Abstract
Objective
We aimed to determine whether residents’ confidence initiating medications increased with the number of times they prescribed individual medications and to quantify the relationship between prescription frequency and gains in confidence.
Methods
From July 2011 to June 2014, PGY-3 residents completed a survey of confidence levels at their psychopharmacology clinic orientation and then again 12 months later. The Emory Healthcare electronic medical record was used to identify all medications prescribed by each resident during their 12-month rotation and the frequency of these prescriptions.
Results
Confidence in initiating treatment with all medicines/medication classes increased over the 12-month period. For three of the medication classes for which residents indicated they were least confident at orientation, the number of prescriptions written during the year was significantly associated with an increase in confidence.
Conclusions
Measuring resident confidence is a relevant and achievable outcome and provides data for educators regarding the amount of experience needed to increase confidence.
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References
Glick ID, Zisook S. The challenge of teaching psychopharmacology in the new millennium: the role of curricula. Acad Psychiatry. 2005;29:134–40.
Young JQ, Lieu S, O’Sullivan P, Tong L. Development and initial testing of a structured clinical observation tool to assess pharmacotherapy competence. Acad Psychiatry. 2011;35:27–34.
Davis DA, Mazmanian PE, Fordis M, et al. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296:1094–102.
Ebert MH, Faulkner L, Stubbe DE, Winstead DK. Maintenance of certification in psychiatry. J Clin Psychiatry. 2009;70:e39.
Lockyer J, Armson H, Chesluk B, et al. Feedback data sources that inform physician self-assessment. Med Teach. 2011;33:e113–20.
Galbraith RM, Hawkins RE, Holmboe ES. Making self-assessment more effective. J Contin Educ Health Prof. 2008;28:20–4.
George TR. Self-confidence and baseball performance: a causal examination of self-efficacy theory. J Sport Exerc Psychol. 1994;16:381–99.
Weinberg R, Gould D, Jackson A. Expectations and performance: an empirical test of Bandura’s self-efficacy theory. J Sport Psychol. 1979;1:320–31.
Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.
Klein JG. Five pitfalls in decisions about diagnosis and prescribing. BMJ. 2005;330:781–3.
Rakofsky JJ, Dunlop BW. Us psychiatric residents’ treatment of patients with bipolar disorder. J Clin Psychopharmacol. 2012;32:231–6.
Acknowledgments
The authors would like to thank Yamylex Belis for her assistance with data collection.
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JJR has received research support from Takeda, Assurex and AstraZeneca.
BWD has received research support from Assurex, Bristol Myers Squibb, GlaxoSmithKline, Janssen, NIMH, Otsuka, Pfizer and Takeda and has received honoraria from Hoffman LaRoche, Pfizer and MedAvante.
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None of the authors received direct support for this project or for authoring this manuscript.
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Rakofsky, J.J., Garlow, S.J., Haroon, E. et al. Assessing Residents’ Confidence in the Context of Pharmacotherapy Competence. Acad Psychiatry 41, 350–353 (2017). https://doi.org/10.1007/s40596-016-0613-0
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DOI: https://doi.org/10.1007/s40596-016-0613-0