Graduate Medical Education In Psychiatry

This book functions as a guide for leaders in academic and non-academic settings who are interested in developing, managing, or improving new or existing psychiatry residency programs. It notes the complexity of administering a residency program with ready solutions and tactics. Unique and comprehensive, this book contains chapters that focus on key areas of residency program management and innovation including but not limited to: meeting accreditation requirements, clinical and didactic curriculum, managing resident and faculty performance issues, research and scholarly activity in residency programs, rural training programs, and faculty development. Graduate Medical Education in Psychiatry is an invaluable resource for medical education leaders, as well as trainees and those interested in psychiatric residency or academic psychiatry in general.

The number of psychiatric researchers does not seem to be keeping pace with the needs and opportunities that exist in brain and behavioral medicine. An Institute of Medicine committee conducted a broad review of the state of patient-oriented research training in the context of the psychiatry residency and considered the obstacles to such training and strategies for overcoming those obstacles. Careful consideration was given to the demands of clinical training. The committee concluded that barriers to research training span three categories: regulatory, institutional, and personal factors. Recommendations to address these issues are presented in the committee's report, including calling for research literacy requirements and research training curricula tailored to psychiatry residency programs of various sizes. The roles of senior investigators and departmental leadership are emphasized in the report, as is the importance of longitudinal training (e.g., from medical school through residency and fellowship). As there appears to be great interest among numerous stakeholders and a need for better tracking data, an overarching recommendation calls for the establishment of a national body to coordinate and evaluate the progress of research training in psychiatry.

Most medical schools in the US, Canada and UK now incorporate some form of arts and humanities-based teaching into their curricula. What happens in residency is another story. Most postgraduate programs do not continue the thread of such teaching although many residents would like to deepen their understanding of the medical humanities before they move into practice. The humanities emphasize "the human side of medicine," and can provide a counterpoint to the reductionism of evidence-based medicine and technological hubris for young doctors as they apply new knowledge and skills in ambiguous, real-life encounters with patients who are living with complicated health problems. Humanities-based education can help both sides of the relationship: programs are shown to reduce burnout and mental health issues in young physicians, and can also help learning practitioners grapple with the most difficult aspects of their craft: how does one persuade patients on a course of treatment, while respecting informed consent? How does one work with families? How does one listen to and treat patients exhibiting self-harm tendencies? Available research may demonstrate the efficacy of such exposures, but provide little practical advice or resources for setting up programs across specialty and sub-specialty disciplines. Health Humanities in Post-Graduate Medical Education will fill this gap in knowledge translation for the thousands of residency programs worldwide, allowing educators, supervisors, and residents themselves to create robust and educationally sound workshops, seminars, study groups, lecture series, research and arts-based projects, publications and events.

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.

Graduate medical education (GME) is critical to the career development of individual physicians, to the functioning of many teaching institutions, and to the production of our physician workforce. However, recent reports have called for substantial reform of GME. The current lack of established GME outcome measures limits our ability to assess the impact of individual graduates, the performance of residency programs and teaching institutions, and the collective contribution of GME graduates to the physician workforce. To examine the opportunities and challenges in measuring and assessing GME outcomes, the National Academies of Sciences, Engineering, and Medicine held a workshop on October 10â€"11, 2017, in Washington, DC. Workshop participants discussed: meaningful and measurable outcomes of GME; possible metrics that could be used to track these GME outcomes; possible mechanisms for collecting, collating, analyzing, and reporting these data; and further work to accomplish this ambitious goal. This publication summarizes the presentations and discussions from the workshop.