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Acad Psychiatry 33:27-30, January-February 2009
doi: 10.1176/appi.ap.33.1.27
© 2009 Academic Psychiatry
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Brief Report

Utilizing VA Information Technology to Develop Psychiatric Resident Prescription Profiles

Robert Rohrbaugh, M.D., Daniel G. Federman, M.D., Lydia Borysiuk, M.S., R.Ph. and Michael Sernyak, M.D.

Received June 1, 2006; revised December 13, 2006, October 19, 2007, and January 21, 2008; accepted February 13, 2008. Drs. Rohrbaugh and Sernyak are affiliated with the Department of Psychiatry at Yale; Dr. Federman is affiliated with the Department of Internal Medicine at Yale; All of the authors are affiliated with the VA-Connecticut Healthcare System. Address correspondence to Robert M. Rohrbaugh, M.D., Yale School of Medicine, Department of Psychiatry, 300 George St., Suite 901, Room 24, New Haven, CT 06511; Robert.rohrbaugh{at}yale.edu (e-mail).

OBJECTIVES: Feedback about resident prescription practices allows psychiatry educators to ensure that residents have broad prescribing experience and can facilitate practice-based learning initiatives. The authors report on a procedure utilizing U.S. Department of Veterans Affairs’ computerized pharmacy records to efficiently construct comprehensive individual psychiatric resident prescription practice profiles. METHODS: Veterans Affairs information technology provided a methodology to efficiently construct individual and aggregate resident prescription profiles, including cost data. To demonstrate the utility of prescription profiles, individual and aggregate antipsychotic medication prescription profiles were constructed of nine residents working in a Veterans Affairs psychotic disorders clinic. RESULTS: Developing the individual and aggregate prescription profiles required only 5 hours. The profiles revealed that residents had a restricted range of experience prescribing antipsychotic medications, with some residents not having prescribed all five major atypical agents and the majority having prescribed a limited number of typical agents. The profiles highlighted cost differences among the atypical antipsychotic medications and between the typical and atypical antipsychotic medications. CONCLUSION: Prescription profiles facilitate resident education by enabling educators to determine the range of antipsychotic medications residents prescribe. A psychiatric residency program could utilize these prescription profiles to improve resident competency in practice based learning.




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J. A. Lehrmann and L. W. Roberts
U.S. Department of Veterans Affairs and Academic Departments of Psychiatry: A Substantive, Enduring, and Promising Collaboration
Acad Psychiatry, January 1, 2009; 33(1): 1 - 3.
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