title: A curriculum in measurement-based care: screening and monitoring of depression in a psychiatric resident clinic.
abstract: OBJECTIVE
  The goal of this curriculum was to train residents in measurement-based care (MBC).
  
  
  METHODS
  Third-year psychiatry residents were educated in MBC through didactic seminars and a quality-improvement (QI) initiative with the goal of implementing the Patient Health Questionnaire Depression Scale (PHQ-9) to screen and monitor patients for symptoms of depression.
  
  
  RESULTS
  Residents suggested strategies for integrating the PHQ-9 into the clinic. Over the first 6 months, residents showed an increase in rate of depression screening from 4% to 92% of patients. Also, they increased monthly monitoring of outpatients with a diagnosis of depression from 1% to 76%. Residents who used the PHQ-9 to monitor patients with depression were significantly more likely to use additional standardized assessments.
  
  
  CONCLUSIONS
  Combining an educational intervention with QI strategies can significantly affect residents' use of standardized assessments in an outpatient setting. Using standardized measures allows residents to assess their own clinical effectiveness, an emerging priority in training.
authors.forename: Melissa R
authors.initials: MR
authors.lastname: Arbuckle
authors.forename: Michael
authors.initials: M
authors.lastname: Weinberg
authors.forename: Susan C
authors.initials: SC
authors.lastname: Kistler
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Cabaniss
authors.forename: Abby J
authors.initials: AJ
authors.lastname: Isaacs
authors.forename: Lloyd I
authors.initials: LI
authors.lastname: Sederer
authors.forename: Susan M
authors.initials: SM
authors.lastname: Essock
mesh_terms: D000554:Ambulatory Care Facilities; D002983:Clinical Competence; D003479:Curriculum; D003866:Depressive Disorder / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D008403:Mass Screening; D011570:Psychiatry / Q000193:education*; D011594:Psychometrics / Q000193:education*; D058996:Quality Improvement