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  • Teaching the Art of Medicine:

    Integrating Behavioral Science, Mental

    Health and Professional Development into

    Residency Education Justin Parker, MD

    Bobby Leebold, LCSW

    Southern Illinois University School of Medicine

    Decatur Family and Community Medicine Residency Program

    Disclosures

    • No disclosures relative to today’s presentation

    2

  • Outline

    • The need for behavioral science training

    • Challenges within residency training

    • Creation of a behavioral science curriculum

    • Utility of balint and support groups

    • Integration into didactic and clinical curriculums

    • Self-Efficacy results

    3

    A Need for Training

    • Mental Health Care and Family Medicine – Xierali IM, Tong ST, Petterson SM, Puffer JC, Phillips RL, Bazemore AW.

    Family Physicians are Essential for Mental Health Care Delivery. J AM Board Fam Med 2013; 26(2): 114-115.

    • Longitudinal Curriculums – Hale, L, Ivey, L, Rollins, V. Impact of Longitudinal Behavioral Science

    Curriculum on Resident Competencies. Research paper presented at the 26th Annual STFM Conference on Families and Health. March 1-5, 2006. Austin, Texas.

    4

  • Challenges

    5

    Program Challenges

    • Time

    • Integration

    • Fragmentation

    • Resident Interest

    • Resident Wellness

    • Milestone Evaluations

    6

  • Curriculum Development

    • Resources

    – AAFP Curricular Guidelines

    – Milestone Evaluations

    – Resident Feedback

    7

    Curriculum Development

    8

    Behavioral Science Anxiety and Panic Disorders Yearly

    Mood disorders Yearly

    Bipolar disorder, schizophrenia Cycle

    Personality disorders, somatization disorder Cycle

    Eating disorders, OCD, Sleep Disorders Cycle

    ADHD – child and adult Yearly

    Substance Abuse, Addiction , Sleep disorders Cycle

    Domestic Abuse, Intimate Partner Abuse Cycle

  • Teaching the Art of Medicine

    • Balint Groups

    • Support Groups

    9

    Curricular Integration

    • Didactic Curriculum

    • Clinical Simulation

    • Clinical Encounters

    10

  • Curricular Integration

    11

    Didactic Session

    Clinical Simulation

    Clinical Experience

    Support Group

    Balint Session

    Curriculum Evaluation

    • Self-Efficacy Scales

    • Milestone Evaluations

    12

  • Cumulative Self-Efficacy Scores

    0

    20

    40

    60

    80

    100

    C o

    n fi

    d en

    ce L

    ev el

    ( %

    )

    Clinical Skills and Professional Development

    Baseline 12 Months

    13

    PGY-3 Self-Efficacy Scores

    0

    20

    40

    60

    80

    100

    C o

    n fi

    d en

    ce L

    ev el

    ( %

    )

    Clinical Skills and Professional Development

    Baseline 12 Months

    14

  • PGY-2 Self-Efficacy Scores

    0

    20

    40

    60

    80

    100

    C o

    n fi

    d en

    ce L

    ev el

    ( %

    )

    Clinical Skills and Professional Development

    Baseline 12 Months

    15

    PGY-1 Self-Efficacy Scores

    0

    20

    40

    60

    80

    100

    C o

    n fi

    d en

    ce L

    ev el

    ( %

    )

    Clinical Skills and Professional Development

    Baseline 12 Months

    16

  • Cumulative Self-Efficacy Scores

    0

    20

    40

    60

    80

    100

    Mood Anxiety Psychotic Personality Addiction Pain Pediatric Behavior

    Pediatric Psych

    C o

    n fi

    d en

    ce L

    ev el

    ( %

    )

    Disorders

    Diagnosis and Management

    Baseline 12 Months

    17

    PGY-3 Self-Efficacy Scores

    0

    20

    40

    60

    80

    100

    Mood Anxiety Psychotic Personality Addiction Pain Pediatric Behavior

    Pediatric Psych

    C o

    n fi

    d en

    ce L

    ev el

    ( %

    )

    Disorders

    Diagnosis and Management

    Baseline 12 Months

    18

  • PGY-2 Self-Efficacy Scores

    0

    20

    40

    60

    80

    100

    Mood Anxiety Psychotic Personality Addiction Pain Pediatric Behavior

    Pediatric Psych

    C o

    n fi

    d en

    ce L

    ev el

    ( %

    )

    Disorders

    Diagnosis and Management

    Baseline 12 Months

    19

    PGY-1 Self-Efficacy Scores

    0

    20

    40

    60

    80

    100

    Mood Anxiety Psychotic Personality Addiction Pain Pediatric Behavior

    Pediatric Psych

    C o

    n fi

    d en

    ce L

    ev el

    ( %

    )

    Disorders

    Diagnosis and Management

    Baseline 12 Months

    20

  • Lessons Learned…

    • Self-Efficacy Results

    • Milestone Evaluations

    • Significance of Balint Groups

    • Impact of a Longitudinal Curriculum

    • Future Endeavors

    21

    Questions?

    Justin Parker, MD

    Southern Illinois University School of Medicine

    Decatur Family & Community Medicine Residency Program

    jparker@siumed.edu

    22

    mailto:jparker@siumed.edu

  • Please…

    Complete the

    session evaluation.

    Thank you.

    23

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