Over the years, the number of months of inpatient training required for general adult psychiatry residents has gradually declined. Recently, the Psychiatry Residency Review Committee of the Accreditation Council for Graduate Medical Education (ACGME) proposed a further reduction to a minimum of 6 months of inpatient psychiatry (1). General adult psychiatry residents have 4 years (sometimes 3, depending on career and fellowship plans) to develop basic skills in interviewing, assessment, and treatment planning, as well as to understand the scientific and theoretical bases of human psychopathology. In addition, residents are expected to develop and hone the requisite personal and collegial qualities that make up the broad arena of "professionalism." When one considers the goals of psychiatry training as summarized by the ACGMEs core competencies, an argument can be made that for training purposes, an inpatient setting may be the most conducive site for mastering these core competencies. In that context, we believe that a reduction from the current minimum of 9 months of training in inpatient settings threatens to seriously undermine the quality of training for psychiatry residents. This commentary is based on our own teaching experiencesone of us is an academic inpatient psychiatrist (S.L.) and decided to
Why Inpatient Psychiatry Training Still Matters (Now More Than Ever)
Abstract
Over the years, the number of months of inpatient training required for general adult psychiatry residents has gradually declined. Recently, the Psychiatry Residency Review Committee of the Accreditation Council for Graduate Medical Education (ACGME) proposed a further reduction to a minimum of 6 months of inpatient psychiatry (1). General adult psychiatry residents have 4 years (sometimes 3, depending on career and fellowship plans) to develop basic skills in interviewing, assessment, and treatment planning, as well as to understand the scientific and theoretical bases of human psychopathology. In addition, residents are expected to develop and hone the requisite personal and collegial qualities that make up the broad arena of "professionalism." When one considers the goals of psychiatry training as summarized by the ACGMEs core competencies, an argument can be made that for training purposes, an inpatient setting may be the most conducive site for mastering these core competencies. In that context, we believe that a reduction from the current minimum of 9 months of training in inpatient settings threatens to seriously undermine the quality of training for psychiatry residents. This commentary is based on our own teaching experiencesone of us is an academic inpatient psychiatrist (S.L.) and decided to
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Why Inpatient Psychiatry Training Still Matters (Now More Than Ever)
Lim, Sabina; Rohrbaugh, Robert
Follow Academic Psychiatry
, Volume 31 (4): 266
American Psychiatric Publishing, Inc (Journal) – Aug 1, 2007
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