Objective: The goal of this curriculum was to train residents in measurement-based care (MBC). Method: Third-year psychiatry residents were educated in MBC through didactic seminars and a quality-improvement (QI) initiative with the goal of implementing the Patient Health Questionnaire Depression Scale (PHQ29) to screen and monitor patients for symptoms of depression. Results: Residents suggested strategies for integrating the PHQ29 into the clinic. Over the first 6 months, residents showed an increase in rate of depression screening from 4% to 92% of patients. Also, they increased monthly monitoring of outpatients with a diagnosis of depression from 1% to 76%. Residents who used the PHQ29 to monitor patients with depression were significantly more likely to use additional standardized assessments. Conclusions: Combining an educational intervention with QI strategies can significantly affect residents' use of standardized assessments in an outpatient setting. Using standardized measures allows residents to assess their own clinical effectiveness, an emerging priority in training.
Bibliographical noteFunding Information:
Received August 23, 2012; revised February 22, 2013; accepted March 14, 2013. From the Dept. of Psychiatry, Columbia University, New York, NY (MRA, MW, SCK, DLC, SME), the Research Foundation for Mental Hygiene, Inc. (MW, AJI), New York State Psychiatric Institute (MRA, DLC, SME), and the New York State Office of Mental Health (LIS). Send correspondence to Dr. Arbuckle; e-mail: firstname.lastname@example.org Copyright © 2013 Academic Psychiatry
ASJC Scopus subject areas
- Psychiatry and Mental health