Using the National Curriculum in Reproductive Psychiatry to Enhance and Standardize Fellowship Training
摘要
The National Curriculum in Reproductive Psychiatry (NCRP) is an evidence-based, peer-reviewed curriculum for psychiatry training. In 2021, the NCRP introduced a year-long, expert-led, standardized didactic series for consultation-liaison (CL) and reproductive psychiatry (RP) fellows across the USA (the NCRP Fellows Series). This study examines whether participation was associated with higher scores on a knowledge test and greater self-reported clinical preparedness.
MethodsThree cohorts of fellows participated annually in weekly virtual sessions from August to June 2021–2024, taught by NCRP faculty and guest experts utilizing core NCRP materials. Participants completed the same 29-question multiple-choice knowledge assessment and a Likert-scale preparedness questionnaire at course start (pre-test) and end (post-test).
ResultsSeventy-five fellows from 26 institutions (N = 35 CL, N = 40 RP) were included in analyses. There was a significant increase in post-test scores compared to pre-test across all participants (mean increase of 3.63 of 29 total points, p < 0.001). RP fellows scored significantly higher on the post-test compared to CL fellows, even after controlling for pre-test scores (mean difference = 2.02 points, p = 0.002). All participants reported a significant increase in self-rated preparedness to treat pregnant women with mental illness (p < 0.001).
ConclusionsThe NCRP Fellows Series — an expert-led, standardized national didactic program — was associated with higher post-test knowledge scores and greater self-reported clinical preparedness. However, in the absence of a comparison group, changes over time may not be attributed to the program alone. Higher scores among RP fellows may suggest additional benefit from subspecialty clinical exposure during training.