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Lost somewhere in the frantic growth of topics and competencies expected of psychiatry residents has been an appreciation for the challenges of the most elementary of clinical skills: the prescription of psychotropic medication. The great misconception here is that this area is straight-forward, accessible, evidence-bound, and simple to master. A plethora of algorithms, with their reduction of clinical decisions to a few either-or boxes, implies the obvious: that with a small set of clear-cut rules one can master the field of psychopharmacology. Teachers of pharmacotherapy know better than anyone that this is not so. Faced with the challenge of equipping the novice resident with the imprimatur of competency, the breadth of knowledge, depth of understanding, and range of skills required suddenly seem less trivial. In this setting, the crucial questions facing the whole of the profession come to the fore. What we teach is what we are—and certainly what we will become—as a discipline. Consequently, the issues that we debate as a field must be faced head-on when we teach. Here we find a series of questions that force us to examine what we know, how we know it, what we do, and why we do it. These

Psychopharmacology Training in Psychiatric Education: The Debate

Abstract

Lost somewhere in the frantic growth of topics and competencies expected of psychiatry residents has been an appreciation for the challenges of the most elementary of clinical skills: the prescription of psychotropic medication. The great misconception here is that this area is straight-forward, accessible, evidence-bound, and simple to master. A plethora of algorithms, with their reduction of clinical decisions to a few either-or boxes, implies the obvious: that with a small set of clear-cut rules one can master the field of psychopharmacology. Teachers of pharmacotherapy know better than anyone that this is not so. Faced with the challenge of equipping the novice resident with the imprimatur of competency, the breadth of knowledge, depth of understanding, and range of skills required suddenly seem less trivial. In this setting, the crucial questions facing the whole of the profession come to the fore. What we teach is what we are—and certainly what we will become—as a discipline. Consequently, the issues that we debate as a field must be faced head-on when we teach. Here we find a series of questions that force us to examine what we know, how we know it, what we do, and why we do it. These

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Psychopharmacology Training in Psychiatric Education: The Debate

Jibson, Michael D.
Academic Psychiatry , Volume 29 (2): 120
American Psychiatric Publishing, Inc (Journal) Jun 1, 2005

More Info

  • Publisher AADPRT
  • Copyright Copyright © 2005 Academic Psychiatry. All rights reserved.
  • ISSN 1042-9670
  • D.O.I. 10.1176/appi.ap.29.2.120
  • Publisher site Get PDF  

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