© 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education. THE CLINICAL TEACHER 2017; 14: 1–6 1
Original
Article
Training residents in
depression and grief
Angela Ghesquiere
1
, Johanna Martinez
2
, Cathy Jalali
3
, Jo Anne Sirey
4
and
Susana Morales
2
1
Hunter College of the City University of New York, Brookdale Center for Healthy Aging,
New York, New York, USA
2
Weill Cornell Medical School, Weill Cornell Internal Medicine Associates, New York,
New York, USA
3
Weill Cornell, Department of Medicine, New York, New York, USA
4
Weill Cornell Medical College, Department of Psychiatry, White Plains, New York, USA
SUMMARY
Background: About 20 per cent
of Americans will experience
depression in their lifetimes, and
almost all will experience the
death of a loved one. Both
depression and grief have been
associated with adverse health
outcomes, including a decline in
quality of life and excess mortal-
ity. Primary care physicians
(PCPs) are the initial health care
contact for most patients with
depression and grief, yet often
perceive that they lack the skills
to adequately address these
issues. Previous studies have
investigated whether educational
efforts improve PCP depression
and grief knowledge or perceived
skills, but few have focused on
medical residents. There is the
potential that resident education
may impact practice over a longer
span of time than later career
training, simply because it occurs
earlier in one’s medical career.
Methods: The authors examined
whether a brief educational
curriculum, delivered in two
2-hour sessions to 40 internal
medicine residents, was associ-
ated with changes in knowledge,
attitudes, comfort level and
reported behaviours, with regards
to grieving or depressed patients.
Self-report surveys were adminis-
tered before and about 5 months
after receipt of the new
curriculum.
Results: Residents receiving
the curriculum reported in-
creases in knowledge, confi-
dence and self-reported
behaviours in working with
patients suffering depression
and grief.
Discussion: Although more
research is needed to deter-
mine whether these findings
can be replicated in other
settings, the results are promis-
ing. Further dissemination of
such training may ultimately
enhance the detection and
treatment of depression and
grief in primary care, and
decrease the associated
emotional and functional
burdens in patients.
Both depression
and grief have
been associated
with adverse
health
outcomes