title: Educating residents in behavioral health care and collaboration: comparison of conventional and integrated training models.
abstract: OBJECTIVE
  To determine whether former pediatric residents trained using a model of integrated behavioral health (BH) care in their primary care continuity clinics felt more comfortable managing BH care and better prepared to collaborate with BH professionals than did peers from the same residency who trained in clinics with a conventional model of BH care.
  
  
  METHODS
  University of Rochester School of Medicine and Dentistry pediatric residents were assigned to one of two continuity clinic sites. At one site, psychology fellows and faculty were integrated into the clinic teams in the mid-1990s. At the other, conventional patterns of consultation and referral continued. In 2004, the authors surveyed 245 alumni (graduated 1989-2003) about their experiences and their comfort with providing BH care and collaborating with BH providers in their current practice.
  
  
  RESULTS
  A total of 174 alumni (71%) responded. There were significant differences between graduates who trained in the two models. Those who trained in the integrated model were significantly more likely than others to report that they had consulted or planned treatment with a BH provider during residency and to report that their continuity clinic helped prepare them to collaborate with BH providers. They were somewhat more likely to believe that their overall residency training prepared them to manage BH issues in their current practice.
  
  
  CONCLUSIONS
  These findings suggest that an integrated training environment, described in detail in the companion article in this issue, can enhance pediatric resident education in the management of BH problems and collaboration with BH specialists.
authors.affiliation: Department of Pediatrics, University of Rochester School of Medicine and Dentistry and Rochester General Hospital, Rochester, New York 14642, USA.
authors.forename: Lynn C
authors.initials: LC
authors.lastname: Garfunkel
authors.forename: Anthony R
authors.initials: AR
authors.lastname: Pisani
authors.forename: Pieter
authors.initials: P
authors.lastname: leRoux
authors.forename: David M
authors.initials: DM
authors.lastname: Siegel
mesh_terms: D002648:Child; D002653:Child Behavior Disorders / Q000534:rehabilitation; D003299:Cooperative Behavior; D003479:Curriculum; D005260:Female; D006293:Health Promotion / Q000379:methods; D006801:Humans; D033183:Interdisciplinary Communication; D007396:Internship and Residency / Q000458:organization & administration*; D008297:Male; D017145:Models, Educational; D009518:New York; D010372:Pediatrics / Q000193:education*; D002666:Psychology, Child / Q000193:education*; D012577:Schools, Medical / Q000458:organization & administration; D011795:Surveys and Questionnaires