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Research ArticleOriginal ResearchA

Telepsychiatric Consultation as a Training and Workforce Development Strategy for Rural Primary Care

Morhaf Al Achkar, Ian M. Bennett, Lydia Chwastiak, Theresa Hoeft, Tre Normoyle, Melinda Vredevoogd and Davis G. Patterson
The Annals of Family Medicine September 2020, 18 (5) 438-445; DOI: https://doi.org/10.1370/afm.2561
Morhaf Al Achkar
1Department of Family Medicine, University of Washington, Seattle, Washington
MD, PhD
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  • For correspondence: alachkar@uw.edu
Ian M. Bennett
1Department of Family Medicine, University of Washington, Seattle, Washington
2Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington
MD, PhD
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Lydia Chwastiak
2Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington
MD, MPH
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Theresa Hoeft
2Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington
PhD
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Tre Normoyle
3Valley View Health Center, Chehalis, Washington
PhD
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Melinda Vredevoogd
2Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington
MS
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Davis G. Patterson
1Department of Family Medicine, University of Washington, Seattle, Washington
PhD
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  • Figure 1
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    Figure 1

    Initial conceptual model for training support by weekly systematic case review through telepsychiatry consultation.

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    Figure 2

    Final model of learning and training pathways and content for telepsychiatry consultation collaborative care.

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    Table 1

    Participant Characteristics (N = 17)

    CharacteristicValue
    Team role, No.
     Primary care clinician4
     Care manager9
     Consulting psychiatrist3
     Medical assistant1
    Age group, No.
     20-29 y1
     30-39 y5
     40-49 y2
     50-59 y6
     ≥60 y3
    Sex (self-identified), No.
     Female10
     Male7
    Years of experience, median (range)
     Since finishing training7 (1-39)
     In collaborative care2 (0.25-10)

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    Files in this Data Supplement:

    • Supplemental data: Appendixes & Tables - PDF file
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The Annals of Family Medicine: 18 (5)
The Annals of Family Medicine: 18 (5)
Vol. 18, Issue 5
September/October 2020
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Telepsychiatric Consultation as a Training and Workforce Development Strategy for Rural Primary Care
Morhaf Al Achkar, Ian M. Bennett, Lydia Chwastiak, Theresa Hoeft, Tre Normoyle, Melinda Vredevoogd, Davis G. Patterson
The Annals of Family Medicine Sep 2020, 18 (5) 438-445; DOI: 10.1370/afm.2561

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Telepsychiatric Consultation as a Training and Workforce Development Strategy for Rural Primary Care
Morhaf Al Achkar, Ian M. Bennett, Lydia Chwastiak, Theresa Hoeft, Tre Normoyle, Melinda Vredevoogd, Davis G. Patterson
The Annals of Family Medicine Sep 2020, 18 (5) 438-445; DOI: 10.1370/afm.2561
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Subjects

  • Domains of illness & health:
    • Chronic illness
    • Mental health
  • Methods:
    • Qualitative methods
  • Other research types:
    • Professional practice
  • Core values of primary care:
    • Access
    • Coordination / integration of care
  • Other topics:
    • Education
    • Organizational / practice change

Keywords

  • rural health services
  • mental health
  • telepsychiatry
  • remote consultation
  • telemedicine
  • consultation
  • collaborative care
  • primary care
  • depression
  • patient care team
  • vulnerable populations

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