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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
PubMed
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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.