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Psych Congress  

Psychiatric Rating Scale Use by Attending and Resident Psychiatrists

Edwin Kim, MD
Tara Krog, PhD
Jacqueline Pynn, MD
Maricopa Integrated Health System and District Medical Group

This poster was presented at the 29th Annual U.S. Psychiatric & Mental Health Congress, held October 21-24, 2016, in San Antonio, Texas.

IMPORTANCE.   Standardized outcome measures exist for most major psychiatric disorders, yet they are rarely used in routine clinical practice.

OBJECTIVES.  Investigate the use of rating scales by attending and resident psychiatrists working in the Maricopa Integrated Health System (MIHS) in Arizona.

DESIGN, SETTING, AND PARTICIPANTS.  A  survey of 37 attending psychiatrists and residents to rate their familiarity with each of 19 scales.  Data were collected on practice background, role, and the number of years in practice.  They were asked whether they input scale scores in the EMR to monitor change over time.  Respondents were asked to list reasons they do not use rating scales, and the ways they might increase their use of such measures.

MAIN OUTCOMES AND MEASURES.  Characteristics of attending and resident psychiatrists with access to standardized scales of established reliability and validity.  Measures were age, number of years in practice, gender, and nineteen scales designed for use in psychiatry. RESULTS Familiarity.  Most respondents said they were very familiar with the MMSE, CAGE, MoCA, HAM-D, BDI, and Zung scales. Training.  Persons receiving training most likely were also familiar with them and said that they used them. Use of scales.  MMSE, followed by MoCA, CAGE, HAM-D, ZUNG, and BDI, were the scales most used by the respondents.

CONCLUSIONS AND RELEVANCE.  Increased training on psychiatric rating scales could increase the number of persons using them, providing tools for monitoring patients. If payers of treatment encouraged the use of psychiatric scales, the use of these tools could gain widespread adoption.

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