Psychiatry residents' experiences with systems-based practice: A qualitative survey

Joanna L. Fried, Melissa R. Arbuckle, Michael Weinberg, Anthony Carino, Hunter L. McQuistion, Sosunmolu O. Shoyinka, Anna Skiandos, David A. Stern, Jules M. Ranz

Research output: Contribution to journalArticlepeer-review


Objective: The aim of this study is to analyze qualitative data collected during field-testing of an instrument to assess psychiatric residents' experiences with systems-based practice (SBP). Methods: A total of 237 psychiatry residents from 6 levels of training in 12 different psychiatry residency training programs responded to a 60-item instrument measuring their experiences with SBP during residency. Qualitative techniques adapted from content analysis were used to review narrative responses to open-ended questions on the instrument. Results: Certain themes emerged in the residents' answers reflecting their opinions about the opportunities for (and barriers to) performing SBP in their work. Conclusions: Psychiatric residents express an eagerness for opportunities to learn about and perform SBP but often feel constrained by the lack of resources, teaching, and supervision. Moreover, many residents desire a better understanding of healthcare economics and how to factor cost consideration into clinical care.

Original languageEnglish
Pages (from-to)414-419
Number of pages6
JournalAcademic Psychiatry
Issue number4
StatePublished - Aug 2014
Externally publishedYes


  • Psychiatry residents
  • Systems-based practice

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Education

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