Abstract
Recognition of the importance of behavioral and psychological phenomena has grown. Patients and physicians are receptive to psychological insights and processes in health and healthcare. Psychologists serve in diverse roles in medical schools, spanning activities such as didactics, rounds, precepting, supervising, mentoring, participating in educational projects, directing courses, and serving on educational committees. They address multiple content areas fundamental to medicine. Their participation in medical education and professional development activities for faculty are well-regarded. As healthcare becomes more interprofessional, with services delivered via interprofessional teams, opportunities for psychologists to contribute to, and play leadership roles in, interprofessional education (IPE) are expanding. It is critical that psychologists seize them. This article reviews psychologists’ historic roles in medical education and provides a snapshot of their educational, faculty development, and IPE activities based on the 2017 survey of members of the Association of Psychologists in Academic Health Centers and their colleagues.
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Abu-Rish, E., Kim, S., Choe, L., Varpio, L., Malik, E., White, A. A., ... Zierler, B. (2012). Interprofessional education: A review of context, learning, and the research agenda. Journal of Interprofessional Care, 26, 444–451. https://doi.org/10.3109/13561820.2012.715604.
Accreditation Council for Graduate Medical Education. (2018). ACGME program requirements for graduate medical education in family medicine. Retrieved March 25, 2019 from, https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/120FamilyMedicine2018.pdf?ver=2018-06-15-112624-307.
American Psychological Association. (2019). The academic psychology workforce: Characteristics of psychology research doctorates in faculty positions (1995–2015). Washington, DC: Author. Retrieved February 12, 2020 from, https://www.apa.org/workforce/publications/academic-psychology.pdf.
American Psychological Association, Office of Research. (1997). Results of the APA/AMSP Medical School Psychologists Survey. Washington, DC: American Psychological Association, Office of Research.
Andrew, L. B. (June 12, 2017). Physician suicide. Retrieved from Medscape. https://nam.edu/burnout-Among-Health-Care Professionals.
Association of American Medical Colleges. (2011). Behavioral and social science foundations for future physicians: Report of the behavioral and social science expert panel. Washington, DC: Association of American Medical Colleges.
Association of Medical School Psychologists. (2004). Membership survey results. Retrieved March 12, 2019 from https://ahcpsychologists.org/archive-of-member-survey-results/.
Association of Psychologists in Academic Health Centers. (2008). Membership survey results. Retrieved March 12, 2019 from https://ahcpsychologists.org/archive-of-member-survey-results/.
Barr, H. (2002). Interprofessional education: Today, yesterday and tomorrow. London: Learning and Support Network: Centre for Health Sciences and Practice.
Belar, C. D. (1996). A proposal for an expanded view of health and psychology: The integration of behavior and health. In R. J. Resnick & R. H. Rozensky (Eds.), Health psychology through the life span: Practice and research opportunities (pp. 77–81). Washington DC: American Psychological Association.
Belar, C. D. (2016). Interprofessional education and training. In J. C. Norcross, G. R. VandenBos, D. K. Freedheim, & L. F. Campbell (Eds.), APA handbooks in psychology. APA handbook of clinical psychology: Education and profession (pp. 153–160). Washington, DC: American Psychological Association.
Benbassatt, J., Baumal, R., Borkan, J. M., & Ber, R. (2003). Overcoming barriers to teaching the behavioral and social sciences to medical students. Academic Medicine, 78, 372–380.
Blue Ridge Academic Health Group (Winter, 2017–2018). The hidden epidemic: The moral imperative for academic health centers to address health professionals’ well-being (Report No. 22). Retrieved March 27, 2019 from https://whsc.emory.edu/blueridge/publications/archive/blue-ridge-winter2017-2018.pdf
Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: Care of the patient requires care of the provider. Annals of Family Medicine, 12, 573–576. https://doi.org/10.1370/afm.1713.
Bolman, W. M. (1995). The place of behavioral science in medical education and practice. Academic Medicine, 70, 873–878. https://doi.org/10.1097/00001888-199510000-00009.
Bonin, L. (2018). Quality improvement in health care: The role of psychologists and psychology. Journal of Clinical Psychology in Medical Settings, 25, 278–294. https://doi.org/10.1007/s10880-018-9542-2.
Bundy, C., Cordingley, L, Peters, S., Rock, J., Hart, J., & Hodges, L. (2010). A core curriculum for psychology in undergraduate medical education: A report from the Behavioural & Social Sciences Teaching in Medicine (BeSST) Psychology Steering Group. Higher Education Academy Psychology Network and Subject Centre for Medicine, Dentistry & Veterinary Medicine. Retrieved September 7, 2019, from https://pdfs.semanticscholar.org/b72a/264d7dbd71498159c60e495b87301f7422c9.pdf.
Cameron, S., Rutherford, I., & Mountain, K. (2012). Debating the use of work-based learning and interprofessional education in promotion collaborative practice in primary care: A discussion paper. Quality in Primary Care, 20, 211–217.
Carr, J. E. (1987). Federal impact of psychology in medical schools. American Psychologist, 42, 869–872.
Carr, J. E. (1994a). Basic behavioral science in medical education: The need for reform. Annals of Behavioral Science and Medical Education, 1, 5–13.
Carr, J. E. (1994b). Psychological, behavioral sciences, and the challenge to medical education. Journal of Clinical Psychology in Medical Settings, 1, 109–114. https://doi.org/10.1007/BF01999740.
Carr, J. E. (2017). The evolution of psychology as a basic bio-behavioral science in healthcare education. Journal of Clinical Psychology in Medical Settings, 24, 234–244. https://doi.org/10.1007/s10880-017-9507-x.
Clark, K., Congdon, H. B., Macmillan, K., Gonzales, J. P., & Guerra, A. J. (2015). Changes in perceptions and attitudes of healthcare profession students pre and post academic course experience of team-based care for the critically ill. Journal of Professional Nursing, 31, 330–339. https://doi.org/10.1016/j.profnurs.2015.01.006.
Cordingley, L., Peters, S. W., Hart, J., Rock, J., Hodges, L., McKendree, J., & Bundy, C. (2013). What psychology do medical students need to know? An evidence-based approach to curriculum development. Health and Social Care Education, 2, 38–47. https://doi.org/10.11120/hsce.2013.00029.
Côté, L., Rocque, R., & Audétat, M. C. (2017). Content and conceptual frameworks of psychology and social work preceptor feedback related to the educational requests of family medicine residents. Patient Education and Counseling, 100, 1194–1202. https://doi.org/10.1016/j.pec.2017.01.012.
Cuff, P. A., & Vanselow, N. A. (Eds.). (2004). Improving medical education: Enhancing the behavioral and social science content of medical school curricula. Washington, DC: National Academies Press.
Cummings, N. A., Cummings, J. L., & Johnson, J. N. (Eds.). (1997). Behavioral health in primary care: A guide for clinical integration. Madison, CT: Psychosocial Press.
Daugherty, S. R. (1997). Report of the working group on education and training. Journal of Clinical Psychology in Medical Settings, 4, 13–22. https://doi.org/10.1023/A:1026219717697.
De Visser, R. (2009). Psychology in medical curricula: “Need to know” or “nice to know”. The European Health Psychologist, 11, 20–23.
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136. https://doi.org/10.1126/science.847460.
Flexner, A. (1910). Medical education in the United States and Canada. New York, NY: Carnegie Foundation for the Advancement of Teaching.
Franz, S. I. (1912). The present status of psychology in medical education and practice. Journal of the American Medical Association, 13, 909–911.
Franz, S. I. (1913). On psychology and medical education. Science, 38, 555–566.
Gabinet, L., Patterson, M. B., & Friedson, W. (1984). Teaching psychology to medical students on a consultation-liaison psychiatry service. Teaching of Psychology, 11, 28–31.
Gillan, C., Lovrics, E., Halpern, E., Wiljer, D., & Harnett, N. (2011). The evaluation of learner outcomes in interprofessional continuing education: A literature review and an analysis of survey instruments. Medical Teacher, 33, 461–470. https://doi.org/10.3109/0142159X.2011.587915.
Greenfield, N. S. (1960). Psychology in action: A brief appraisal of the role of clinical psychology in medical education. American Psychologist, 15, 624–625.
Hall, L. W., & Zierler, B. K. (2015). Interprofessional education and practice guide No. 1: Developing faculty to effectively facilitate interprofessional education. Journal of Interprofessional Care, 29(1), 3–7. https://doi.org/10.3109/13561820.2014.937483.
Horowitz, M. (1957). Conference on psychology in medical education: 1. Teaching. Neuropsychiatry, 4, 108–122.
Institute for Healthcare Improvement (IHI). (2010). IHI triple aim initiative: Better care for individuals, better health for populations, and lower per capita costs. Retrieved November 1, 2019 from https://www.ihi.org/Engage/Initiatives/TripleAim/Pages/default.aspx
Institute of Medicine. (2004). Improving medical education: Enhancing the social and behavioral science content of medical school curricula. Washington, D.C.: National Academy Press.
Institute of Medicine Committee on Health and Behavior. (2001). Health and behavior: The interplay of biological, behavioral, and societal influences. Washington, DC: National Academies Press.
Interprofessional Education Collaborative. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington D.C.: Interprofessional Education Collaborative.
Interprofessional Education Collaborative. (2016). Core competencies for Interprofessional collaborative practice: 2016 update. Washington D.C.: Interprofessional Education Collaborative.
Kaplan, R. M., Satterfield, J. M., & Kington, R. S. (2012). Building a better physician—The case for the new MCAT. New England Journal of Medicine, 366, 1265–1268. https://doi.org/10.1056/NEJMp1113274.
Kirsch, J. D., Duran, A., Kaizer, A. M., Thompson Buum, H., Robiner, W. N., & Weber-Main, A. M. (2018). Career-focused mentoring for early-career clinician educators in academic general internal medicine. American Journal of Medicine, 131, 1387–1394. https://doi.org/10.1016/j.amjmed.2018.07.028.
Kohn, L. T., Corrigan, J., & Donaldson, M. (Eds.). (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.
LaPaglia, D., Thompson, B., Hafler, J., & Chauvin, S. (2017). Training for leadership roles in academic medicine: Opportunities for psychologists in the AAMC LEAD program. Journal of Clinical Psychology in Medical Settings, 24, 118–123. https://doi.org/10.1007/s10880-017-9498-7.
Litva, A., & Peters, S. (2008). Exploring barriers to teaching behavioural and social sciences in medical education. Medical Education, 42, 309–314. https://doi.org/10.1111/j.1365-2923.2007.02951.x.
Mark, T. L., Levit, K. R., & Buck, J. A. (2009). Datapoints: Psychotropic drug prescriptions by medical specialty. Psychiatric Services, 60(9), 1167. https://doi.org/10.1176/appi.ps.60.9.1167.
Matarazzo, J. D. (1994). Health and behavior: The coming together of science and practice in psychology and medicine after a century of benign neglect. Journal of Clinical Psychology in Medical Settings, 1, 7–39. https://doi.org/10.1007/BF01991723.
Mensh, I. N. (1953). Psychology in medical education. American Psychologist, 8, 83–85.
Meyer, A. (1912). The value of psychology in psychiatry. Journal of the American Medical Association, 13, 911–914.
Mitchell, K., Lewis, R. S., Satterfield, J., & Hong, B. A. (2016). The new medical college admission test: Implications for teaching psychology. American Psychologist, 71(2), 125–135. https://doi.org/10.1037/a0039975.
Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2004). Actual causes of death in the United States, 2000. Journal of the American Medical Association, 291, 1238–1245. https://doi.org/10.1001/jama.291.10.1238.
Nagelkerk, J., Peterson, T., Pawl, B. L., Teman, S., Anyangu, A. C., Miyanarczyk, S., & Baer, L. J. (2014). Patient safety culture transformation in a children’s hospital: An interprofessional approach. Journal of Interprofessional Care, 28, 358–364. https://doi.org/10.3109/13561820.2014.885935.
National Academies of Sciences, Engineering, and Medicine. (2019). Taking action against clinician burnout: A systems approach to professional well-being. Washington, DC: National Academies Press. https://doi.org/10.17226/25521.
Ouakinin, S. (2016). Teaching psychology in medicine: The context, methodologies and doctor’s professional identity. Acta Médica Portuguesal, 29, 869–874.
Pate, W. E., & Kohout, J. L. (2005). Results from a national survey of psychologists in medical school settings-2003. Journal of Clinical Psychology in Medical Settings, 12, 203–208. https://doi.org/10.1007/s10880-005-5379-2.
Pattishall, E. G. (1973). Basic assumptions for the teaching of behavioural science in medical schools. Social Science & Medicine, 7, 923–926. https://doi.org/10.1016/0037-7856(73)90070-X.
Pickren, W. (2007). Psychology and medical education: A historical perspective from the United States. Indian Journal of Psychiatry, 49, 179–181. https://doi.org/10.4103/0019-5545.37318.
Raque-Bogdan, T. L., Ratchford, J. L., Garriott, P. O., Borges, N. J., & Duffy, R. D. (2018). Counseling psychologists in medical education in the United States: Career development, professional identity, and training implications. Counselling Psychology Quarterly. https://doi.org/10.1080/09515070.2018.1511970.
Reeves, S., Goldman, J., Burton, A., & Sawatzky-Girling, B. J. (2010). Synthesis of systematic review evidence of interprofessional education. Journal of Allied Health, 39(Suppl 1), 198–203.
Reeves, S., Perrier, L., Goldman, J., Freeth, D., & Zwarenstein, M. (2013). Education: Effects on professional practice and healthcare outcomes (update). Cochrane Database Systematic Review. https://doi.org/10.1002/14651858.CD002213.pub3.
Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Hammick, M., & Koppel, I. (2008). Interprofessional education: Effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD002213.pub2.
Regier, D. A., Narrow, W. E., Rae, D. S., Manderscheid, R. W., Locke, B. Z., & Goodwin, F. K. (1993). The de factor US mental and addictive disorders service system: Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services. Archives of General Psychiatry, 50, 85–94. https://doi.org/10.1001/archpsyc.1993.01820140007001.
Robiner, W. N., Dixon, K. E., Miner, J. L., & Hong, B. A. (2014). Psychologists in medical schools and academic health centers: Over 100 years of growth, influence, and partnership. American Psychologist, 69, 230–248. https://doi.org/10.1037/a0035472.
Rozensky, R. H., Grus, C. J., Goodie, J. L., Bonin, L., Carpenter, B. D., Miller, B. F., et al. (2018). A curriculum for an interprofessional seminar on integrated primary care: Developing competencies for interprofessional collaborative practice. Journal of Allied Health, 47(3), 61E–66E.
Rutkowska, A. (2018). Perception of teaching and learning using medical simulation methods related to primary psychological counseling and prevention—A multicultural focus group study. Medical Science Educator, 28, 133–144. https://doi.org/10.1007/s40670-017-0521-2.
Satterfield, J. M., Adler, S. R., Chen, H. C., Hauer, K. E., Saba, G. W., & Salazar, R. (2010). Creating an ideal social and behavioural sciences curriculum for medical students. Medical Education, 44, 1194–1202. https://doi.org/10.1111/j.1365-2923.2010.03713.x.
Sebastian, C. S., Nathan, R. G., & Hunter, R. J. (1984). The necessity of teaching psychological principles to medical students in a clinical setting: A pilot study of subsequent patient visits. Teaching of Psychology, 11, 26–28. https://doi.org/10.1207/s15328023tp[1101_5.
Sells, S. B. (1956). The purposes of psychology curricula in medical education. American Psychologist, 11, 679–683.
Shaffer, L., Robiner, W. N., Cash, E., Hong, B., Washburn, J., & Ward, W. L. (2020). Psychologists’ leadership roles and leadership training needs in academic health centers. [Design of survey questions, Manuscript preparation]. Journal of Clinical Psychology in Medical Settings. https://doi.org/10.1007/s10880-020-09707-7.
Shanafelt, T. D., Hasan, O., Dyrbye, L. N., Sinsky, C., Satele, D., Sloan, J., & West, C. P. (2015). Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clinic Proceedings, 90(12), 1600–1613. https://doi.org/10.1016/j.mayocp.2015.08.023.
Slattery, W. S. (March 11, 2017). Mitigating the risks of drinking from a fire hose: Observations from a prematriculation experiment. Presented at the 8th National Conference of the Association of Psychologists in Academic Health Centers: Promoting Psychology in the Evolving Healthcare Landscape: Enhancing the Well-Being of Patients, providers, and Populations, Detroit, MI.
Tait, I. (1973). Behavioural science in medical education and clinical practice. Social Science & Medicine, 7, 1003–1011. https://doi.org/10.1016/0037-7856(73)90078-4.
Thistlethwaite, J., & Moran, M. on Behalf of The World Health Organization Study Group on Interprofessional Education and Collaborative Practice. (2010). Learning outcomes for interprofessional education (IPE): Literature review and synthesis. Journal of Interprofessional Care, 24, 503–513. https://doi.org/10.3109/13561820.2010.483.
Thompson, C. (2010). Do interprofessional education and problem-based learning work together? The Clinical Teacher, 7, 197–201. https://doi.org/10.1111/j.1743-498X.2010.00381.x.
Wadsworth, W. S. (1898). Psychology in the medical school (pp. 138–141). XI: University Medical Magazine.
Ward, W. (2017). Pediatric psychologists' role in faculty development. Clinical Practice in Pediatric Psychology, 5, 137–148.
Ward, W., Zagoloff, A., Rieck, C., & Robiner, W. N. (2018). Interprofessional education: Opportunities and challenges for psychology. Journal of Clinical Psychology in Medical Settings, 25, 250–266. https://doi.org/10.1007/s10880-017-9538-3.
Watson, J. B. (1912). Content of a course in psychology for medical students. Journal of the American Medical Association, 13, 916–918.
Williams, A. M., Reed-Knight, B., Self, M. M., Robiner, W. N., & Ward, W. L. (2019). Psychologists’ practices, stressors, wellness, and burnout in academic health centers. Journal of Clinical Psychology in Medical Settings. https://doi.org/10.1007/s10880-019-09678-4.
World Health Organization. (2010). Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization. Retrieved March 27, 2019 from https://www.who.int/iris/handle/10665/70185
Yadav, K., Vock, D. M., Matas, A. J., Robiner, W. N., & Nevins, T. E. (2018). Medication adherence is associated with an increased risk of cancer in kidney transplant recipients: A cohort study. Nephrology Dialysis Transplantation. https://doi.org/10.1093/ndt/gfy210.
Zorek, J., & Raehl, C. (2013). Interprofessional education accreditation standards in the USA: A comparative analysis. Journal of Interprofessional Care, 27, 123–130. https://doi.org/10.3109/13561820.2012.718295.
Acknowledgements
The authors wish to thank Dr. Lisa Ramirez Shah of the Department of Psychiatry at MetroHealth and Case Western Reserve University School of Medicine for her contributions to the poster presented at the 2019 APAHC conference that addressed these topics. They also acknowledge the efforts of Laura Daniels, Ph.D. of the Virginia Tech Carilion Department of Family & Community Medicine related to the survey design, implementation, and analysis.
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Drs. WR, WW, and BH with others’ contributions acknowledged. The first draft of the manuscript was written by WR and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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William N. Robiner, Barry A. Hong, Wendy Ward have no financial relationships have no conflict of interest to disclose. The research was not sponsored. The authors have full control of all primary data and would agree to allow the journal to review the data if requested.
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Robiner, W.N., Hong, B.A. & Ward, W. Psychologists’ Contributions to Medical Education and Interprofessional Education in Medical Schools. J Clin Psychol Med Settings 28, 666–678 (2021). https://doi.org/10.1007/s10880-020-09730-8
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DOI: https://doi.org/10.1007/s10880-020-09730-8