BACKGROUND Medical directors need management skills; yet, few studies describe the specific tasks that directors consider most important, their confidence for these tasks, and how their confidence develops. We studied these questions among directors in the subspecialty of Consultation-Liaison Psychiatry. METHODS A needs survey was sent to 48 registrants of a new forum for Consultation-Liaison Psychiatry directors. The survey asked about 6 professional experiences, the relative importance of 14 management tasks, and the directors' confidence in managing these tasks, using 7-point Likert scales. Correlations between experiences, task importance, and task confidence were performed. RESULTS Twenty-seven directors responded (56% response). The experiences that correlated most with management confidence were years in practice and health care leadership training; yet, approximately half of responders were directors for ≤5 years and had received minimal training. Management tasks with the highest importance included demonstrating value of their service and roles for nonphysician clinical staff on their teams. Significant associations were identified between years in practice and confidence for leading faculty scholarship, trainee staffing ratios and roles, fee coding, measurement of faculty clinical productivity, and faculty recruitment. Leadership training correlated with confidence in demonstrating service value, measuring faculty clinical productivity, novel models of care, and growing a new service. CONCLUSION Consultation-Liaison directors with fewer years of experience and minimal health care management training need time and support to grow into their roles. They should be pointed toward training opportunities to improve their confidence to lead the wide range of management tasks that are important to their roles.

中文翻译：

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咨询联络精神病学亚专业医疗主任的管理经验、优先事项和挑战：需求评估的结果

背景医学主任需要管理技能；然而，很少有研究描述董事们认为最重要的具体任务、他们对这些任务的信心，以及他们的信心是如何发展的。我们在咨询-联络精神病学亚专业的主任中研究了这些问题。方法 向咨询联络精神病学主任新论坛的 48 名注册者发送了一份需求调查。该调查使用 7 点李克特量表询问了 6 项专业经验、14 项管理任务的相对重要性以及董事对管理这些任务的信心。进行了经验、任务重要性和任务信心之间的相关性。结果 27 位董事作出回应（56% 回应）。与管理层信心最相关的经验是多年的实践和医疗保健领导力培训；然而，大约一半的响应者担任董事 ≤ 5 年并且接受的培训最少。最重要的管理任务包括向其团队中的非医师临床工作人员展示他们的服务和角色的价值。在实践年数与领导教师奖学金、受训人员配置比率和角色、费用编码、教师临床生产力衡量和教师招聘的信心之间确定了显着关联。领导力培训与展示服务价值、衡量教师临床生产力、新型护理模式和发展新服务的信心相关。结论 经验较少且卫生保健管理培训最少的咨询联络主任需要时间和支持才能成长为他们的角色。他们应该获得培训机会，以提高他们领导对他们的角色很重要的广泛管理任务的信心。