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An Ounce of Prevention: A Public Health Approach to Improving Physician Well-Being

Chaukos, Deanna; Vestal, Heather S; Bernstein, Carol A; Belitsky, Richard; Cohen, Mitchell J; Hutner, Lucy; Penzner, Julie; Scheiber, Stephen; Wrzosek, Marika I; Silberman, Edward K
PMID: 28685352
ISSN: 1545-7230
CID: 2617392

Required and Elective Experiences During the 4th Year: An Analysis of ACGME Accredited Psychiatry Residency Program Websites

Vestal, Heather S; Belitsky, Richard; Bernstein, Carol A; Chaukos, Deanna; Cohen, Mitchell B; Dickstein, Leah J; Hilty, Donald M; Hutner, Lucy; Sakman, Ferda; Scheiber, Stephen C; Wrzosek, Marika I; Silberman, Edward K
OBJECTIVE: The objective of this study was to assess and describe required and elective components of the 4th post-graduate year (PGY4) in psychiatry residency programs. METHODS: We reviewed the websites of all 193 2014-2015 ACGME accredited psychiatry residency programs for content describing the specific components of the PGY4 year. RESULTS: Nearly all residency programs (99 %) had some form of required experiences during the PGY4 year. Ninety-four percent had clinical requirements for PGY4 residents, with longitudinal outpatient clinic being the most common (77 %). All programs offered some elective time during PGY4, but the amount of time ranged from 2 months to 100 %. CONCLUSION: Virtually all residency programs include some requirements in the 4th year (most commonly didactics and outpatient clinic) in addition to a broad array of elective experiences. Although 3 years may suffice for residents to complete ACGME requirements, a variety of factors may motivate programs to include required 4th year curricula. Future studies should explore the rationales for and possible benefits of programmatic requirements throughout 4 versus only 3 years of psychiatric training.
PMID: 26895930
ISSN: 1545-7230
CID: 1949972

Somatic symptom and related disorders, factitious illness, and malingering in the oncology setting

Chapter by: Gerstenblith, Ted Avi; Hutner, Lucy E; Smith, Felicia A; Stern, Theodore A
in: Psycho-oncology by Holland, Jimmie C; Breitbart, William S; Butow, Phyllis N; Jacobsen, Paul B; Loscalzo, Matthew J; McCorkle, Ruth [Eds]
New York, NY : Oxford University Press; US, 2015
pp. 339-344
ISBN: 978-0-19-936331-5
CID: 1645382

Pscyhological factors affecting medical conditions

Chapter by: Nash, Sara Siris; Hutner, Lucy; Caligor, Eve
in: Psychiatry by Cutler, Janis L [Eds]
New York : Oxford University Press, 2014
pp. 351-386
ISBN: 019932607x
CID: 1745902

Reducing medical students' stigmatization of people with chronic mental illness: a field intervention at the "living museum" state hospital art studio

Cutler, Janis L; Harding, Kelli J; Hutner, Lucy A; Cortland, Clarissa; Graham, Mark J
OBJECTIVE: The authors designed an intervention to reduce beginning medical students' stigmatization of people with chronic mental illness (CMI). METHODS: Pre-clinical medical students visited a state psychiatric facility's "Living Museum," a combination patient art studio/display space, as the intervention. During the visit, students interacted with artist-guides who showed their work and discussed their experiences creating art. Students completed a self-assessment survey developed to measure attitudes and feelings toward people with CMI after half of the class visited the Living Museum, constituting a Visit/No-Visit cross-sectional comparison. RESULTS: Students who visited the Living Museum (N=64), as compared with those who did not visit (N=110), endorsed more positive attitudes toward people with CMI. Among the students who visited, however, those who reported having spoken individually with a patient-artist (N=44), paradoxically, indicated less-positive feelings toward people with CMI. CONCLUSIONS: An intervention in which pre-clinical medical students visited patient-artist guides in an art-studio setting generally improved students' attitudes toward people with CMI. Thus, nontraditional psychiatric settings offer a valuable adjunct to more traditional clinical settings to reduce stigma when introducing medical students to the field of psychiatry.
PMID: 22751820
ISSN: 1042-9670
CID: 307402