Core Competencies For Psychiatric Education

The Accreditation Council for Graduate Medical Education endorsed six General and five Psychiatric Competencies to be attained by psychiatric residents. As a result, these General (Patient Care, Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, and Systems-Based Practice) and Psychiatric (Brief Therapy, Cognitive-Behavioral Therapy, Psychodynamic Psychotherapy, Psychotherapy Combined With Psychopharmacology, and Supportive Therapy) Competencies are now being phased in for all core residency training programs in the United States. This volume, coauthored by the director and the associate director of general psychiatric residency education at Baylor College of Medicine, is a practical guide for educators working to incorporate the Competencies into their residency programs. It will help training directors and others involved in designing and implementing residency programs to ensure that residents develop all of the Competencies to the level expected of a new practitioner, as required by ACGME. The book Lists the specific knowledge, skills, and attitudes that must be taught for each of the Competencies and provides example components for each. (These lists were developed by various groups of experts.) Describes techniques for effectively providing feedback to residents. (Chapter titles include "How Residents Learn and Develop Competence" and "How to Assess Learning and Competence.") Includes example goals and objectives for didactic courses and rotations, as well as ACGME's Toolbox of Assessment Methods©. Offers handy "to-do" lists for the program director, rotation coordinator, and course director, as well as an appendix section that contains forms for verifying resident experience, evaluating psychotherapy supervision, conducting semiannual evaluations, and evaluating residents' progress. Core Competencies for Psychiatric Education is an indispensable guide for anyone trying to learn how best to teach and assess competency-based psychiatric curricula.

The practice of medicine has changed radically during the past few decades. Patients -- better informed than ever -- now demand more of their physicians, viewing them as partners rather than revering them as sole decision-makers. In this environment, nonnegotiable core competencies -- ever-evolving and measured by certification, recertification, and, more recently, maintenance of certification -- are more important than ever. Written from the perspective of those responsible for educating and certifying the next generations of psychiatrists, this groundbreaking compendium by distinguished contributors offers -- for the first time -- a concise look at the final product of the June 2001 Invitational Core Competencies Conference sponsored by the American Board of Psychiatry and Neurology (ABPN) as regards psychiatry (with a future comparable publication focusing on neurology). Divided into four parts, Part I sets the stage for the current concept of physician "competence" by presenting a brief history of medical competence, explaining the logic behind the development of the current competence outline. Part II provides two different views of how to look at core competencies: how competence is defined by the Royal College of Physicians and Surgeons of Canada and, based on some of their work, what is currently being done in the United States. Part III discusses the organizing principles -- identified in 1999 by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties (ABMS) -- that frame all of our conversations about competence, as currently delineated for psychiatrists across the six core competency categories: Patient Care, Medical Knowledge, Interpersonal and Communications Skills, Practice-Based Learning and Improvement, Professionalism, and Systems-Based Practice. Also presented are discussions of when in a physician's career these competencies should be assessed and what methodologies would be appropriate for that assessment. Part IV discusses how the psychiatry core competencies are changing board certification and recertification. Also presented are informed predictions about the changes that medical school faculty and residency training directors will have to make and how practitioners will have to change behaviors to maintain their board certification. Concluding with an appendix outlining the six core competencies for psychiatry, this invaluable resource will both help psychiatric residents and their faculty and training directors understand the core competencies important to the ABPN and provide practitioners with a view of what will be contained in their upcoming maintenance of certification programs now being designed.

This issue of Psychiatric Clinics, guest edited by Drs. Robert J. Boland and Hermioni Lokko Amonoo, will discuss a Psychiatric Education and Lifelong Learning. This issue is one of four each year selected by our series consulting editor, Dr. Harsh Trivedi of Sheppard Pratt Health System. Topics in this issue include: Types of Learners, Incorporating cultural sensitivity into education, The Use of Simulation in Teaching, Computer-Based teaching, Creating Successful Presentations, Adapting Teaching to the Clinical Setting, Teaching Psychotherapy, Competency-Based Assessment in Psychiatric Education, Giving feedback, Multiple Choice Tests, The use of narrative techniques in psychiatry, Fostering Careers in Psychiatric Education, Neuroscience Education: Making it relevant to psychiatric training, Lifelong learning in psychiatry and the role of certification, and Advancing Workplace-Based Assessment in Psychiatric Education: Key Design and Implementation Issues.

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

The Handbook of Psychiatric Education is a comprehensive, authoritative text that covers everything the educator needs to know about recruiting, teaching, supervising, mentoring, and evaluating students and trainees in psychiatry programs. This second edition is a total departure from the previous one, released more than 15 years ago, and constitutes an entirely original text rather than a revision. Under the direction of a new editor, who has many years of experience directing psychiatry training programs, as well as serving as president of the American Association of Directors of Psychiatric Residency Programs, the book's content has been expanded and completely updated by a stellar list of contributors with intimate knowledge of their topics. In addition to foundational knowledge about adult learning, professionalism, and supervision, the book explores essential topics such as residency recruitment, student advising, curriculum, assessment and evaluation, accreditation, financing, residency administration, and much more. Specifically, the book Outlines a scholarly approach to psychiatric education to avoid burnout caused by concurrent clinical and educational demands. This entails building a framework of goals, objectives, and resources; implementing methods to identify barriers, measure outcomes, and seek feedback; and laying the foundation for educational scholarship, which advances knowledge in psychiatric education via peer review and publication. Explores the burnout, depression, and suicide risks common among physicians, especially younger ones, and covers the new ACGME mandates that address faculty and resident wellness and mental health, as well as ways to enhance resilience by attending to stress over the residency trajectory. Examines the key components of psychotherapy supervision, from defining learning goals and establishing clear contractual obligations for each party to maintaining critically important boundaries within supervision to maintain healthy professional relationships and educational environments. Addresses diversity and inclusion in psychiatry training, first by examining the LCME accreditation standard introduced in 2009, next by considering the impact of recruiting international medical graduates, and finally by discussing holistic review, a flexible approach to increasing diversity and promoting equity in the GME recruitment process. Includes references to web-based content so that the reader may obtain the most current information about training and employ the book's principles in the context of those updated regulations and guidelines, maintaining the book's usefulness as the landscape changes with time. Beautifully written, down-to-earth, and full of the kind of practical knowledge it takes years to acquire firsthand, the Handbook of Psychiatric Education should be required reading for any faculty member assuming administrative educational responsibilities.

This is the inaugural volume of the new series: Critical Issues in Psychiatry: An Educational Series for Residents and Clinicians. It is an appropriate beginning, for this book represents a milestone in the evolution of psychiatric education. For the first time, there will now be a single place where one can find a compre hensive collection of educational goals and objectives to define the broad spectrum of knowledge and skills essential for general and child psychiatry. This collection does not represent the bias of a single educator or program. Rather, it consists of a consensually validated ranking of relative importance for each educational goal and objective as determined by a large and international sampling of ex perienced psychiatric educators, as well as an editorial board with some of the most distinguished names in psychiatric education. It is even possible to tell at a glance whether the ranked level of importance is the same or different within several national groups, for example Canadians vs. Americans. This book is intended for all students of psychiatry. It is particularly valuable to residents in training, but equally so for experienced clinicians preparing for Board examination or simply attending to the process of continuing education and intellectual renewal. While it might well be used by an institution to delineate the dimensions of a training program in psychiatry, it is intended primarily for the self-evaluation and self-monitoring of one's growth as a psychiatrist.

In psychiatry, as in all of medicine, clinicians are frequently involved in training students and residents yet few have themselves been trained in pedagogy. Improving the quality of psychiatric education should both improve the quality of psychiatric care and make the profession more attractive to medical students. Written by a team of international experts with many years of experience, this comprehensive text takes a globally relevant perspective on providing practical instruction and advice on all aspects of teaching psychiatry. It covers learning from undergraduate and postgraduate level to primary medical and community settings, enabling readers to find solutions to the problems they are facing and become aware of potential issues which they can anticipate and be prepared to address. The book discusses curriculum development using examples from around the world, in order to provide trainees with the basic attitudes, knowledge and skills they require to practise psychiatry. Features: Instruction on developing a curriculum for Residency training, teaching interviewing skills, teaching psychotherapy and using new technology Innovative ways of engaging medical students in psychiatry and developing their interest in the specialty, including experience with new types of elective and research options and development of roles for students in patient care Focuses throughout on how to teach rather than what to teach Includes descriptions of workplace-based assessments Discussions of both theoretical and practical perspectives and examples of particular innovations in the field using case studies Presented in a thoroughly readable and accessible manner, this book is a primary resource for all clinicians involved in teaching psychiatry to medical students and trainees.

Physicians and psychiatrists typically see themselves as true professionals. But in the past, some displayed behavior far beneath the confines of professionalism, including exploding at nurses, not returning calls, or conducting insensitive interactions with patients, that was usually tolerated and seldom disciplined. Today, the rise of professionalism in medicine in general and psychiatry in particular has prompted a quiet revolution in how doctors are trained and how they are expected to behave in the workplace. The Accreditation Council for Graduate Medical Education (ACGME) has now advanced professionalism to be one of the core competencies all emerging practitioners must have. While almost all physicians believe in professionalism, the movement toward making it a core competency has challenged doctors everywhere to accept the practice of monitoring, observing and assessing what is not always welcome in a field where autonomy is so highly valued. In Professionalism in Psychiatry, the authors identify and expand on professional behaviors, such as being a good team player, being accountable, pursuing improvement in an ongoing way, and behaving compassionately toward patients and families. The importance of treating all co-workers with respect and of being attuned to the management of healthcare resources in a way that reflects fairness and integrity is also thoroughly reviewed. Important features of this book are: Tailoring professionalism principles from medicine to the unique features of psychiatry in order to enhance educators' teaching and improve the behaviors of psychiatrists and residents in the work setting. Development of guidelines for professionalism in cyberspace to provide psychiatrists with an ethical framework for dealing with patients in the online realm. Discussion of the ethical principles that apply when academic departments approach donors. Focus on cultural competency and empathy in an effort to improve patient care through greater understanding and sensitivity to ethnic, racial, gender and sexual orientation issues encountered in clinical practice. Use of numerous clinical examples to articulate the new professionalism in psychiatry, which illustrates the importance of going beyond "one size fits all" thinking. Professionalism in Psychiatry is an important contribution toward beginning to characterize the ever-evolving professional behaviors and clinical strategies of the contemporary psychiatrist and place them in a systematic framework.