Neurobiological formulations: integrating clinical and biological psychiatry.

Full Abstract

OBJECTIVE:
The authors describe a pilot program allowing psychiatric residents to participate in neurobiological evaluations of patients with Axis I disorders. The program aimed to familiarize residents with available tools for assessing cognitive and neuroanatomical abnormalities in psychiatric patients and to foster greater interest among residents in correlating psychiatric symptoms with abnormalities in neural structures and pathways.

METHODS:
Residents meet weekly with a faculty mentor to plan and construct a neurobiological formulation. Residents review the salient literature on the Axis I condition present in a patient of their choosing. The patient undergoes neuroanatomical, physiological, and cognitive testing relevant to his disorder. The resident then integrates the findings from this testing with the patient's clinical presentation. Using a questionnaire, the authors obtain feedback from residents based on residents' experiences with this didactic program.

RESULTS:
Residents felt they obtained a greater appreciation and understanding of the relevance of neuroanatomical and neurophysiological abnormalities and testing in clinical psychiatry. The project was well received and residents rated it highly for its educational value.

CONCLUSION:
Neurobiological formulations offer a new educational method to foster knowledge and interest among psychiatric residents about the importance of neuroscience in clinical practice.

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Author information

Author/s: Posner, Jonathan (J); Stewart, Jonathan (J); Rieder, Ronald (R);

Affiliation: Columbia College of Physicians & Surgeons - Department of Psychiatry, at New York State Psychiatric Institute, 1051 Riverside Drive, Box 93, New York, NY 10032, USA.

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry (Acad Psychiatry), published in United States. (Language: eng)

Reference: -2007 Nov-Dec; vol 31 (issue 6) : pp 479-84

Dates: Created 2007/12/14; Completed 2008/03/19;

PMID: 18079510, status: MEDLINE (last retrieval date: 11/6/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Mentors
Middle Aged
Neuroanatomy - education
Neurophysiology - education
Neuropsychological Tests
Neuropsychology - education
Psychiatry - education

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