RESUMO
Four active duty military psychiatrists at different points in their careers were asked to reflect on the impact that the wars in Iraq and Afghanistan had on their respective training in military psychiatry residency programs. The result is an inside look from four unique perspectives on how military psychiatry residency training adapted over time to prepare their graduates to practice psychiatry in a wartime setting as many graduates went to the front lines of war shortly after graduation. This article will provide an understanding of the challenges faced by these residency programs striving to meet the behavioral health needs created by war while balancing this with ongoing ACGME requirements, how those challenges were met, and the impact it had on residents.
Assuntos
Campanha Afegã de 2001- , Currículo , Internato e Residência , Guerra do Iraque 2003-2011 , Psiquiatria Militar/educação , Acreditação , Necessidades e Demandas de Serviços de Saúde , Humanos , Militares , Psiquiatria/educaçãoAssuntos
Escolha da Profissão , Educação de Pós-Graduação em Medicina/organização & administração , Psiquiatria Militar/educação , Campanha Afegã de 2001- , Educação de Pós-Graduação em Medicina/história , História do Século XX , História do Século XXI , Humanos , Guerra do Iraque 2003-2011 , I Guerra Mundial , II Guerra MundialAssuntos
Psiquiatria do Adolescente/educação , Psiquiatria Infantil/educação , Educação de Pós-Graduação em Medicina/organização & administração , Bolsas de Estudo/organização & administração , Encaminhamento e Consulta , Educação de Pós-Graduação em Medicina/métodos , Bolsas de Estudo/métodos , Humanos , Assistência Centrada no Paciente , Psiquiatria/educaçãoRESUMO
A service dog is defined as "any dog that is individually trained to do work or perform tasks for the benefit of an individual with a disability, including a physical, sensory, psychiatric, intellectual, or other mental disability." Some psychiatric patients may depend on a service dog for day-to-day functioning. The Americans with Disabilities Act (ADA) established certain rights and responsibilities for individuals with disabilities and health care providers. Psychiatric hospitalization of a patient with a service dog may pose a problem and involves balancing the requirement to provide safe and appropriate psychiatric care with the rights of individuals with disabilities. This Open Forum examines issues that arise in such circumstances, reviews the literature, and provides a foundation for the development of policies and procedures.