PSYCHOSOMATIC MEDICINE INTEREST GROUP Presenter: Neil V. Puri, MD Mentors: Priya Gopalan, MD Pierre N. Azzam, MD.

PSYCHOSOMATIC MEDICINE INTEREST GROUP

Presenter:Neil V. Puri, MD

Mentors:Priya Gopalan, MDPierre N. Azzam, MD

Objectives

Create a Psychosomatic Medicine Interest Group (PMIG) for residents that will:

• Increase residents’ PM knowledge• Increase residents’ interest in PM• Increase residents’ opportunities for PM mentorship• Increase the growth of residents as teachers/mentors

PMIG Design

Recruitment

•The PMIG was advertised by an email to all psychiatric residents•Psychiatric residents volunteered to participate in the PMIG•PM faculty volunteered to provide supervision for the PMIG

PMIG Design

Meetings

•The PMIG meets monthly•Each meeting has a theme consistent with one of the APS core topics•Meetings consist of a resident led case discussion and literature review•Meetings occur at a member’s house over dinner

PMIG Design

Data Collection

•PMIG members provide anonymous feedback at the end of each meetings•PMIG members are surveyed every six months about how much the PMIG has: increased their PM knowledge, increased their interest in PM, increased their skills as teachers/mentors, and provided them opportunities for PM mentorship.

PMIG Design

Educational Technology

•We have found using virtual white boards very helpful•We use online surveys to gather data

Results – The MeetingsSession Topic Number of

ParticipantsCase

1 Neurology 10 60 y/o female with bizarre neurological complaints who was discovered to have Cotard’s Syndrome

2 Renal/Ethics 5 52 y/o female refusing hemodialysis due to depression

3 GI 6 24 y/o female with recurrent ingestion of foreign objects

4 Nutrition 6 52 y/o male with Korsakoff’s psychosis

5 Women’s Health

5 36 y/o female with T6 paraplegia, baclofen pump, and seizure disorder who becomes psychotic after delivery

Results – End of the Meeting SurveySession 1 Session 2 Session 3 Session 4 Session 5 Average

The meeting was interesting and held my attention

9.9 9.6 9.67 9.67 9.6 9.72

The meeting was a good blend of didactic teaching and active learning

9.9 9.6 9.67 9.5 9.4 9.66

The meeting allowed for discussion/questions as needed

9.8 9.6 9.67 9.67 9.6 9.69

The presenters/ facilitators for the meeting appeared to be well-prepared

9.8 9.6 9.5 9.5 9.8 9.66

The materials used in the meeting were helpful

9.7 9.2 9.5 9.83 9.4 9.56

The meeting was useful for me in improving my clinical practice

9.6 9.6 9.5 9.34 9.4 9.53

Based on 1-10 Likert scale with 1 being “Strongly Disagree” and 10 being “Strongly Agree”

Results – Six Month Survey Question Average Score

Prior to joining the PMIG, I was considering a career in psychosomatic medicine.

7.79

Participating in the PMIG has increased my interest in psychosomatic medicine.

8.67

Participating in the PMIG has influenced me to pursue a career in psychosomatic medicine.

7.89

Participating in the PMIG has increased my knowledge of psychosomatic medicine.

8.11

Participating in the PMIG has helped me gain a better understanding of the biological, psychological, and social components of diseases.

8.00

Participating in the PMIG has given me opportunities for mentorship. 8.45

Participating in the PMIG has given me opportunities to be a mentor. 6.56

Participating in the PMIG has improved my teaching skills. 7.33

Based on 1-10 Likert scale with 1 being “Strongly Disagree” and 10 being “Strongly Agree”

Results – Residents Enjoy the PMIG!• “It has all worked well! Really enjoying it!”• “I like going to someone's house and having snacks. It is

social and fun, but I also learn a lot.”

Discussion – Objectives• Increase residents’ PM knowledge• Increase residents’ interest in PM• Increase residents’ opportunities for PM mentorship

• Increase the growth of residents as teachers/mentors

Discussion – Objectives• Residents that signed up for the PMIG are already interested in PM• The PMIG has helped increase residents’ interest in PM • Residents find the PMIG has helped improve their knowledge of

PM, their understanding of the biopsychosocial components of disease, and their clinical practice

• The PMIG has influenced participants to pursue careers in PM• The PMIG offers opportunities for mentorship• Residents participants feel less strongly that the PMIG has given

them opportunities for to be mentors or improve their teaching skills.• Of the 12 people that have participated in the PMIG year this year 4 are

PGY 1s, 5 are PGY 2s, 2 are PGY 3s, and 1 is a PGY 4. There is a clear majority of junior residents and this may contribute to the results that residents feel they are being mentored and taught, but perhaps not having as many opportunities to be mentors or teachers.

Discussion – Other Benefits!

• Members have learned about the APS• Members of the PMIG have collaborated on PM

related projects• Lecture series to internal medicine residents• Posters and papers

Discussion – Future Directions• Gather additional data

• Surveying participants on their interest prior to entering the group may better track changes

• Follow up on participant’s eventual career choices

• Invite expert attendings from other departments• Invite residents from other departments• Create a formal mentorship program within the PMIG• Collaborations with PMIGs from other institutions• Based on our success, other departments could consider

developing resident interest groups

Thank You!• Special thanks to:

• The APS• Priya Gopalan, MD• Pierre N. Azzam, MD

Questions or Comments?