A Multi-Site Survey of General Psychiatry Residents’ Forensic Training

Tobias Wasser; Saksham Chandra; Jessica Chaffkin; Katherine Michaelsen

doi:10.29158/JAAPL.210065-21

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Table 1

Demographic Information for Subjects

	Subjects (n = 129)
Gender
Female	82 (64%)
Male	46 (35%)
Unspecified	1 (1%)
Medical school graduate status
U.S.	111 (86%)
I.M.G.^{^a}	18 (14%)
Year in training
PGY-1	32 (25%)
PGY-2	31 (24%)
PGY-3	28 (22%)
PGY-4+^{^b}	38 (29%)
Geographic region^{^c}
Middle Atlantic	30 (23%)
Mountain	0
New England	20 (15%)
Pacific	12 (9%)
Puerto Rico	0
South Atlantic	10 (8%)
West North Central	5 (4%)
West South Central	17 (13%)
East North Central	28 (22%)
East South Central	7 (5%)

↵^aInternational medical graduate.
↵^bCombined results from those subjects marking “PGY-4” or “PGY-5 or greater”.
↵^cPlease see Q2.5 in Appendix for states included in each region.

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Table 2

Residents’ Comfort and Desire to Learn

Topic	Number of Subjects	M Comfort (SD)	p Value	M Desire to Learn (SD)	p Value
Overall	101	−0.59 (0.55)	<0.001	0.9 (0.62)	<0.001
Forensic populations	121	−0.05 (0.7)	0.418	0.79 (0.79)	<0.001
Forensic settings	119	−0.6 (0.74)	<0.001	0.91 (0.75)	<0.001
Court-based experiences	117	−1.16 (0.72)	<0.001	0.95 (0.79)	<0.001
Civil experiences	117	−1.21 (0.85)	<0.001	0.83 (0.96)	<0.001
General experiences	101	−0.11 (0.64)	0.145	0.93 (0.65)	<0.001

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Table 3

Outcomes by Rotation Status

Outcome Measure	Number of Subjects	Rotation Completed	No Rotation	p Value
Exposure^{^a}
Cumulative exposures: N (%)	101	41 (40.59)	60 (59.41)
Group-wise: M (SD)		15.61 (3.83)	11.98 (4.52)	<0.001
Forensic populations: N (%)	121	46 (38.02)	75 (61.98)
Group-wise: M (SD)		3.54 (0.69)	3.13 (0.98)	0.017
Forensic settings: N (%)	119	45 (37.82)	74 (62.18)
Group-wise: M (SD)		2.07 (1.14)	1.3 (1.14)	<0.001
Court based experiences: N (%)	117	45 (38.46)	72 (61.54)
Group-wise: M (SD)		2.31 (1.49)	0.89 (1.19)	<0.001
Civil experiences: N (%)	117	45 (38.46)	72 (61.54)
Group-wise: M (SD)		0.36 (0.48)	0.17 (0.38)	0.026
General experiences: N (%)	101	41 (40.59)	60 (59.41)
Group-wise: M (SD)		7.24 (2.03)	6.37 (2.5)	0.084
Comfort^{^b}
Cumulative comfort	101	41 (40.59)	60 (59.41)
Group-wise: M (SD)		−0.44 (0.49)	−0.7 (0.56)	0.01
Forensic populations: N (%)	121	46 (38.02)	75 (61.98)
Group-wise: M (SD)		0.11 (0.66)	−0.15 (0.71)	0.052
Forensic settings: N (%)	119	45 (37.82)	74 (62.18)
Group-wise: M (SD)		−0.41 (0.62)	−0.71 (0.78)	0.015
Court based experiences: N (%)	117	45 (38.46)	72 (61.54)
Group-wise: M (SD)		−0.86 (0.72)	−1.34 (0.66)	<0.001
Civil experiences: N (%)	117	45 (38.46)	72 (61.54)
Group-wise: M (SD)		−1.04 (0.85)	−1.31 (0.83)	0.056
General experiences: N (%)	101	41 (40.59)	60 (59.41)
Group-wise: M (SD)		0.02 (0.5)	−0.2 (0.71)	0.128
Desire to Learn^{^b}
Cumulative interest	101	41 (40.59)	60 (59.41)
Group-wise: M (SD)		0.74 (0.64)	1.02 (0.58)	0.022
Forensic populations: N (%)	121	46 (38.02)	75 (61.98)
Group-wise: M (SD)		0.7 (0.8)	0.85 (0.78)	0.378
Forensic settings: N (%)	119	45 (37.82)	74 (62.18)
Group-wise: M (SD)		0.74 (0.76)	1.01 (0.73)	0.044
Court based experiences: N (%)	117	45 (38.46)	72 (61.54)
Group-wise: M (SD)		0.7 (0.87)	1.1 (0.7)	0.01
Civil experiences: N (%)	117	45 (38.46)	72 (61.54)
Group-wise: M (SD)		0.71 (0.89)	0.9 (1)	0.198
General experiences: N (%)	101	41 (40.59)	60 (59.41)
Group-wise: M (SD)		0.83 (0.59)	1 (0.69)	0.153