Abstract
Objective
The authors demonstrate the value of reflective team supervision as part of the informal curriculum in an emergency psychiatry setting after a potentially traumatizing adverse event.
Method
The article gives a case presentation of a violent adolescent who eloped from his hospital Emergency Department and provides a description of team supervision sessions that facilitated informal learning for residents and medical students after this event.
Results
Reflective team supervision sessions after this event resulted both in improved resident well-being and learning opportunities, as well as hospital quality improvement designed to prevent future elopements.
Conclusions
Reflective team supervision can be an essential component of trainee education to enhance residents’ well-being and to promote both systems-based practice and practice-based learning. This can be an excellent forum to explore themes of humility, self-reflection, and professional growth.
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References
Høifødt TS, Talseth AG: Dealing with suicidal patients: a challenging task: a qualitative study of young physicians’ experiences. BMC Med Educ 2006; 6:44
Carson J, Fagin L: Stress in mental health professionals: a cause for concern or an inevitable part of the job? Int J Soc Psychiatry 1996; 42:79–81
Priebe S, Fakhoury WK, Hoffmann K, et al: Morale and job perception of community mental health professionals in Berlin and London. Soc Psychiatry Psychiatr Epidemiol 2005; 40:223–232
Fothergill A, Edwards D, Burnard P: Stress, burnout, coping, and stress management in psychiatrists: findings from a systematic review. Int J Soc Psychiatry 2004; 50:54–65
Knox S, Hill CE: Therapist self-disclosure: research-based suggestions for practitioners. J Clin Psychol 2003; 59:529–539
Kuper A, Nedden NZ, Etchells E, et al: Teaching and learning in Morbidity and Mortality Rounds: an ethnographic study. Med Educ 2010; 44:559–569
Krasner MS, Epstein RM, Beckman H,et al: Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA 2009; 302:1284–1293
Harding AD: Observation assistants: sitter effectiveness and industry measures. Nurs Econ 2010; 28:330–336
Blanchard JC, Curtis KM: Violence in the emergency department. Emerg Med Clin North Am 1999; 17:717–731, viii
Antonius D, Fuchs L, Herbert F, et al: Psychiatric assessment of aggressive patients: a violent attack on a resident. Am J Psychiatry 2010; 167:253–259
Schwartz TL, Park TL: Assaults by patients on psychiatric residents: a survey and training recommendations. Psychiatr Serv 1999; 50:381–383
McNiel DE, Chamberlain JR, Weaver CM, et al: Impact of clinical training on violence risk assessment. Am J Psychiatry 2008; 165:195–200
Wear D, Skillicorn J: Hidden in plain sight: the formal, informal, and hidden curricula of a psychiatry clerkship. Acad Med 2009; 84:451–458
Newton BW, Barber L, Clardy J, et al: Is there hardening of the heart during medical school? Acad Med 2008; 83:244–249
Treadway K, Chatterjee N: Into the water: the clinical clerkships. N Engl J Med 2011; 364:1190–1193
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Chien, J., Sugar, J., Shoemaker, E. et al. Reflective Team Supervision After a Frightening Event on a Psychiatric Crisis Service. Acad Psychiatry 36, 452–456 (2012). https://doi.org/10.1176/appi.ap.11060107
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DOI: https://doi.org/10.1176/appi.ap.11060107