It has been 10 years since the American Board of Family Practice (ABFP) and the American Board of Psychiatry and Neurology (ABPN) established the requirements for combined training in both specialties. A dozen combined programs have been established during this period, a sufficient number to provide an opportunity to assess the results of this educational experiment, conceptualized as a helpful response to the "de facto" mental health care provided in primary care clinics (1). The two papers in this issue do just that, sharing the results of a survey of program directors in existing combined programs and thoughtfully addressing the unique boundary and supervision issues raised by combined training. James Rachal et al. (2) outline the current characteristics of combined programs as determined in a survey completed by 10 combined program directors. Interestingly, only one of the program directors is dually boarded in both family practice and psychiatry, highlighting one of the inherent challenges in combined trainingthe lack of faculty expertise and the paucity of role models for combined residents striving to learn to integrate the two specialties. Rachal et al. note the "lack of established role models" as one of the challenges for combined training programs, adding
Combined Family Practice and Psychiatry Residency Training: A 10-Year Appraisal
Abstract
It has been 10 years since the American Board of Family Practice (ABFP) and the American Board of Psychiatry and Neurology (ABPN) established the requirements for combined training in both specialties. A dozen combined programs have been established during this period, a sufficient number to provide an opportunity to assess the results of this educational experiment, conceptualized as a helpful response to the "de facto" mental health care provided in primary care clinics (1). The two papers in this issue do just that, sharing the results of a survey of program directors in existing combined programs and thoughtfully addressing the unique boundary and supervision issues raised by combined training. James Rachal et al. (2) outline the current characteristics of combined programs as determined in a survey completed by 10 combined program directors. Interestingly, only one of the program directors is dually boarded in both family practice and psychiatry, highlighting one of the inherent challenges in combined trainingthe lack of faculty expertise and the paucity of role models for combined residents striving to learn to integrate the two specialties. Rachal et al. note the "lack of established role models" as one of the challenges for combined training programs, adding
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Combined Family Practice and Psychiatry Residency Training: A 10-Year Appraisal
Servis, Mark
Follow Academic Psychiatry
, Volume 29 (5): 416
American Psychiatric Publishing, Inc (Journal) – Dec 1, 2005
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