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October 1976

Psychiatric Consultation Education—1976

Author Affiliations

From the Case Western Reserve University School of Medicine and the Cleveland Metropolitan General Hospital, Cleveland (Dr Schubert), and the Department of Psychiatry, University of Vermont College of Medicine, Burlington (Dr McKegney).

Arch Gen Psychiatry. 1976;33(10):1271-1273. doi:10.1001/archpsyc.1976.01770100133015

• The teaching of consultation liaison (CL) psychiatry to psychiatric residents, medical students, and other trainees is reported from 92 medical schools, representing 81% of those surveyed with a one-page questionnaire. Psychiatric residency programs devote approximately 10% of their time to CL training, a slight increase over the percentage ten years ago. Approximately 35% of medical students in programs from which we received responses have some consultation CL education, although this varies from a few seminars to an eight-week fulltime rotation. Other trainees receiving CL experience include nonpsychiatric residents and interns (22 programs), psychologists (18), nurses (12), and social workers (5). Program directors report an approximately 90% "favorable" reaction to such training by all trainees. Consultation liaison training for residents still represents a small portion of their entire experience. A surprisingly large percentage of medical students are exposed to CL education, but with tremendous variation in that exposure. Other trainees are not heavily involved in CL programs, indicating a possible future expansion of integrated psychosomatic teaching. The data presented should serve as a comparative baseline for future program design.

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