Experiencia Docente en Interconsulta psiquiátrica en Atención Primaria de Salud para residentes Teaching experience in Psychiatric Consultant-laison in Primary Care Settings

dc.creator	Julia Acuña
dc.creator	Arturo Roizblatt
dc.creator	Claudio Fullerton
dc.creator	Alberto Botto
dc.date	2007-03-01T00:00:00Z
dc.date.accessioned	2015-07-20T22:06:15Z
dc.date.available	2015-07-20T22:06:15Z
dc.identifier	1575-1813
dc.identifier	1579-2099
dc.identifier	https://doaj.org/article/fa132682084744c0b161d600a67bf995
dc.identifier.uri	http://evidence.thinkportal.org/handle/123456789/10376
dc.description	Se describe el proceso de implementación de programa de Interconsulta psiquiátrica docente para residentes, realizado por el Departamento de Psiquiatría y Salud Mental de la Facultad de Medicina de la Universidad de Chile entre 2003 y 2004. Método: Se establece programa preliminar, con objetivos y pautas de evaluación de cumplimiento de objetivos por parte de residentes. Resultados: Se destaca evaluaciones en el rango superior que los residentes hacen de objetivos docentes. Más bajos fueron evaluados los objetivos asistenciales. Supervisores evalúan positivamente el proceso en general, identificando las principales dificultades observadas: entre ellas la doble agenda presente en el proceso complejo propio de la actividad y de los objetivos docentes. Se destaca la importancia de la supervisión docente, la cual debería ser activa, vigilar las áreas que obstaculizan el proceso; mayores dificultades provenientes de demandas implícitas o explícitas subyacentes operaron como resistencias en los profesionales de salud general: "demandas urgentes" y "pacientes emocionalmente sobrepasados" postergarían la adecuada y oportuna acogida y tratamiento de los problemas de salud mental presentados. Tanto el docente - supervisor como el residente deberían advertir oportunamente estas resistencias para ayudar a superar estas barreras; entonces el profesional de salud general sería capaz de acoger y responder a las demandas emocionales explícitas o implícitas presentadas en la entrevista. Conclusión: No obstante la complejidad del proceso descrito, la interconsulta psiquiátrica es muy bien valorada por todos los actores involucrados en proveer atención a pacientes que presentan problemas de salud mental en servicios de salud general.<br>Authors describe an initial program for training residents as consultants in Primary Care Settings. This program was developed and applied by the Department of Psychiatry and Mental Health of the Faculty of Medicine of the Universidad de Chile between 2003 and 2004. Method: Preliminary program was established, with objectives and evaluation schemes for the correct achievement of the objectives by the residents in two areas: learning and clinical work. Residents were assigned to different primary health centers, under a supervisor. Results: Good evaluations (superior rank) for residents' achievements in learning objectives were observed. Lower ratings were for clinical objectives. Supervisors evaluated the whole process positively; the main difficulty mentioned was the double work schedule required in the whole process of Psychiatry Consultant-laison in Primary settings. The discussion emphasizes the importance of supervision, which should be active in watching areas that hinder the process; making it necessary to detect problems in need of change to be established as soon as possible. Greater difficulties were originated on explicit and/or underlying medical or general health care team resistances. "Urgent demands" and emotionally overwhelming patients delayed competent reception and treatment. Supervisor and resident should offer proper and timely advice, to allow the overcoming of the difficulties, then general health professionals would be able to manage the emotional demands, explicit or tacit, presented in the interview. Some elements should be treated in the process, itself complex, of teaching consultant-liaison during the psychiatry resident program. Conclusion: Nevertheless, psychiatry consultant-liaison in primary care settings was highly appreciated as necessary by all the actors involved in providing care for patients presenting mental health problems in primary health care settings.
dc.language	English
dc.language	Spanish
dc.publisher	Fundación Privada Educación Médica y Viguera Editores S.L.
dc.relation	http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1575-18132007000100006
dc.relation	https://doaj.org/toc/1575-1813
dc.relation	https://doaj.org/toc/1579-2099
dc.source	Educación Médica, Vol 10, Iss 1, Pp 37-43 (2007)
dc.subject	Interconsulta psiquiátrica
dc.subject	residentes
dc.subject	atención primaria
dc.subject	salud mental
dc.subject	psychiatry consultant-liaison
dc.subject	residents
dc.subject	primary care
dc.subject	mental health
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	DOAJ:Medicine (General)
dc.subject	DOAJ:Health Sciences
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	DOAJ:Education
dc.subject	DOAJ:Social Sciences
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	DOAJ:Medicine (General)
dc.subject	DOAJ:Health Sciences
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.subject	Education (General)
dc.subject	L7-991
dc.subject	Education
dc.subject	L
dc.subject	Medicine (General)
dc.subject	R5-920
dc.subject	Medicine
dc.subject	R
dc.title	Experiencia Docente en Interconsulta psiquiátrica en Atención Primaria de Salud para residentes Teaching experience in Psychiatric Consultant-laison in Primary Care Settings
dc.type	article