Faculty Building for Personalized Medicine and Care
DOI:
https://doi.org/10.14738/assrj.1110.17726Keywords:
qualification profile, internships, didactics and learning objectives, metacompetencies, admission, approbationAbstract
Personalized medicine and care always places the patient at the center and requires psychosocial interprofessional skills. Using the example of personalized care, which is conceived as clinical, biopsychosocial work in an interdisciplinary, care-relevant manner, it is shown why comprehensive and differentiated abilities are required for this activity. According to grounded theory methodology, an interview-study with several experts in the field was carried out in a cyclical research design. As a result, problem definitions and solution concepts suggested to focus existing and development of new curricula or curriculum elements, to focus training processes and students’ qualification profiles for the respective personell-, organizational- development and faculty building. The qualification profile, definitions of learning objectives, as well as their effective implementation and didactic mediation possibilities are empirically reviewed and presented in an overview and exemplary manner. The training is designed to be practice-relevant, patient-centered with sufficient personal reflection skills, which are conveyed through teaching in continuous small groups. Selection procedures and internships take into account the requirements of psychosocial care and academic standards. Workplace-based examinations and case-oriented feedback develop the trainees into professional workers. A priori necessary basic competencies are presented and discussed in order to further elaborate empirical research and curricular strategies. Therefore the respective faculty building can be derived.
References
Wancata J. Prävalenz und Versorgung psychischer Krankheiten in Österreich. Medizinische Universität Wien: Abteilung für Sozialpsychiatrie, 2017.
Löffler-Stastka H, Hochgerner M. Versorgungswirksamkeit von Psychotherapie in Österreich. psychopraxis. neuropraxis.2021;24:57–61. . https://doi.org/10.1007/s00739-020-00686-w
OECD. Mental Health and Work: Austria. Paris: OECD, 2015, 2020.
Rieß G, Löffler-Stastka H. VersorgungsNOT – Psychotherapie als zentrale, aber marginalisierte Versorgungsleistung im Gesundheitssystem. Der Preis der Ignoranz - was kostet es uns als Gesellschaft? Psychotherapie Forum. 2022; 26:136-143. DOI:10.1007/s00729-022-00210-y
Statistik Austria. Krankenstandsfälle seit 1990 nach Diagnose. https://www.statistik.at/ 2020. Status from 30.11.2023.
Hapke U, Cohrdes C, Nübel J. (). Depressive Symptomatik im europäischen Vergleich - Ergebnisse des European Health Interview Survey (EHIS) 2. 2019. https://doi.org/10.25646/6221, status from 30.11.2023
Ferrari AJ, Charlson FJ, Norman RE, Patten SB, Freedman G, Murray CJL, ... Whiteford HA. Burden of depressive disorders by country, sex, age, and year: Findings from the global burden of disease study 2010. PLoS Medicine. 2013;10(11): e1001547. https://doi.org/10.1371/journal.pmed.1001547
Lieb K, Frauenknecht S, Brückner A, Brunnhuber S, Förstner U, Huss M, … Voderholzer U. (Hrsg.) Intensivkurs Psychiatrie und Psychotherapie (9. Auflage). München: Elsevier. 2019.
Gaebel W, Hasan A, Falkai P. Deutsche Gesellschaft für Psychiatrie und Psychotherapie, Psychosomatik und Nervenheilkunde (Hrsg.) S3-Leitlinie Schizophrenie. Berlin-Heidelberg: Springer, 2019.
McGrath J, Saha S, Chant D, Welham J. Schizophrenia: A Concise Overview of Incidence, Prevalence, and Mortality. Epidemiologic Reviews. 2008:30(1):67–76. https://doi.org/10.1093/epirev/mxn001
GBD 2019 Mental Disorders Collaborators. Global, regional and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Psychiatry. 2022; 9:137–150.
Pietrabissa G, Volpi C., Bottacchi M, Bertuzzi V, Usubini AG, Löffler-Stastka H, Prevendar T, Rapelli G, Cattivelli R, Castelnuovo G, Molinari E., Sartorio A. The Impact of Social Isolation during the COVID-19 Pandemic on Physical and Mental Health: The Lived Experience of Adolescents with Obesity and Their Caregivers. Int. J. Environ. Res. Public Health. 2021; 18:3026. https://doi.org/10.3390/ijerph18063026.
Kiesewetter J, Kollar I, Fernandez N, Lubarsky S, Kiessling C, Fischer MR, Charlin B. Crossing boundaries in interprofessional education: A call for instructional integration of two script concepts. Journal of interprofessional care. 2016;30(5):689-692. doi: 10.1080/13561820.2016.1184238.
Kung D, Brewer W, Oyelam V, Hessel S, Bramlett L, Gill A. Interprofessional Education on the Neurology Clerkship for Physical Therapy and Medical Students. MedEdPORTAL: the journal of teaching and learning resources. 2023; 19:11316. https://doi.org/10.15766/mep_2374-8265.11316
Medizinische Universität Wien. White Paper Lehre. Wien, 2018. https://www.meduniwien.ac.at/web/studium-weiterbildung/die-lehre-an-der-meduni-wien/?L=3 (retrieved 15.7.2024)
Frank JR, Snell L, Sherbino J. CanMEDS 2015 Physician Competency Framework. Ottawa: Royal College of Physicians and Surgeons of Canada. 2015.
EAP - European Association for Psychotherapy. The Professional Competencies of A European Psychotherapist. Vienna: EAP. 2013. https://www.europsyche.org/quality-standards/eapstandards/professional-competencies-of-a-european-psychotherapist/(retrieved 7.10.2024)
Löffler-Stastka H, Finger-Ossinger M, Meischl T. Kompetenzen in Psychotherapeutischer Medizin und Psychotherapie erwerben. psychopraxis. neuropraxis. 2024;27: 26-20. DOI:10.1007/s00739-023-00971-4
Löffler-Stastka H, Hassemer S, Ronge-Toloraya A, Krajic K. Expert Perspectives on the Effectiveness of Psychotherapy. Int. J. Environ. Res. Public Health. 2023; 20(18): 6739. https://doi.org/10.3390/ijerph20186739.
Richter F, Steinmair D, Löffler-Stastka H. Mentalisierung bei Störungen aus dem schizophrenen Formenkreis. psychopraxis.neuropraxis. 2020; 23:175–179. https://doi.org/10.1007/s00739-020-00654-4
Fonagy P, Target M. Attachment and reflective function: Their role in self-organization. Development and Psychopathology. 1997;9(4):679–700. https://doi.org/10.1017/s0954579497001399
Heatherington L, Barber JP, Kilcullen JR, Castonguay LG, Davis KA, Barry P, Kivlighan DM Jr. Selecting future psychotherapists for training: A nationwide study of ideal characteristics and current practices. In LG Castonguay CE Hill (Hrsg.), Becoming Better Psychotherapists: Advancing Training and Supervision. 2023);1: 311-331. American Psychological Association. https://doi.org/10.1037/0000364-015
Steinmair D, Horn R, Richter F, Wong G, Löffler-Stastka H. Mind reading improvements in mentalizationbased therapy training. Bulletin of the Menninger Clinic. 2021;85(1):59-82. doi: 10.1521/bumc.2021.85.1.59.
Finger-Ossinger M, Löffler-Stastka H. Self-reflectivity: a moment of professionalization in psychotherapy training. Research in Psychotherapy. 2018;21(3): 316. DOI:10.4081/ripppo.2018.316
Orlinsky DE, Messina I, Hartmann A, Willutzki U, Heinonen E, Rønnestad MH, Löffler‐Stastka H, Schröder T. Ninety psychotherapy training programmes across the globe: Variations and commonalities in an international context. Counselling & Psychotherapy Research. 2023; Advance online publication. https://doi.org/10.1002/capr.12690
Löffler-Stastka H, Gelo O, Pleschberger I, Schröder T, Orlinsky DE, Rønnestad MH, Willutzki U. Psychotherapieausbildung in Österreich: Basisdaten und soziodemographische Hintergrunddaten aus der SPRISTAD-Studie. psychopraxis.neuropraxis. 2018;21(5): 227-231. https://doi.org/10.1007/s00739-018-0508-9
Löffler-Stastka H, Gelo O, Pleschberger I, Hartmann A, Orlinsky DE, Rønnestad MH, Willutzki U. Psychotherapie-Berufsausbildung in Österreich: Basis- und soziodemografische Hintergrunddaten aus 362 einer SPRISTAD-Pilotstudie [Psychotherapy training in Austria. Baseline and socio-demographic background data from a SPRISTAD (Society of Psychotherapy Research Interest Section on Therapist Training and Development) – Pilotstudy]. Zeitschrift für Psychosomatische Medizin und Psychotherapie. 2019; 65:341-352. https://doi.org/10.13109/zptm.2019.65.4.341. Finger-Ossinger M, Löffler-Stastka H. Self-reflectivity: a moment of professionalization in psychotherapy training. Research in Psychotherapy. 2018;21(3): 316. DOI:10.4081/ripppo.2018.316
Turk B, Ertl S, Wong G, Wadowski PP, Löffler-Stastka H. Does case-based blended-learning expedite the transfer of declarative knowledge to procedural knowledge in practice? BMC Medical Education. 2019;19: 447. https://doi.org/10.1186/s12909-019-1884-4
Ertl S, Steinmair D, Löffler-Stastka H. Encouraging communication and cooperation in e-learning: solving and creating new interdisciplinary case histories. GMS J Med Educ. 2021; e38(3): Doc62. doi: 10.3205/zma001458.
Löffler-Stastka H, Fink B, Franz J, Lenz G, Matuszak-Luss K, Sachs G, Tölk A, Wagner E, Aigner M & die Arbeitsgruppe Psychotherapeutische Ausbildung in der Psychiatrie der Sektion Psychotherapie der ÖGPP. „Basiscurriculum in psychotherapeutischer Medizin “: Psychotherapeutische Ausbildung in der Psychiatrie – ein Beginn. Psychiatrie & Psychotherapie. 2011; 7:20–26. https://doi.org/10.1007/s11326-011-0147-8
Himmelbauer M, Seitz T, Seidman C, Löffler-Stastka H. Standardized Patients in Psychiatry – the best way to learn clinical skills? BMC Medical Education. 2018; 18:72 https://doi.org/10.1186/s12909-018-1184-4.
Altmann P, Pezawas L, Kasprian G, Löffler-Stastka H. Digitalisierung in der Lehre der Neurologie und Psychiatrie. [Digitalization in the Teaching of Neurology and Psychiatry] psychopraxis.neuropraxis. 2024;27: 140-144. DOI:10.1007/s00739-024-00999-0
Ertl S, Wadowski PP, Löffler-Stastka H. Improving Students’ Performance via Case-Based e-Learning. frontiers in Medicine. 2024; (in press).
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