Psychiatry trainees' views and educational needs regarding the care of patients with a life-limiting illness.

Forster, BC; Proskurin, H; Kelly, B; Lovell, MR; Ilchef, R; Clayton, JM

Psychiatry trainees' views and educational needs regarding the care of patients with a life-limiting illness.

Forster, BC Proskurin, H Kelly, B Lovell, MR Ilchef, R Clayton, JM

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Publisher:: Cambridge University Press
Publication Type:: Journal Article
Citation:: Palliative and Supportive Care, 2017, 15, (2), pp. 231-241
Issue Date:: 2017-04

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Field	Value	Language
dc.contributor.author	Forster, BC
dc.contributor.author	Proskurin, H
dc.contributor.author	Kelly, B
dc.contributor.author	Lovell, MR
dc.contributor.author	Ilchef, R
dc.contributor.author	Clayton, JM
dc.date.accessioned	2022-09-20T06:09:19Z
dc.date.available	2022-09-20T06:09:19Z
dc.date.issued	2017-04
dc.identifier.citation	Palliative and Supportive Care, 2017, 15, (2), pp. 231-241
dc.identifier.issn	1478-9515
dc.identifier.issn	1478-9523
dc.identifier.uri	http://hdl.handle.net/10453/161916
dc.description.abstract	OBJECTIVE: People with a life-limiting physical illness experience high rates of significant psychological and psychiatric morbidity. Nevertheless, psychiatrists often report feeling ill-equipped to respond to the psychiatric needs of this population. Our aim was to explore psychiatry trainees' views and educational needs regarding the care of patients with a life-limiting physical illness. METHOD: Using semistructured interviews, participants' opinions were sought on the role of psychiatrists in the care of patients with a life-limiting illness and their caregivers, the challenges faced within the role, and the educational needs involved in providing care for these patients. Interviews were audiotaped, fully transcribed, and then subjected to thematic analysis. RESULTS: A total of 17 psychiatry trainees were recruited through two large psychiatry training networks in New South Wales, Australia. There were contrasting views on the role of psychiatry in life-limiting illness. Some reported that a humanistic, supportive approach including elements of psychotherapy was helpful, even in the absence of a recognizable mental disorder. Those who reported a more biological and clinical stance (with a reliance on pharmacotherapy) tended to have a nihilistic view of psychiatric intervention in this setting. Trainees generally felt ill-prepared to talk to dying patients and felt there was an educational "famine" in this area of psychiatry. They expressed a desire for more training and thought that increased mentorship and case-based learning, including input from palliative care clinicians, would be most helpful. SIGNIFICANCE OF RESULTS: Participants generally feel unprepared to care for patients with a life-limiting physical illness and have contrasting views on the role of psychiatry in this setting. Targeted education is required for psychiatry trainees in order to equip them to care for these patients.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Cambridge University Press
dc.relation.ispartof	Palliative and Supportive Care
dc.relation.isbasedon	10.1017/S1478951516000365
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Oncology & Carcinogenesis
dc.subject.mesh	Adult
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Curriculum
dc.subject.mesh	Education, Medical, Graduate
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Needs Assessment
dc.subject.mesh	New South Wales
dc.subject.mesh	Palliative Care
dc.subject.mesh	Physician's Role
dc.subject.mesh	Psychiatry
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Students, Medical
dc.subject.mesh	Adult
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Curriculum
dc.subject.mesh	Education, Medical, Graduate
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Needs Assessment
dc.subject.mesh	New South Wales
dc.subject.mesh	Palliative Care
dc.subject.mesh	Physician's Role
dc.subject.mesh	Psychiatry
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Students, Medical
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Physician's Role
dc.subject.mesh	Psychiatry
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Curriculum
dc.subject.mesh	Education, Medical, Graduate
dc.subject.mesh	Needs Assessment
dc.subject.mesh	Students, Medical
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	New South Wales
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.title	Psychiatry trainees' views and educational needs regarding the care of patients with a life-limiting illness.
dc.type	Journal Article
utslib.citation.volume	15
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-09-20T06:09:18Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	15
utslib.citation.issue	2

Abstract:

OBJECTIVE: People with a life-limiting physical illness experience high rates of significant psychological and psychiatric morbidity. Nevertheless, psychiatrists often report feeling ill-equipped to respond to the psychiatric needs of this population. Our aim was to explore psychiatry trainees' views and educational needs regarding the care of patients with a life-limiting physical illness. METHOD: Using semistructured interviews, participants' opinions were sought on the role of psychiatrists in the care of patients with a life-limiting illness and their caregivers, the challenges faced within the role, and the educational needs involved in providing care for these patients. Interviews were audiotaped, fully transcribed, and then subjected to thematic analysis. RESULTS: A total of 17 psychiatry trainees were recruited through two large psychiatry training networks in New South Wales, Australia. There were contrasting views on the role of psychiatry in life-limiting illness. Some reported that a humanistic, supportive approach including elements of psychotherapy was helpful, even in the absence of a recognizable mental disorder. Those who reported a more biological and clinical stance (with a reliance on pharmacotherapy) tended to have a nihilistic view of psychiatric intervention in this setting. Trainees generally felt ill-prepared to talk to dying patients and felt there was an educational "famine" in this area of psychiatry. They expressed a desire for more training and thought that increased mentorship and case-based learning, including input from palliative care clinicians, would be most helpful. SIGNIFICANCE OF RESULTS: Participants generally feel unprepared to care for patients with a life-limiting physical illness and have contrasting views on the role of psychiatry in this setting. Targeted education is required for psychiatry trainees in order to equip them to care for these patients.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/161916