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Molina-Ruiz R, Nakagami Y, Mörkl S, Vargas M, Shalbafan M, Chang JPC, Rai Y, Seun-Fadipe CT, Erzin G, Kazhungil F, Vidal P, Brihastami S, Yıldızhan E, Maiti T, Fedotov I, Rojnic-Palavra I, Horinouchi T, Renganathan V, Pinto da Costa M. Training in neuropsychiatry: views of early career psychiatrists from across the world. BJPsych Bull 2024; 48:78-84. [PMID: 37395121 PMCID: PMC10985715 DOI: 10.1192/bjb.2023.32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 02/01/2023] [Accepted: 04/16/2023] [Indexed: 07/04/2023] Open
Abstract
BACKGROUND Training and practice in neuropsychiatry varies across the world. However, little is known about the experiences and opinions of early career psychiatrists (ECPs) across different countries regarding neuropsychiatry. AIMS AND METHOD To investigate neuropsychiatry training experiences, practices and opinions among ECPs across different countries. An online survey was distributed to ECPs in 35 countries across the world. RESULTS A total of 522 participants took part in this study. Responses show that neuropsychiatry is integrated to a variable extent in psychiatric training curricula across the world. Most respondents were not aware of the existence of neuropsychiatric training or of neuropsychiatric units. Most agreed that training in neuropsychiatry should be done during or after the psychiatry training period. Lack of interest among specialty societies, lack of time during training, and political and economic reasons are regarded as the main barriers. CLINICAL IMPLICATIONS These findings call for an improvement in the extent and in the quality of neuropsychiatry training across the world.
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Affiliation(s)
| | | | | | | | - Mohammadreza Shalbafan
- Iran University of Medical Sciences, Tehran, Iran
- Institute for Cognitive Sciences Studies, Tehran, Iran
| | | | - Yugesh Rai
- Essex Partnership University NHS Foundation Trust, Colchester, UK
| | | | - Gamze Erzin
- Diskapi Training and Research Hospital, Ankara, Turkey
| | | | - Pablo Vidal
- Hospitalario Universitario A Coruña, A Coruña, Spain
| | | | - Eren Yıldızhan
- Bakirkoy Mazhar Osman Research and Training Hospital for Psychiatry, Istanbul, Turkey
| | - Tanay Maiti
- South Yorkshire NHS Foundation Trust, Dewsbury, UK
| | | | | | - Toru Horinouchi
- Hokkaido University Graduate School of Medicine, Sapporo, Japan
| | | | - Mariana Pinto da Costa
- Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
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Torales J, O'Higgins M, Barrios I. Addiction psychiatry and psychiatry trainees: a still complicated relationship. Int Rev Psychiatry 2023; 35:503-505. [PMID: 38299656 DOI: 10.1080/09540261.2023.2275699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 10/23/2023] [Indexed: 02/02/2024]
Affiliation(s)
- Julio Torales
- Department of Medical Psychology, School of Medical Sciences, Universidad Nacional de Asunción, San Lorenzo, Paraguay
- Regional Institute of Health Research, Universidad Nacional de Caaguazú, Coronel Oviedo, Paraguay
- School of Medical Sciences, Universidad Sudamericana, Pedro Juan Caballero, Paraguay
| | - Marcelo O'Higgins
- Department of Medical Psychology, School of Medical Sciences, Universidad Nacional de Asunción, San Lorenzo, Paraguay
| | - Iván Barrios
- School of Medical Sciences, Universidad Sudamericana, Pedro Juan Caballero, Paraguay
- Department of Statistics, School of Medical Sciences, Santa Rosa Campus, Universidad Nacional de Asunción, Santa Rosa del Aguaray, Paraguay
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Bhad R, Achab S, Rafei P, Kathiresan P, Ardabili HM, Butner J, Orsolini L, Melby K, Farokhnia M, Narasimha VL, Ridley K, Tolomeo S, Kanabar M, Matanje B, Grandinetti P, Potenza M, Ekhtiari H, Baldacchino A. An online global survey and follow-up expert groups on the scope and needs related to training, research, and mentorship among early-career addiction medicine professionals. Glob Ment Health (Camb) 2023; 10:e44. [PMID: 37854423 PMCID: PMC10579666 DOI: 10.1017/gmh.2023.35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 06/10/2023] [Accepted: 07/03/2023] [Indexed: 10/20/2023] Open
Abstract
Addiction medicine is a rapidly growing field with many young professionals seeking careers in this field. However, early-career professionals (ECPs) face challenges such as a lack of competency-based training due to a shortage of trainers, limited resources, limited mentorship opportunities, and establishment of suitable research areas. The International Society of Addiction Medicine (ISAM) New Professionals Exploration, Training & Education (NExT) committee, a global platform for early-career addiction medicine professionals (ECAMPs), conducted a two-phase online survey using a modified Delphi-based approach among ECAMPs across 56 countries to assess the need for standardized training, research opportunities, and mentorship. A total of 110 respondents participated in Phase I (online key informant survey), and 28 respondents participated in Phase II (online expert group discussions on three themes identified in Phase I). The survey found that there is a lack of standardized training, structured mentorship programs, research funding, and research opportunities in addiction medicine for ECAMPs. There is a need for standardized training programs, improving research opportunities, and effective mentorship programs to promote the next generation of addiction medicine professionals and further development in the entire field. The efforts of ISAM NExT are well-received and give a template of how this gap can be addressed.
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Affiliation(s)
- Roshan Bhad
- Department of Psychiatry & National Drug Dependence Treatment Centre (NDDTC), All India Institute of Medical Sciences (AIIMS), New Delhi, India
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
| | - Sophia Achab
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Psychological and Sociological Research Unit, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Parnian Rafei
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran
| | - Preethy Kathiresan
- Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), Jodhpur, India
| | - Hossein Mohaddes Ardabili
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Psychiatry and Behavioural Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Jenna Butner
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Yale School of Medicine, New Haven, CT, USA
| | - Laura Orsolini
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Unit of Clinical Psychiatry, Department of Neurosciences/DIMSC, School of Medicine and Surgery, Polytechnic University of Marche, Ancona, Italy
| | - Katrine Melby
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Department of Clinical Pharmacology, St. Olav University Hospital, Trondheim, Norway
| | - Mehdi Farokhnia
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- National Institute on Drug Abuse, National Institutes of Health (NIH), Baltimore, MD, USA
- National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health (NIH), Baltimore, MD, USA
| | - Venkata Lakshmi Narasimha
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), Deoghar, India
| | - Kelly Ridley
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- The Rural Clinical School of Western Australia, University of Western Australia, Albany, WA, Australia
| | - Serenella Tolomeo
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Institute of High Performance Computing, Agency for Science, Technology and Research (A-STAR), Singapore, Singapore
- Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Mitika Kanabar
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Southern California Permanente Medical Group, Pasadena, CA, USA
| | - Beatrice Matanje
- Member of ISAM NExT (New Professionals Exploration, Training & Education Committee), International Society of Addiction Medicine (ISAM), Calgary, AB, Canada
- Lighthouse Trust, Lilongwe, Malawi
| | - Paolo Grandinetti
- Network of Early Career Professionals working in the area of Addiction Medicine (NECPAM) Seligenstadt, Germany
| | | | | | - Hamed Ekhtiari
- Laureate Institute for Brain Research, Tulsa, OK, USA
- Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA
| | - Alexander Baldacchino
- Division of Population and Behavioural Science, Medical School, University of St Andrews, St Andrews, UK
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Lundin RM, Hill H, Rao R, Maud C. Addiction experts: The discrepancy between expectations and reality of generalist psychiatry training. Australas Psychiatry 2023; 31:224-227. [PMID: 36710004 DOI: 10.1177/10398562231153015] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
OBJECTIVE The generalist psychiatrist is recognised in Australia as a specialist in the management of addiction. However, generalist training does not adequately prepare psychiatrists to take on this expert role. This problem is exacerbated by the lack of consensus around core competencies and training pathways. This article conceptualises the status of addiction training in generalist psychiatry training, outlines current gaps and worrying trends and provides suggestions for how these can be addressed. CONCLUSION Limited international leadership in the field provides an opportunity for psychiatry training in Australia and New Zealand to set a gold standard for training general psychiatrists to hold core competencies in addiction psychiatry. Key strategies will include: the identification and monitoring of addiction rotations; providing a formal training module in addiction; specifying a set proportion of addiction exam questions; and obtain consensus on core competencies.
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Affiliation(s)
- Robert M Lundin
- Change to Improve Mental Health (CHIME), 3487Barwon Health MHDAS, Geelong, Victoria, Australia; and 2104Deakin University, Institute for Mental and Physical Health and Clinical Translation (IMPACT), Geelong, VIC, Australia
| | - Harry Hill
- Change to Improve Mental Health (CHIME), 3487Barwon Health MHDAS, Geelong, Victoria, Australia; and 2104Deakin University, Institute for Mental and Physical Health and Clinical Translation (IMPACT), Geelong, VIC, Australia
| | - Ranjini Rao
- Change to Improve Mental Health (CHIME), 3487Barwon Health MHDAS, Geelong, VIC, Australia
| | - Catherine Maud
- Change to Improve Mental Health (CHIME), 3487Barwon Health MHDAS, Geelong, Victoria, Australia; and 2104Deakin University, Institute for Mental and Physical Health and Clinical Translation (IMPACT), Geelong, VIC, Australia
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Lundin RM, Hill H. The worrying, current state of addictions training in medicine. Front Med (Lausanne) 2022; 9:1062096. [PMID: 36507515 PMCID: PMC9731765 DOI: 10.3389/fmed.2022.1062096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 11/08/2022] [Indexed: 11/25/2022] Open
Affiliation(s)
- Robert M. Lundin
- Institute for Mental and Physical Health and Clinical Translation (IMPACT), Deakin University, Geelong, VIC, Australia,Change to Improve Mental Health (CHIME), MHDAS, Barwon Health, Geelong, VIC, Australia,*Correspondence: Robert M. Lundin
| | - Harry Hill
- Institute for Mental and Physical Health and Clinical Translation (IMPACT), Deakin University, Geelong, VIC, Australia,Change to Improve Mental Health (CHIME), MHDAS, Barwon Health, Geelong, VIC, Australia,Department of Mental Health, Albury Wodonga Health, Wangaratta, VIC, Australia
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