluery et al, 2007). The rates were higher again in a 2009 Quebec study that found 35% of adults who visited their family physician were diagnosed with a mental health issue. A 2011 Canadian Community Health Survey reported that 40% of Canadians indicated that they had mental health issues for which they sought health services (Canadian Mental Health Survey, 2011)
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