Integration of mental health comorbidity in medical specialty programs in 20 countries.

Journal: International journal of psychiatry in medicine

Volume: 56

Issue: 4

Year of Publication: 2021

Affiliated Institutions:  Departamento de Fisiología National Autonomous University of Mexico (UNAM) School of Medicine, Mexico City, Mexico. Association for the Improvement of Mental Health Programmes, Geneva, Switzerland. Department of Psychiatry & Community Health Sciences, Cumming School of Medicine, Institute for Child & Maternal Health, The University of Calgary, Calgary, Canada. Dialogue on Diabetes and Depression, ProConsult, LLC, Las Vegas, USA. Heerhugowaard, Mental Health Organization, Amsterdam, the Netherlands. Serbian Academy of Sciences and Arts, Institute of Mental Health, Scholl of Medicine, University of Belgrade, Belgrade, Serbia. Faculty of Dental Medicine and Health, Department of Psychiatry, University of Osijek, Osijek, Croatia. Faculty of Wellbeing, Education and Language Studies, School of Health, Wellbeing and Social Care, The Open University, Milton Keynes, UK. Community, Culture and Mental Health Unit, School of Psychiatry and Clinical Neurosciences, The University of Western Australia, Perth, Australia. University of Nairobi, Africa Mental Health Research and Training Foundation, Nairobi, Kenya. Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel. Ma'ale HaCarmel Mental Health Center, Tirat Carmel, Israel. Neurodevelopmental Disability Protection Trustee Board of Bangladesh, Dhaka, Bangladesh. Department of Endocrinology, Moscow Regional Clinical and Research Institute, Moscow, Russia.

Abstract summary 

A systematic analysis was performed of the medical specialization academic programs of 20 different countries to establish which medical specialties take into account mental health issues in the specialty curricular design and which mental health content these programs address. The criteria that were explored in the educational programs include: 1) name of the medical specialties that take into account mental health content in curriculum design, 2) name of the mental health issues addressed by these programs. After independent review and data extraction, paired investigators compared the findings and reached consensus on all discrepancies before the final presentation of the data. Descriptive statistics evaluated the frequency of the data presented.Internal medicine, family medicine, neurology, pediatrics and geriatrics were the specialties that included mental health topics in their programs. In four countries: Bangladesh, Serbia, the Netherlands and France, 50%of all graduate specialty training programs include mental health content. In ten countries: Germany, Sweden, the United Kingdom, Mexico, Belgium, India, Russia, Canada, Israel and Spain, between 20% and 49% of all graduate specialty training programs include mental health content. In six countries - Brazil, Chile, Colombia, Croatia, Kenya, and the United States-less than 20% of all graduate specialty training programs include mental health content.The proposal that we have made in this article should be taken into account by decision-makers, in order to complement the different postgraduate training programs with mental health issues that are frequently present with other physical symptoms. It is not our intention that the different specialists know how to treat psychiatric comorbidities, but rather pay attention to their existence and implications in the diagnosis, evolution and prognosis of many other diseases. The current fragmentation of medicine into ever finer specialties makes the management of comorbidity ever more difficult: a reorientation of post- graduate training might improve the situation.

Authors & Co-authors:  Heinze Sartorius Guizar Sanchez Bernard-Fuentes Cawthorpe Cimino Cohen Lecic-Tosevski Filipcic Lloyd Mohan Ndetei Poyurovsky Rabbani Starostina Yifeng EstefaníaLimon

Study Outcome 

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Statistics
Citations : 
Authors :  17
Identifiers
Doi : 10.1177/00912174211007675
SSN : 1541-3527
Study Population
Male,Female
Mesh Terms
Child
Other Terms
comorbidity;curriculum development;medical education;medical illness;mental illness
Study Design
Study Approach
Country of Study
Kenya
Publication Country
United States