Description 

To meet the growing needs of outpatient care in the community in both children and adults, Bronxcare has adopted an Integrated Care Model. In this model: care is team-based with Primary Care Physicians (PCPs), Behavioral Health Care managers and the psychiatrists working together and has the patient at the center of this team. Psychiatrists work in these clinics as outpatient consultants: providing indirect care via recommendations in team meetings with Behavioral Health care managers (Collaborative Care) and face-to-face evaluation of patients when a higher level of care (co-located care) if indicated. Our interactions with the primary care doctors while implementing this integrated care model led to observation of training gaps, especially in their overall comfort in diagnosing and treatment psychiatric conditions. To identify the root cause of these deficiencies, we conducted focus groups with primary care leadership and conducted a survey for the Primary Care Trainees. As per the survey, many trainees did not feel confident in treating or recognizing mental illness even though a large part of Primary Care Practice includes provision of mental health care.  In a bid to target this training gap: we molded a 4-8 week elective in Primary care psychiatry for Internal and Family Medicine residents to learn about the most common Mental Health diagnosis and treatment. Currently, per ACGME, psychiatry is not a core rotation for either Internal Medicine or Family Medicine training but our Primary Care Psychiatry has garnered a lot interest. At this time, over 70 residents have participated in the elective within the last two years and our module only underscores the importance of having a structured rotation block for primary care residents.  Our workshop will start with a presentation about the mental healthcare needs of the United States focusing mainly on areas with deficits and the need for unique and novel approaches for provision of care. This will be followed by an introduction of the Psychiatry in Primary Care Elective. We will then open our workshop up for a large group discussion on how primary care specialties are being trained in psychiatry at programs where the attendees work. Following this we will have a presentation of the findings of our pre-rotation and post rotation survey and then discuss recommendations based off our findings. We will then invite our participants to engage in a small group discussion to explore ways to advocate with ACGME and AAMC to incorporate psychiatry as a core rotation for Primary Care Specialties. The session will close with a discussion of the road ahead and how each of us can play a part in increasing the access to care.    

Format 

Recorded webinar.

This content was recorded during the APA 2023 Annual Meeting.

Learning Objectives 

1. Understand the increasing and unmet mental healthcare needs in underserved communities
2. Gain perspective into the integrated care model we implemented
3. Understand the novel psychiatry in primary care elective
4. Advocating for psychiatry as a core for other primary care specialties

Target Audience 

Residents/Fellows, Psychiatrists, Psychologists

Estimate Time to Complete 

Estimated Duration: 1.5 hours
Program Start Date: May 1, 2025
Program End Date: May 1, 2028

How to Earn Credit 

Participants who wish to earn AMA PRA Category 1 Credit™ may do so after completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned. 

Continuing Education Credit  

In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

The APA designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Faculty and Planner Disclosures 

The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity. 

Instructors 

• Sasidhar Gunturu, MD
• Souparno Mitra, MD
• Shalini Dutta, MD

Planners  

• Vishal Madaan, MD, Chief of Education and Deputy Medical Director at the American Psychiatric Association.

Accessibility for Participants with Disabilities 

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. Please contact the American Psychiatric Association at 202-559-3900, if you require assistance seven (7) business days prior to the start of a live webinar. 

Technical Requirements 

This internet-based CME activity is best experienced using any of the following: 

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari 
• Internet Explorer 11+ 

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player. 

Optimal System Configuration: 

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version) 
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version) 
• Internet Connection: 1 Mbps or higher 

Minimum Requirements: 

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content 
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content 

For assistance: Contact educme@psych.org for questions about this activity | Contact learningcenter@psych.org for technical assistance