The Roots of Discontent: Understanding the Pressures of Psychiatric Emergency Training

摘要

McIlwrick and Lockyer's fascinating inquiry into the unique challenges inherent in emergency training for psychiatry residents in this issue of JGME stresses a number of important points well worthy of further consideration.In this qualitative study, researchers at the University of Calgary found that despite the rapid pace, clinical challenges, and onerous and intense workload characteristic of emergency room call for psychiatry residents, some of the most compelling and troubling issues for residents were more often intensely interpersonal. Identified challenges to a more positive and useful experience included a perceived lack of education and support for residents from attending psychiatric physicians, a perceived inconsistency in the availability of the psychiatric emergency services team, and a sense that nonpsychiatric physicians within emergency departments treated both psychiatric patients and psychiatric residents with significant negative bias and stigma.