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Training primary care medical officers in mental health care: assessment using a structured clinical examination

Published online by Cambridge University Press:  02 January 2018

T. G. Sriram
Affiliation:
Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore 560 029, India
C. R. Chandrashekar
Affiliation:
Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore 560 029, India
Mohan K. Isaac
Affiliation:
Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore 560 029, India
R. Srinivasa Murthy
Affiliation:
Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore 560 029, India
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Mental health problems in primary care settings have received wider attention in recent years (Wilkinson, 1985). In India, the National Mental Health Programme (NMHP) was formulated with the purpose of promoting mental health care through primary health care (National Mental Health Programme, 1982). As part of the implementation of NMHP, training programmes for medical officers and health workers have been initiated in a number of centres in the country (National Mental Health Programme for India, Progress Report, 1988). At the National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, a monthly training programme for doctors and health workers of primary health centres has been carried out since 1982. In order to evaluate the gain in knowledge and clinical skills, a multiple-choice questionnaire and case vignettes have been standardised (Sriram et al, in press). The doctors are also evaluated through a structured clinical examination which is carried out on the last training day. The focus of the present report is to evaluate the clinical skills of medical officers using the structured clinical examination.

Type
Training matters
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1990

References

National Mental Health Programme for India (1982) Directorate General of Health Services, New Delhi.Google Scholar
National Mental Health Programme for India Progress Report (1988) National Institute of Mental Health and Neurosciences, Bangalore, India.Google Scholar
Sriram, T. G., Chandrashekar, C. R., Moily, Sundar, Kishore Kumar, K. V., Raghuram, A., Isaac, M. K. & Srinivasa Murthy, R. Standardisation of multiple-choice questionnaire for evaluating medical officers' training in psychiatry. Social Psychiatry and Psychiatric Epidemiology (in press).Google Scholar
Sriram, T. G., Chandrashekar, C. R., Isaac, M. K., Srinivasa Murthy, R., Kishore Kumar, K. V., Moily, S. & Shanmugham, V. Development of case vignettes to assess primary care medical officers' training in mental health (submitted for publication).Google Scholar
Wilkinson, G. (1985) Mental Health Practices in Primary Care Settings: an annotated bibliography 1977–85. London: Tavistock.Google Scholar
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