Description 

Education plays an important role in Consultation-Liaison (C-L) Psychiatry. Whether it is educating medical students, residents, and fellows at our academic institutions, educating our non-psychiatrist colleagues, or educating the public about the neuropsychiatric manifestations of medical illness, education is integral to field of C-L Psychiatry. This symposium will look at the state of C-L training in Psychiatry Residency training by presenting the results of a large national survey. The survey found that, while overall time in CLP is increasing, nearly 20% of programs have moved CLP training earlier in residency. As a result, only 43.7% programs remain compliant with the 2014 ACLP recommendation to include some core CL training in the second half of residency, as compared with 61.4% programs in 2010, and over 1/5 of programs that participated in the survey have some core CLP experiences in PGY-1. The popularity of outpatient CLP experiences has also increased, with over 20% of programs including an outpatient CLP experience for residents during training, and a variety of clinic types represented. Scott Beach, former Program Director of the MGH/McLean Adult Psychiatry Program and lead investigator on the survey, will provide an overview of the survey results. The COVID-19 pandemic markedly changed the training experience for many of our current residents and fellows, often with significant impacts on their skills and learning needs. Sandy Rackley will review what we know about how Psychiatry training was (and continues to be) impacted, and the implications for more effective fellowship and CME training in the coming years. Nancy Byatt will discuss how to build the capacity of obstetric settings to address perinatal mood and anxiety disorders. Perinatal mood and anxiety disorders affect one in five women. They increase the risk of adverse maternal, infant, and child outcomes and are a leading cause of maternal mortality in the United States. Recognizing that perinatal care providers are in an ideal position to intervene, professional societies, and policy makers recommend that mental health care be integrated into perinatal care. The presentation will review 1) how to build the capacity of obstetric practice settings to detect, assess, and treat perinatal mood and anxiety disorders, and 2) scalable models and tools for doing so. She will also provide actionable information, algorithms, and clinical pearls for how to support our obstetric colleagues in successfully integrating mental health care into perinatal care. Finally, Philip Bialer will present the work and effectiveness of a Communication Skills Training Program for oncology trainees at a major cancer center.

Format 

Recorded webinar.

This content was recorded during the APA 2023 Annual Meeting.

Learning Objectives 

1. At the conclusion of the session the participant will be all be able to identify the pros and cons of a CL Psychiatry rotation based in the intern year.
2. At the conclusion of the session the participant will be able to identify benefits of incorporating outpatient CL experiences in residency training.
3. At the conclusion of the session the participant will be able to describe the impact of the COVID-19 pandemic on fellowship training and CME.
4. At the conclusion of the session the participant will be able to identify how perinatal mood and anxiety disorders impact adverse maternal, infant and child outcomes.
5. At the conclusion of the session, the participant will be to describe the effectiveness of a training program to improve the effectiveness of clinician communication with oncology patients.

Target Audience 

Medical Students, Residents/Fellows, Psychiatrists, non-psychiatrist Physicians

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 

• Philip Bialer, MD
• Scott Beach, MD
• Sandra Rackley, MD
• Nancy Byatt, DO, MS, MBA, FACLP

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