Child and adolescent psychiatry: which knowledge and skills do primary care physicians need to have? A survey in general practitioners and paediatricians

摘要: Primary care physicians (PCPs) play a key role in the initial assessment and management of children adolescents with mental health problems. However, it is unclear whether current medical education curricula sufficiently equip PCPs for this task. The aim study was to investigate, which child adolescent psychiatry (CAP)-related skills knowledge say they require their daily practice. A questionnaire generated, employing modified two-step Delphi approach. Besides socio-demographic items, contained 17 CAP-related items 13 had be rated by importance distributed 348 office-based paediatricians 500 general practitioners (GPs) Germany. overall return rate 51.3% (435/848). Regarding knowledge, both GPs somatoform disorders obesity as highly important Moreover, also deemed regulatory during infancy (e.g. crying, sleep disorders) important, while assessed on paediatric depression relevant. For GPs, most relevant were communicating parents. Additionally, differentiating between non-pathologic clinically behaviour problems very relevant, considered basic psychotherapeutic essential. perceived doctors primary differ from majority school CAP curricula, cover mainly typical, epitomic are predominantly knowledge-oriented. Therefore, should amended reflect needs improve healthcare