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French Psychiatry on Internet

French Psychiatry on Internet. Dr Jean-Michel THURIN 1. International Symposium on Psychiatry and Internet MUNICH O5.04.2001. Psydoc-France is the internet site of the French Federation of Psychiatry (FFP). This Federation brings together all the French scientific societies (To day, 50).

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French Psychiatry on Internet

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  1. French Psychiatry on Internet Dr Jean-Michel THURIN 1. International Symposium on Psychiatry and Internet MUNICHO5.04.2001

  2. Psydoc-France is the internet site of the French Federation of Psychiatry (FFP). This Federation brings together all the French scientific societies (To day, 50). • Psydoc-France was opened in February 1996, in the context of a close collaboration between FFP and INSERM (National Institute for Health and Medical Research). Munich 05/04/2001

  3. Initial objectives… • First, offer to the French psychiatrists an easy access to the many scientific journals (one Society - one Journal !), in order to reduce the mental and cultural barriers between practices (public, academic or private) and approaches (psychodynamic, biological, behavioral, etc.) • Linked to this, the main purpose was to boost clinical research in psychiatry which was especially poor in France. • An other aim was to avoid the internet restriction to “one culture with one language”. Psychopathology is essential in the cultural foundations of French psychiatry and most of the clinicians use psychodynamic approach, which differs from “DSMIV culture” Munich 05/04/2001

  4. …new challenges… • These aims are still topical. But others emerged. • French psychiatrists now appreciate to practice in an integrative and opened way, and the era of compartmentalization is over.So, Psydoc has became a common frame for exchanges and shared works. • International exchanges have increased, particularly with USA, South America and Maghreb. Munich 05/04/2001

  5. …and social evolutions … • Continuing medical training became obligatory for each French physician. • Psychiatry is not only the field of - psychiatrists only - , but more and more the one of “mental health” workers and general practitioners. • Patients and proxies are becoming “consumers” and even partners in health care. • Within a few years, we entered the new era of “Public health policy” and “Management care”. • Scientific information, strengthened by its quality with rapid access means, is now an important resource for the professionals , and for the users (Cybermedecine). • This situation has generated new responsibilitiesfor the scientific societies. Munich 05/04/2001 http://www.bmj.com/cgi/content/full/319/7220/1294

  6. How is the site organized ? • Six to twelve persons work for the site. It is divided in domains, with a person in charge for each one. • We try to train every one, so that he could himself modify and send its own html pages. • For example, every day M. T. modifies the “Permanent Journal”, D.T. the”Site of the Day”, S. K. its column “Humor”, M.V and JM. T the “Scientific Actuality”. • A librarian C.P. joined the team. She helps for the information research in the international data bases and the realization of a French thesaurus compatible with the MeSH (Medline thesaurus). I carry out the programming of the data bases and of the general organization. • Psydoc-France is now composed of about 3000 html files and six data bases with 30 000 files. • Every day, about 6000 internet surfers search information on the site. Munich 05/04/2001

  7. Main headings : a living interactive workshop • Scientific Associations and Societies • Congress announces and proceedings • Research • Bibliographic data basis • CME and Cyberconferences • Scientific “Platforms” data bases • Health care system • Consensus conferences • Selected links • Information and exchanges with patients and relatives • Personal information • General information and documentation Munich 05/04/2001

  8. Scientific Societies • 50 scientific societies presented with their aims, the names of their President, General Secretary, Treasurer, their address, and URL of web site when it exists. Munich 05/04/2001

  9. Congress (announces and proceedings) Munich 05/04/2001

  10. Announces by interactive data basis Munich 05/04/2001

  11. Proceedings with video Interviews Munich 05/04/2001

  12. Proceedings with video Interviews Live broadcast from WPA Jubilee Congress Munich 05/04/2001

  13. All is not composed of video Abstracts and full communication can be accessed by data basis completed by html pages Munich 05/04/2001

  14. Research • Research is an important domain, with on-line reports, information, and a data base of current programs. • We try to incite the research Groups to present their work on-line, but this objective remains difficult. Munich 05/04/2001

  15. Bibliographic data basis • It is possible to access to the presentation of the main French psychiatric journals . • For twelve of them, it is possible to read their abstracts. • Six of them (Pour la Recherche, Depression, Pluriels, Handicap Letter, Perspectives Psychiatriques, Psychiatrie Française) are accessible in full text. Munich 05/04/2001

  16. CME and Cyberconferences • Since February 1998, FFP organizes Cyberconferences (partnership with Pfizer laboratory). • Cyberconferences are a new way of Continuing medical training using new technologies to do away with geographic and interpersonal distances Munich 05/04/2001

  17. CME and Cyberconferences • Since February 2000, each Cybernaut can not only hear and write to the contributors who present a topic (one to six), but also see them in live . Social interaction is reinforced. • Actually 35 Cyberconferences are available on the site, with more than 70 experts. A data base offers access to the topics, the contributors and the abstract of their communication, with key words. Munich 05/04/2001

  18. CME and Cyberconferences • Three Cyberconferences have been realized in live from a congress (Toronto, Washington, Paris) and even one from the French Department of Health and Social Security • Our objectives are to day the opening of the exchanges with general practitioners and other specialists as well as international exchanges. Munich 05/04/2001

  19. Scientific “platforms” • Each platform puts together a structured collection of information about one specific domain, from bibliographic references, articles and Internet links • Today, five platforms can be consulted on Psydoc-France : Psychotherapies assessment, Stress and immunity, Depression and environment, Psychotherapy of cranial traumas, and Drug addictions. Munich 05/04/2001

  20. Health care system • There is actually an important transformation of the health care system in psychiatry. It is important for everybody to have at one’s disposal information about epidemiology, number of psychiatrists, duration of hospitalization, health and medico-social organizations, laws and regulations, etc. • We put together governmental reports and statistics arranged by agencies and unions. Munich 05/04/2001

  21. Information exchange among psychiatrists and patients • Nearly each day, we receive questions from patients or their relatives by the way of Internet. • These questions are not exactly those that we learned in the lectures and in the books, or even those that are asked during the consulting session. • Patients ask for an information, an advice or an orientation in health care systems. • It is difficult to answer to many of these questions because of the difficulty due to the writing form and to deontological problems. • For instance : “My brother is in the X hospital. He suffers from chronic asthenia. I never could meet anybody of the medical team. Could you give me the address of another psychiatrist or clinic ?” • “I want to consult a specialist of depression in France. Where can I find him ? • Other questions are real case reports • So, to answer to the most difficult of these, we have set up a peers group Munich 05/04/2001

  22. Information about illness and treatments • FFP has organized 4 consensus conferences (Schizophrenia, Opiate addictions, child depression and suicide). Their recommendations and reports are published on the site. • We have also published clinical practice recommendations about ECT, antidepressants, an important report about depression… • The information is performed by a data base of selected sites with the description of their content and key words. • So, Psydoc-France is a living data base, using the interaction between the questionersand a large answering group from experts. Munich 05/04/2001

  23. International Exchanges • Today, different international openings have been initiated on Psydoc-France • Links with major National Scientific Associations • Proceedings of congress between FFP and APA • Proceedings of the WPA Jubilee congress organized by France in June 2000 • Cyberconferences to which many foreign colleagues participate • Information transmitted by email (congress, questions, etc.) • Accommodation on the site of texts (WPA) and Journal (Tunisian Journal of Psychiatry) • Exchanges about Honor Codes and Quality Charters • Professional texts of UEMS and OMS • Etc. Munich 05/04/2001

  24. How can these exchanges progress ? • Real and not only virtual meetings are necessary to initiate and perform exchanges about specific questions. • Common actions are also necessary about these topics. • Europe is beginning an important frame work. • Thank you for this international workshop, which is not only virtual and opens the possibility of personal links Munich 05/04/2001

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