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A framework for telepsychiatric training and e-health: Competency-based education, evaluation and implications.

Donald M Hilty1, Allison Crawford2, John Teshima2

  • 1a Department of Psychiatry & Behavioral Sciences , Keck School of Medicine at USC and LAC + USC Medical Center , Los Angeles , California.

International Review of Psychiatry (Abingdon, England)
|November 6, 2015
PubMed
Summary

Telepsychiatry (TP) training needs defined competencies for clinicians and trainees. This framework ensures effective e-mental health (e-MH) education and practice standards.

Keywords:
Telementalacademicassessmentcentersclinical practicecompetencye-healtheducationevaluationhealthmentaloutcometelemedicinetelepsychiatry

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Area of Science:

  • Medical Education
  • Digital Health
  • Psychiatry

Background:

  • Telepsychiatry (TP) is an established practice, yet standardized educational outcomes are lacking.
  • Existing literature focuses on TP best practices, not comprehensive competency frameworks.
  • TP is a component of the broader e-mental health (e-MH) landscape.

Purpose of the Study:

  • To propose a competency framework for telepsychiatry education and clinical practice.
  • To integrate TP competencies within the wider e-mental health (e-MH) context.
  • To outline teaching, assessment, and evaluation strategies for TP.

Main Methods:

  • Competencies organized using the Accreditation Council for Graduate Medical Education (ACGME) framework with CanMEDS input.
  • Defined novice, intermediate, and expert proficiency levels.
  • Utilized andragogical methods for education and clinical care.
  • Employed mixed-methods (quantitative and qualitative) for evaluation.

Main Results:

  • Proposed a structured competency model for TP training and practice.
  • Outlined clear progression levels from novice to expert.
  • Demonstrated alignment of teaching and assessment methods with competencies.
  • Highlighted the overlap between TP and e-MH, suggesting unified institutional strategies.

Conclusions:

  • Competency-based frameworks are essential for effective telepsychiatry (TP) education and practice.
  • Standardized TP training and assessment are crucial for advancing e-mental health (e-MH) care.
  • Further research is needed on institutional implementation, faculty development, and funding models for TP and e-MH.