English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Objective: This article presents the Intervisions cliniques program, a Continuing Medical Education (CME) initiative for psychiatrists and general practitioners which uses case discussion to foster the acquisition of mental health care knowledge. Method: This project is a case study, using qualitative methods. An operational model of Intervisions Cliniques was drawn for analysis. Data mainly come from the program-related literature, direct observation and interviews with 9 key actors, assembled in 2 groups of promoters and participants of the program. Findings: The findings help to define the context and vision in which the Intervisions cliniques program was set up and implemented, to identify the perceived benefits and disappointments with regard to the program. Set up in the Canadian public managed care system and university-affiliated hospital, the Intervisions cliniques program helps to create lines of communication and privileged exchanges between general practitioners and psychiatrists as well as to foster mutual knowledge and a crosscutting and interactive view within a shared clinical territory. Several benefits noted by the participants and the organizing committee demonstrate the importance and multimodal effects of this type of initiative. The case-discussion format used as a CME method meets the training needs of general practitioners and is widely appreciated. However, the pressing needs expressed by the general practitioners with regard to improving shared mental health care still pose many challenges. Conclusions: Making the link with the duties of responding psychiatrists, who are now funded in Québec, seems to be part of the solution. Maintaining and disseminating the Intervisions Cliniques program will require provincial-wide system implementation strategies to train psychiatrist, support them and regional managers to monitor the quality of this innovative practice within a public managed care system. Clinical implications • In the context of Continuing Medical Education (CME), case discussions are valued because they help to address the full complexity of clinical situations. • In the development of shared mental health care, direct contacts between general practitioners and psychiatrists are an optimal way to foster mutual knowledge and a crosscutting and interactive view within a shared clinical territory. • The Intervisions cliniques program contributes to shared mental health care and is a CME strategy that should be reproduced. ORIGINAL RESEARCH ISSN: 2469-5793 DOI: 10.23937/2469-5793/1510055 • Page 2 of 7 • Briand et al. J Fam Med Dis Prev 2017, 3:055 the most effective strategy leading to a change in practice [9]. “Problem-based learning” begins by exposure to a clinical problem with learning taking place through a process of understanding and solving this problem [10,11]. Although the effect observed in terms of knowledge acquisition and changes in practice is only moderately greater for “problem-based learning” compared to traditional methods, this method has been most favoured by the majority of physicians and gives rise to greater motivation and satisfaction [12-17]. A review of the literature on the organization of CME activities based on case discussions and “problem-based learning” has helped to identify the few publications on the subject and the need to further document best practices in CME and the organizational issues involved in implementing this type of activity for general practitioners and psychiatrists [18]. The opportunity came up in Montreal with a CME initiative involving psychiatrists and general practitioners using case discussion to foster acquisition of mental health knowledge: the Intervisions cliniques program. More specifically, this article aims to: • Describe the Intervisions cliniques program as implemented in a university psychiatric hospital with a catchment-area responsibility for the east-end of Montreal (circa 500,000 inhabitants); • Identify the medical education vision and needs met by this approach; and • Explore the challenges involved in implementing the Intervisions cliniques program and the conditions that would be conducive to maintaining and generalizing the program.

journal of family medicine and disease prevention

The Intervisions Cliniques Continuing Medical Education Program: A Forum for Exchange and Mutual Knowledge Development between General Practitioners and Psychiatrists