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Medical Student Exposure to Integrated Behavioral Health

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Abstract

Objective

Integrated behavioral health (IBH) allows for effective care delivery for patients with mental health and behavioral health disorders in primary care settings. This study assesses the state of exposure current medical students have to the IBH model in family medicine clerkships, in order to augment the readiness of students to participate in IBH as developing professionals.

Methods

Clerkship directors at US and Canadian medical schools with a required family medicine run course (n = 141) were asked to estimate the percentage of students exposed to IBH in their clerkships, as part of the Council of Academic Family Medicine Educational Research Alliance (CERA) 2016 survey.

Results

The response rate was 86% (n = 118). Forty-four percent of clerkship directors reported that 0–20% of students are exposed to the IBH model in their clerkships. A comparison of schools with low and high exposure showed no significant differences among clerkship characteristics.

Conclusions

A majority of medical students in the USA and Canada are not exposed to IBH models during their primary care clerkship. Larger systematic studies are needed to elucidate the steps necessary to prepare graduating medical students to collaborate in IBH models.

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References

  1. Smith RC, Laird-Fick H, D’Mello D, Dwamena FC, Romain A, Olson J, et al. Addressing mental health issues in primary care: an initial curriculum for medical residents. Patient Educ Couns. 2014;94(1):33–42.

    Article  PubMed  Google Scholar 

  2. Wang PS, Lane M, Olfson M, Pincus HA, Wells KB, Kessler RC. Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:629–40.

    Article  PubMed  Google Scholar 

  3. Olfson M. The rise of primary care physicians in the provision of U.S. mental health care. J Health Polit Policy Law. 2016;41(4):559–83.

    Article  PubMed  Google Scholar 

  4. Skochelak SE. A decade of reports calling for change in medical education: what do they say? Acad Med. 2010;85:S26–33.

    Article  PubMed  Google Scholar 

  5. World Health Organization. Mental health capacity building within countries. In: Ninth meeting of the mhGAP Forum. World Health Organization. 2017. http://www.who.int/mental_health/mhgap/mhGAP_forum_report_2017.pdf?ua=1.

  6. Herzig H. Teaching psychiatry in poor countries: priorities and needs. A description of how mental health is taught to medical students in Malawi, Central Africa. Educ Health. 2003;16(1):32–9.

    Article  Google Scholar 

  7. Peek CJ, the National Integration Academy Council. Lexicon for behavioral health and primary care integration: concepts and definitions developed by expert consensus. AHRQ publication No.13-IP001-EF. Agency for healthcare research and quality. 2013. http://integrationacademy.ahrq.gov/sites/default/files/Lexicon.pdf.

  8. Smith R, Dwamena F, Grover M, Coffey F, Frankel R. Behaviorally-defined patient centered communication—a narrative review of the literature. J Gen Intern Med. 2010;26:185–91.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Asarnow JR, Rozenman M, Wiblin K, Zelter L. Integrated medical-behavioral care compared with usual primary care for child and adolescent behavioral health: a meta-analysis. JAMA Pediatr. 2015;169(10):929–37.

    Article  PubMed  Google Scholar 

  10. McGough PM, Bauer AM, Collins L, Dugdale DC. Integrating behavioral health into primary care. Popul Health Manag. 2016;19(2):81–7.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Unutzer J, Schoenbaum M, Druss BG, Katon WJ. Transforming mental health care at the interface with general medicine: report for the presidents’ commission. Psyc Serv. 2006;57:37–47.

    Article  Google Scholar 

  12. Dubé B, Verduin ML. A brief examination of integrated care in undergraduate medical education. Acad Psychiatry. 2015;39(4):457–60.

    Article  PubMed  Google Scholar 

  13. Society of Teachers of Family Medicine. STFM national clerkship curriculum. In: Society of teachers of family medicine. http://www.stfm.org/Resources/STFMNationalClerkshipCurriculum. Accessed 22 Feb 2017.

  14. Family Medicine Clerkship Curriculum Implementation Taskforce. STFM unveils the National Family Medicine Clerkship Curriculum website. Ann Fam Med. 2012;10(3):275–6.

    Article  Google Scholar 

  15. DeMarco MP, Betancourt RM, Everard KM, Bream KDW. Identifying prevalence and characteristics of behavioral health education in family medicine clerkships: a CERA study. Fam Med. 2018;50(1):36–40.

    Article  PubMed  Google Scholar 

  16. Zoberi K, Niemiec RM, Margolis RB. Teaching integrated behavioral health in a primary care clerkship. Med Teach. 2008;30(7):e218–23.

    Article  PubMed  Google Scholar 

  17. Centers for Medicare and Medicaid Services. Physical and mental health integration. https://www.medicaid.gov/state-resource-center/innovation-accelerator-program/program-areas/physical-and-mental-health-integration/index.html.

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Funding

The project described was supported by HRSA-6 UHIHP29964-01-01 from the Health Resources and Services Administration (HRSA), an operating division of the U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.

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Authors

Corresponding author

Correspondence to Mario P. DeMarco.

Ethics declarations

The study was approved by the American Academy of Family Physicians Institutional Review Board and the Institutional Review Board of the University of Pennsylvania.

Disclosures

There are no conflicts of interest.

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Choi, R.J., Betancourt, R.M., DeMarco, M.P. et al. Medical Student Exposure to Integrated Behavioral Health. Acad Psychiatry 43, 191–195 (2019). https://doi.org/10.1007/s40596-018-0936-0

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  • DOI: https://doi.org/10.1007/s40596-018-0936-0

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