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Current Trends in Psychiatric Education Among Obstetrics and Gynecology Residency Programs

  • Abigail H. GarbarinoEmail author
  • Jaden R. Kohn
  • John H. Coverdale
  • Charles C. Kilpatrick
In Brief Report

Abstract

Objective

This study sought to evaluate the status of psychiatric education in Ob/Gyn residencies.

Methods

A 17-item anonymous questionnaire was sent to program directors of 239 Ob/Gyn US residencies. Data analysis was performed using STATA 14.2.

Results

Ninety-five programs participated (40%), including partial responses. The majority of Ob/Gyn programs offered didactics in psychiatric topics (84%), with most of the sessions provided by Ob/Gyn faculty. Programs that reported didactics led by psychiatric faculty (57.9%) were more likely to have a higher number of mental health didactics in total. Fewer than half of programs covered intimate partner violence (47%), non-obstetric depression (44%), anxiety (43%), medication management (30%), eating disorders (26%), human trafficking (20%), or PTSD (11%). Elective rotations involving mental health were offered by 20% of programs. Barriers to psychiatric training were lack of integration between Ob/Gyn and psychiatry (46%), ACGME surgical requirements (42%), and lack of knowledgeable instructors (38%). Most program directors (81%) disagreed that residents are fully equipped to identify psychiatric needs in patients.

Conclusion

Lack of integration between Ob/Gyn and psychiatry was the most cited barrier to effective psychiatric education of Ob/Gyn residents, highlighting the importance of increased partnership between the two fields. Didactic instruction decreased compared to 2001, and considerable gaps still remain. Most program directors perceive that residents are not equipped to identify patients’ psychiatric needs.

Keywords

Education, medical, graduate Obstetrics and gynecology Psychiatry Curriculum—interdisciplinary studies Surveys and questionnaires 

Notes

Acknowledgments

The authors would like to acknowledge Dr. Uma Ramamurthy, Vivek Ramanathan, Xingquan Lu, and the entire Dan L. Duncan Institute for Clinical and Translational Research for generously donating their time to create and administer the survey. These individuals are employed by our institution and were provided no additional compensation for their work.

Funding Source

There was no funding that supported this study.

Compliance with Ethical Standards

Ethical approval for this study was granted by the Institutional Review Board (protocol H-40300). Informed consent was implied by completion of the questionnaire.

Disclosure

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Copyright information

© Academic Psychiatry 2019

Authors and Affiliations

  1. 1.Baylor College of MedicineHoustonUSA

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