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Research ArticleRegular Articles

Teaching Forensic Concepts to Residents Using Interactive Online Modules

Tobias D. Wasser, Jason Hu, Ayala Danzig, Stephanie Yarnell-MacGrory, Juan Rodriguez Guzman and Katherine Michaelsen
Journal of the American Academy of Psychiatry and the Law Online March 2020, 48 (1) 77-83; DOI: https://doi.org/10.29158/JAAPL.003890-20
Tobias D. Wasser
Dr. Wasser is Assistant Professor of Psychiatry, Yale School of Medicine, New Haven, Connecticut, and Chief Medical Officer, Whiting Forensic Hospital, Middletown, Connecticut. Mr Hu is an Undergraduate Student, and Drs. Danzig and Guzman are Psychiatry Residents, Yale School of Medicine, New Haven, Connecticut. Dr. Yarnell-MacGrory is Assistant Professor of Psychiatry, Brown Alpert Medical School, Providence, Rhode Island. Dr. Michaelsen is Acting Assistant Professor, University of Washington School of Medicine, Seattle, Washington, and Attending Psychiatrist, VA Puget Sound Health Care System, Seattle, Washington.
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Jason Hu
Dr. Wasser is Assistant Professor of Psychiatry, Yale School of Medicine, New Haven, Connecticut, and Chief Medical Officer, Whiting Forensic Hospital, Middletown, Connecticut. Mr Hu is an Undergraduate Student, and Drs. Danzig and Guzman are Psychiatry Residents, Yale School of Medicine, New Haven, Connecticut. Dr. Yarnell-MacGrory is Assistant Professor of Psychiatry, Brown Alpert Medical School, Providence, Rhode Island. Dr. Michaelsen is Acting Assistant Professor, University of Washington School of Medicine, Seattle, Washington, and Attending Psychiatrist, VA Puget Sound Health Care System, Seattle, Washington.
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Ayala Danzig
Dr. Wasser is Assistant Professor of Psychiatry, Yale School of Medicine, New Haven, Connecticut, and Chief Medical Officer, Whiting Forensic Hospital, Middletown, Connecticut. Mr Hu is an Undergraduate Student, and Drs. Danzig and Guzman are Psychiatry Residents, Yale School of Medicine, New Haven, Connecticut. Dr. Yarnell-MacGrory is Assistant Professor of Psychiatry, Brown Alpert Medical School, Providence, Rhode Island. Dr. Michaelsen is Acting Assistant Professor, University of Washington School of Medicine, Seattle, Washington, and Attending Psychiatrist, VA Puget Sound Health Care System, Seattle, Washington.
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Stephanie Yarnell-MacGrory
Dr. Wasser is Assistant Professor of Psychiatry, Yale School of Medicine, New Haven, Connecticut, and Chief Medical Officer, Whiting Forensic Hospital, Middletown, Connecticut. Mr Hu is an Undergraduate Student, and Drs. Danzig and Guzman are Psychiatry Residents, Yale School of Medicine, New Haven, Connecticut. Dr. Yarnell-MacGrory is Assistant Professor of Psychiatry, Brown Alpert Medical School, Providence, Rhode Island. Dr. Michaelsen is Acting Assistant Professor, University of Washington School of Medicine, Seattle, Washington, and Attending Psychiatrist, VA Puget Sound Health Care System, Seattle, Washington.
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Juan Rodriguez Guzman
Dr. Wasser is Assistant Professor of Psychiatry, Yale School of Medicine, New Haven, Connecticut, and Chief Medical Officer, Whiting Forensic Hospital, Middletown, Connecticut. Mr Hu is an Undergraduate Student, and Drs. Danzig and Guzman are Psychiatry Residents, Yale School of Medicine, New Haven, Connecticut. Dr. Yarnell-MacGrory is Assistant Professor of Psychiatry, Brown Alpert Medical School, Providence, Rhode Island. Dr. Michaelsen is Acting Assistant Professor, University of Washington School of Medicine, Seattle, Washington, and Attending Psychiatrist, VA Puget Sound Health Care System, Seattle, Washington.
MD
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Katherine Michaelsen
Dr. Wasser is Assistant Professor of Psychiatry, Yale School of Medicine, New Haven, Connecticut, and Chief Medical Officer, Whiting Forensic Hospital, Middletown, Connecticut. Mr Hu is an Undergraduate Student, and Drs. Danzig and Guzman are Psychiatry Residents, Yale School of Medicine, New Haven, Connecticut. Dr. Yarnell-MacGrory is Assistant Professor of Psychiatry, Brown Alpert Medical School, Providence, Rhode Island. Dr. Michaelsen is Acting Assistant Professor, University of Washington School of Medicine, Seattle, Washington, and Attending Psychiatrist, VA Puget Sound Health Care System, Seattle, Washington.
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    Figure 1.

    Pre- and post-test results on each module.

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    Table 1

    National Distribution of Board-Certified Forensic Psychiatrists

    Number of ABPN Board-Certified Forensic Psychiatrists per 100,000 Residents
    0–0.240.25–0.490.50–0.740.75–0.99> 1.00
    U.S. StatesAlaska (0.13)Alabama (0.27)Arkansas (0.6)California (0.83)Colorado (1.01)
    Idaho (0.24)Arizona (0.45)Florida (0.6)Hawaii (0.77)Connecticut (1.45)
    Indiana (0.24)Delaware (0.42)Georgia (0.56)New Hampshire (0.75)D.C. (2.2)
    Iowa (0.13)Maine (0.45)Illinois (0.52)Ohio (0.78)Louisiana (1.13)
    Kansas (0.24)Minnesota (.4)Kentucky (0.5)South Carolina (0.89)Maryland (1.25)
    North Dakota (0.13)Mississippi (0.37)Michigan (0.67)Virginia (0.86)Massachusetts (1.64)
    Oklahoma (0.15)Montana (0.38)Missouri (0.69)New York (1.29)
    Nebraska (0.47)Nevada (0.54)Oregon (1.02)
    New Mexico (0.34)New Jersey (0.71)Rhode Island (1.61)
    South Dakota (0.46)North Carolina (0.65)Vermont (1.9)
    Tennessee (0.35)Pennsylvania (0.67)
    Texas (0.49)Utah (0.52)
    West Virginia (0.49)Washington (0.55)
    Wisconsin (0.5)
    Wyoming (0.51)
    U.S. Census Regions*Puerto Rico (0.24)West North Central (0.36)East North Central (0.54)Middle Atlantic (0.89)New England (1.3)
    East South Central (0.37)West South Central (0.59)South Atlantic (0.88)
    Mountain (0.5)
    Pacific (0.66)
    • ↵* Mean value of all states/territories in region. ABPN, American Board of Psychiatry and Neurology.

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    Table 2

    Demographic Information for Subjects

    ConfidentialityDuties to Third Parties
    Gender
        Male56 (47%)38 (42%)
        Female57 (48%)42 (47%)
        Decline to Answer7 (6%)10 (11%)
    Year in Training
        Postgraduate Year 117 (14%)12 (13%)
        Postgraduate Year 227 (23%)22 (24%)
        Postgraduate Year 316 (13%)8 (9%)
        Postgraduate Year 431 (26%)22 (24%)
        Postgraduate Year 56 (5%)5 (6%)
        Postgraduate Year 61 (1%)1 (1%)
        Decline to Answer22 (18%)20 (22%)
    Geographic Region
        Middle Atlantic17 (14%)13 (14%)
        Mountain1 (1%)1 (1%)
        New England47 (39%)44 (49%)
        Pacific24 (20%)15 (17%)
        Puerto Rico3 (3%)0
        South Atlantic14 (12%)3 (3%)
        West North Central1 (1%)4 (4%)
        West South Central5 (4%)3 (3%)
        East North Central00
        East South Central00
        Decline to Answer8 (7%)9 (10%)
    • Data are presented as n (%). Confidentiality: n = 120; Duties to Third Parties: n = 90.

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    Table 3

    Module Pre-Test Mean Results

    Confidentiality (Standard Deviation)Duties to Third Parties (Standard Deviation)
    Overall4.57 (1.81)4.89 (1.75)
    Gender
        Male4.46 (1.40)4.87 (1.46)
        Female4.98 (1.51)4.83 (1.36)
    Year in Training
        Postgraduate Year 13.92 (1.12)4.25 (1.22)
        Postgraduate Year 24.79 (1.62)5.09 (1.60)
        Postgraduate Year 34.53 (1.12)5.00 (1.20)
        Postgraduate Year 44.73 (1.46)5.23 (1.23)
        Postgraduate Year 54.67 (1.97)4.80 (1.79)
        Postgraduate Year 66 (0)5 (0)
    Geographic Region
        Middle Atlantic4.88 (1.54)5.08 (1.32)
        Mountain6 (0)5 (0)
        New England4.64 (1.26)4.80 (1.34)
        Pacific4.21 (1.64)4.87 (1.68)
        Puerto Rico6.33 (2.52)No score*
        South Atlantic4.36 (1.39)6 (1.74)
        West North Central4 (0)3.5 (0.71)
        West South Central6.6 (0.55)5 (1.73)
        East North CentralNo score*No score*
        East South CentralNo score*No score*
    • ↵* No mean score as there were no participants from this region.

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    Table 4

    Confidentiality Module Post-Test Improvement by Year in Training

    Year in TrainingnPost-Test Improvement (Standard Deviation)
    Postgraduate Year 1174.12 (1.96)
    Postgraduate Year 2272.93 (1.57)
    Postgraduate Year 3162.56 (1.63)
    Postgraduate Year 4312.68 (2.1)
    Postgraduate Year 561.12 (3.06)
    Postgraduate Year 611 (0)
    Decline to Answer222.68 (1.09)
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Journal of the American Academy of Psychiatry and the Law Online: 48 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 48, Issue 1
1 Mar 2020
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Teaching Forensic Concepts to Residents Using Interactive Online Modules
Tobias D. Wasser, Jason Hu, Ayala Danzig, Stephanie Yarnell-MacGrory, Juan Rodriguez Guzman, Katherine Michaelsen
Journal of the American Academy of Psychiatry and the Law Online Mar 2020, 48 (1) 77-83; DOI: 10.29158/JAAPL.003890-20

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Teaching Forensic Concepts to Residents Using Interactive Online Modules
Tobias D. Wasser, Jason Hu, Ayala Danzig, Stephanie Yarnell-MacGrory, Juan Rodriguez Guzman, Katherine Michaelsen
Journal of the American Academy of Psychiatry and the Law Online Mar 2020, 48 (1) 77-83; DOI: 10.29158/JAAPL.003890-20
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