Colleen Gillespie
Assistant Professor of Medicine


DatePublication/Paper
2006

Yedidia, M.J., Gillespie, C.C. & Berstein, C.A. 2006. Training Psychiatrists for Public Sector Care: A Survey of Residency Directors on Current Priorities and Preparation. Psychiatric Services. 57:238-243, February.
Abstract

OBJECTIVE: This study assessed how resident psychiatrists are being prepared to deliver effective public-sector care.

METHODS: Ten leaders in psychiatric education and practice were interviewed about which tasks they consider to be essential for effective public-sector care. The leaders identified 16 tasks. Directors of all general psychiatry residency programs in the United States were then surveyed to determine how they rate the importance of these tasks for delivery of care and how their training program prepares residents to perform each task.

RESULTS: A total of 114 of 150 residency directors (76 percent) responded to the survey. Factor analysis divided 14 of the tasks into three categories characterized by the extent to which their performance requires integration of services: within the mental health system (for example, lead a multidisciplinary team), across social service systems (for example, interact with staff of supportive housing programs), and across institutions with different missions (for example, distinguish behavioral problems from underlying psychiatric disorders among prisoners). Preparation for tasks that involved integration of services across institutions was rated as least important, was least likely to be required, and was covered by less intensive teaching modalities. Tasks entailing integration within the mental health system were rated as most important, preparation was most likely to be required, and they were covered most intensively. Midway between these two categories, but significantly different from each, were tasks relying on integration across social service systems.

CONCLUSIONS: Tasks that involved integrating services across institutions with different missions were consistently downplayed in training. Yet the importance of such tasks is underscored by the assessments of the psychiatric leaders who were interviewed, the high valuation placed on this type of integration by a substantial subset of training directors, and the extent of mental illness among populations who are institutionalized in nonpsychiatric settings.
2003

Yedidia, M.J., Gillespie, C.C., Kachur, E., Schwartz, M.D., Ockene, J., Chepaitis, A.E…. & Lipkin, M. 2003. Effect of Communications Training on Medical Student Performance. Journal of the American Medical Association, 290 , pp. 1157-1165. [and editorial comment, pp. 1210-1212.].
Abstract

Although physicians' communication skills have been found to be related to clinical outcomes and patient satisfaction, teaching of communication skills has not been fully integrated into many medical school curricula or adequately evaluated with large-scale controlled trials. This study concluded that communications curricula using an established educational model significantly improved third-year students' overall communications competence as well as their skills in relationship building, organization and time management, patient assessment, and negotiation and shared decision making-tasks that are important to positive patient outcomes.











Contact Details

colleen.gillespie@nyu.edu
(212) 263-4247
NYU SOM 423 E 23rd Street 15th Floor (#15028AN)
Office Hours: By appointment only
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Areas of Expertise

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