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Evaluating competence in psychotherapy.

John Manring¹, Bernard D Beitman, Mantosh J Dewan

¹Department of Psychiatry, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. manringj@upstate.edu

Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry

|September 13, 2003

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Psychiatry programs face challenges in assessing psychotherapy competence. This study suggests global assessment methods are more practical for evaluating trainee skills in psychotherapy.

Area of Science:

Psychiatry
Psychotherapy Training
Medical Education

Background:

The Accreditation Council for Graduate Medical Education (ACGME) mandates competence assessment in psychotherapy for psychiatry residents.
Training programs must define essential skills for competence in specific psychotherapies.
Determining skill sufficiency for effective psychotherapy is a key challenge.

Purpose of the Study:

To compare general psychotherapy skills from different theoretical orientations.
To address the measurement of competence in psychotherapy.
To review ACGME toolbox methods for psychotherapy competence assessment.

Main Methods:

Compared psychotherapy skills lists from "school-specific" and "integrative" approaches.
Defined "competent" on a novice-to-expert continuum.

Related Experiment Videos

Reviewed 13 ACGME competence measurement tools for psychotherapy applicability.

Provided examples from a psychotherapy evaluation program.

Main Results:

Identified theoretical and practical challenges in measuring psychotherapy competence.
Found that global assessment may be more practical than highly specific methods.
Suggested initial assessment components for implementation.

Conclusions:

Measuring psychotherapy competence presents significant theoretical and practical hurdles.
Global assessment strategies are recommended for early-stage psychotherapy training programs.
Specific, implementable assessment components are proposed.