To the Editor: Patients with personality disorders present a common challenge to all physicians and are associated with increased medical and functional morbidity. Unfortunately, they are often inaccurately diagnosed in medical settings and labeled "problem" patients, reflecting the strong countertransference feelings they evoke. The failure to recognize these feelings may lead to harmful physician behaviors (1). We describe a resident-driven psychiatry clerkship pilot course at Dalhousie University, developed to teach medical students about personality disorders and countertransference. The format was adapted from University of Torontos Dealing with the Difficult Patient clerkship course (2) to meet curriculum needs at Dalhousie. The Challenging Patient was offered to third-year students in 4x1.5-hour weekly sessions during their psychiatry rotation between April and September 2001. Thirty-six clerks attended the course, four to seven students per session. Thirteen of 20 third- to fifth-year residents voluntarily participated as tutors. A detailed tutors manual is available. The introductory session began with a video clip from the comedy Seinfeld, followed by a discussion about whether the characters have personality disorders. Using inviting clinical anecdotes and popular film characters, the different personality disorders were reviewed and etiologic biopsychosocial parameters were considered. Reflecting on students clinical experiences, basic principles
Teaching Medical Students About Personality Disorders and Psychotherapeutic Principles: A Resident Pilot Initiative
Abstract
To the Editor: Patients with personality disorders present a common challenge to all physicians and are associated with increased medical and functional morbidity. Unfortunately, they are often inaccurately diagnosed in medical settings and labeled "problem" patients, reflecting the strong countertransference feelings they evoke. The failure to recognize these feelings may lead to harmful physician behaviors (1). We describe a resident-driven psychiatry clerkship pilot course at Dalhousie University, developed to teach medical students about personality disorders and countertransference. The format was adapted from University of Torontos Dealing with the Difficult Patient clerkship course (2) to meet curriculum needs at Dalhousie. The Challenging Patient was offered to third-year students in 4x1.5-hour weekly sessions during their psychiatry rotation between April and September 2001. Thirty-six clerks attended the course, four to seven students per session. Thirteen of 20 third- to fifth-year residents voluntarily participated as tutors. A detailed tutors manual is available. The introductory session began with a video clip from the comedy Seinfeld, followed by a discussion about whether the characters have personality disorders. Using inviting clinical anecdotes and popular film characters, the different personality disorders were reviewed and etiologic biopsychosocial parameters were considered. Reflecting on students clinical experiences, basic principlesPreview Only. This article cannot be rented because we do not currently have permission from the publisher.
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Teaching Medical Students About Personality Disorders and Psychotherapeutic Principles: A Resident Pilot Initiative
Ghatavi, Kayhan; Waisman, Zohar
Follow Academic Psychiatry
, Volume 30 (2): 178
American Psychiatric Publishing, Inc (Journal) – Apr 1, 2006
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