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This volume is a practical guide for educators working to incorporate the Competencies into their residency programs. It will help training directors and others involved in designing and implementing residency programs to ensure that residents develop all of the Competencies to the level expected of a new practitioner, as required by ACGME.
The Accreditation Council for Graduate Medical Education endorsed six General and five Psychiatric Competencies to be attained by psychiatric residents. As a result, these General (Patient Care, Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, and Systems-Based Practice) and Psychiatric (Brief Therapy, Cognitive-Behavioral Therapy, Psychodynamic Psychotherapy, Psychotherapy Combined With Psychopharmacology, and Supportive Therapy) Competencies are now being phased in for all core residency training programs in the United States. This volume, coauthored by the director and the associate director of general psychiatric residency education at Baylor College of Medicine, is a practical guide for educators working to incorporate the Competencies into their residency programs. It will help training directors and others involved in designing and implementing residency programs to ensure that residents develop all of the Competencies to the level expected of a new practitioner, as required by ACGME. The book Lists the specific knowledge, skills, and attitudes that must be taught for each of the Competencies and provides example components for each. (These lists were developed by various groups of experts.) Describes techniques for effectively providing feedback to residents. (Chapter titles include "How Residents Learn and Develop Competence" and "How to Assess Learning and Competence.") Includes example goals and objectives for didactic courses and rotations, as well as ACGME's Toolbox of Assessment Methods©. Offers handy "to-do" lists for the program director, rotation coordinator, and course director, as well as an appendix section that contains forms for verifying resident experience, evaluating psychotherapy supervision, conducting semiannual evaluations, and evaluating residents' progress. Core Competencies for Psychiatric Education is an indispensable guide for anyone trying to learn how best to teach and assess competency-based psychiatric curricula.
The practice of medicine has changed radically during the past few decades. Patients -- better informed than ever -- now demand more of their physicians, viewing them as partners rather than revering them as sole decision-makers. In this environment, nonnegotiable core competencies -- ever-evolving and measured by certification, recertification, and, more recently, maintenance of certification -- are more important than ever. Written from the perspective of those responsible for educating and certifying the next generations of psychiatrists, this groundbreaking compendium by distinguished contributors offers -- for the first time -- a concise look at the final product of the June 2001 Invitational Core Competencies Conference sponsored by the American Board of Psychiatry and Neurology (ABPN) as regards psychiatry (with a future comparable publication focusing on neurology). Divided into four parts, Part I sets the stage for the current concept of physician "competence" by presenting a brief history of medical competence, explaining the logic behind the development of the current competence outline. Part II provides two different views of how to look at core competencies: how competence is defined by the Royal College of Physicians and Surgeons of Canada and, based on some of their work, what is currently being done in the United States. Part III discusses the organizing principles -- identified in 1999 by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties (ABMS) -- that frame all of our conversations about competence, as currently delineated for psychiatrists across the six core competency categories: Patient Care, Medical Knowledge, Interpersonal and Communications Skills, Practice-Based Learning and Improvement, Professionalism, and Systems-Based Practice. Also presented are discussions of when in a physician's career these competencies should be assessed and what methodologies would be appropriate for that assessment. Part IV discusses how the psychiatry core competencies are changing board certification and recertification. Also presented are informed predictions about the changes that medical school faculty and residency training directors will have to make and how practitioners will have to change behaviors to maintain their board certification. Concluding with an appendix outlining the six core competencies for psychiatry, this invaluable resource will both help psychiatric residents and their faculty and training directors understand the core competencies important to the ABPN and provide practitioners with a view of what will be contained in their upcoming maintenance of certification programs now being designed.
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Named a 2013 Doody's Core Title! "There are few new books to direct PMH-APRN treatment options...Now, this book provides the path to integration of treatment options for the holistic care of psychiatric client by PMH-APRNs."--Doody's Medical Reviews ìThis text is a wonderful compilation of information that is needed within current advanced practice psychiatric mental health nursing. The chapters are informative, have excellent references and provide up to the minute information that is grounded in evidence-based practices.î Barbara Jones Warren, PhD, RN, CNS-BC, PMH, FAAN Professor, Clinical Nursing Director, Psychiatric Nursing Specialty National Institutes of Health/American Nurses Association Ethnic/Racial Minority Fellow The Ohio State College of Nursing This groundbreaking core text fills a void in nursing literature by integrating psychotherapy, psychopharmacology, and complementary and alternative medicine (CAM) approaches into advanced practice nursing. It is organized around psychiatric "syndromes" rather than DSM diagnoses, so it will remain current even after the publication of the DSM-5. The book provides clear and relevant treatment options in the form of decision trees with additional explanatory narratives. These decision trees enable practitioners to distinguish ìnormalî patients from those who require more customized therapeutic interventions. This holistic text integrates neurobiology, theory, and research evidence related to psychotherapy, psychopharmacology, and complementary and alternative medicine interventions. While providing comprehensive information on theory and practice, it simplifies complex aspects of treatment with clarity and provides the depth of content appropriate to support sound clinical reasoning required in advanced practice. The book responds to the current backlash against overmedication in psychiatry. It also fulfills the upcoming requirements by APNA and ISPN that advanced practice psychiatric nurses must have skills in psychotherapy. Additionally, the text focuses on treatment issues across the life span and highlights pertinent clinical differences from the adult population through pediatric pointers and aging alerts. Advanced Practice Psychiatric Nursing reflects the extensive practice and educational experience of editors and contributors from the United States, Canada, and Scotland, all of whom are expert APNs. Key Features: Organized around psychiatric ìsyndromes,î rather than DSM diagnoses, so it will remain relevant after the DSM-5 is published Integrates neurobiology, theory, and research evidence related to psychotherapy. psychopharmacology, and CAM therapies Provides the much-needed content on psychotherapy newly required for all psychiatric advanced practice nurses (APNA & ISPN White Papers) Supports clinical decision skills through thoughtfully designed, easy-to-follow decision trees ICONS highlight life span clinical management differences through Pediatric Pointers and Aging Alerts
This groundbreaking first volume of the Series has a number of features that set it apart from other books on this subject: Firstly, it focuses on interpersonal, humanistic and ecological views and approaches to P/MH nursing. Secondly, it highlights patient/client-centered approaches and mental-health-service user involvement. Lastly, it is a genuinely European P/MH nursing textbook – the first of its kind – largely written by mental health scholars from Europe, although it also includes contributions from North America and Australia/New Zealand. Focusing on clinical/practical issues, theory and empirical findings, it adopts an evidence-based or evidence-informed approach. Each contribution presents the state-of-the-art of P/MH nursing in Europe so that it can be transferred to and implemented by P/MH nurses and the broader mental health care community around the globe. As such, it will be the first genuinely 21st century European Psychiatric Mental Health Nursing book.
The domain of supportive psychotherapy has expanded in recent years, reflecting changes in how psychotherapy is conducted and the role psychotherapy plays in caring for individuals facing difficult life experiences or living with diverse mental and physical disorders. This new, thoroughly revised and up-to-date edition of Learning Supportive Psychotherapy: An Illustrated Guide (first published as Introduction to Supportive Psychotherapy) instructs beginning psychotherapists in the fundamentals of this treatment modality, which focuses on patients' overall health and well-being and their ability to adapt constructively to their life circumstances. The linchpin of supportive psychotherapy -- and, indeed, all psychotherapy -- is the establishment of a true therapeutic alliance. Accordingly, the authors provide readers with skills aimed at instilling trust and establishing a productive therapeutic relationship, including techniques for alliance building, enhancing ego functioning, and reducing and preventing anxiety. In addition, the authors explore the general framework of supportive psychotherapy, including indications, phases of treatment, initiation and termination of sessions, and professional boundaries; explain how to perform a thorough patient evaluation and case formulation; and describe the process of setting realistic goals with the patient. The following features and areas of focus enhance the book's utility: Integral to the text's practical approach are the video case vignettes that accompany several of the chapters. These videos model effective psychotherapeutic techniques and strategies, which readers can incorporate into their skill sets. The chapter on crisis intervention has been thoroughly revised to integrate recent research findings on posttraumatic stress disorder, suicide, and critical incident stress management, and the illustrative multipart case vignette provides a therapeutic narrative that is compelling, relatable, and instructive. The material on the therapeutic alliance focuses on skill building, including how to anticipate and avoid disruption in treatment, how to discuss the therapeutic relationship with the patient, how to modify distorted perceptions using clarification and confrontation, how to deal with negative transference and therapeutic impasses, and how to reframe statements in a supportive manner. Outcome research receives its own chapter, in which the authors review the robust evidence base for the efficacy of supportive psychotherapy, including a number of outcome trials, bolstering the necessity of learning the techniques outlined in the book. The book concludes with 75 questions and answers to test the reader's comprehension and identify areas for further study. This new edition of Learning Supportive Psychotherapy: An Illustrated Guide builds on the well-earned reputation of previous editions. Beginning clinicians first learning the techniques of psychotherapy and veterans who must assess competence in the psychiatry residents they supervise will find the help they need in this down-to-earth, clinically rich guide.
The Handbook of Psychiatric Education is a comprehensive, authoritative text that covers everything the educator needs to know about recruiting, teaching, supervising, mentoring, and evaluating students and trainees in psychiatry programs. This second edition is a total departure from the previous one, released more than 15 years ago, and constitutes an entirely original text rather than a revision. Under the direction of a new editor, who has many years of experience directing psychiatry training programs, as well as serving as president of the American Association of Directors of Psychiatric Residency Programs, the book's content has been expanded and completely updated by a stellar list of contributors with intimate knowledge of their topics. In addition to foundational knowledge about adult learning, professionalism, and supervision, the book explores essential topics such as residency recruitment, student advising, curriculum, assessment and evaluation, accreditation, financing, residency administration, and much more. Specifically, the book Outlines a scholarly approach to psychiatric education to avoid burnout caused by concurrent clinical and educational demands. This entails building a framework of goals, objectives, and resources; implementing methods to identify barriers, measure outcomes, and seek feedback; and laying the foundation for educational scholarship, which advances knowledge in psychiatric education via peer review and publication. Explores the burnout, depression, and suicide risks common among physicians, especially younger ones, and covers the new ACGME mandates that address faculty and resident wellness and mental health, as well as ways to enhance resilience by attending to stress over the residency trajectory. Examines the key components of psychotherapy supervision, from defining learning goals and establishing clear contractual obligations for each party to maintaining critically important boundaries within supervision to maintain healthy professional relationships and educational environments. Addresses diversity and inclusion in psychiatry training, first by examining the LCME accreditation standard introduced in 2009, next by considering the impact of recruiting international medical graduates, and finally by discussing holistic review, a flexible approach to increasing diversity and promoting equity in the GME recruitment process. Includes references to web-based content so that the reader may obtain the most current information about training and employ the book's principles in the context of those updated regulations and guidelines, maintaining the book's usefulness as the landscape changes with time. Beautifully written, down-to-earth, and full of the kind of practical knowledge it takes years to acquire firsthand, the Handbook of Psychiatric Education should be required reading for any faculty member assuming administrative educational responsibilities.
At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.
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.