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A basic residency curriculum concerning the chronically mentally ill.

L R Faulkner1, D L Cutler, D D Krohn

  • 1Department of Psychiatry, Oregon Health Sciences University, Portland 97201.

The American Journal of Psychiatry
|October 1, 1989
PubMed
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Psychiatric education experts propose a curriculum for training residents to care for the chronically mentally ill. Recommendations include educational objectives, clinical experiences, and changes to accreditation standards to improve care for this population.

Area of Science:

  • Psychiatry
  • Medical Education

Background:

  • The chronically mentally ill represent a significant patient population with unique care needs.
  • Current psychiatric residency training may not adequately prepare physicians to address the complexities of chronic mental illness.

Purpose of the Study:

  • To present expert recommendations for a foundational psychiatric residency curriculum focused on the chronically mentally ill.
  • To suggest modifications to accreditation standards to enhance training in this area.

Main Methods:

  • A consensus-based approach by psychiatric education experts.
  • Development of educational objectives (knowledge, skills, attitudes).
  • Inclusion of clinical experiences, supervision, didactics, and evaluation.

Main Results:

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  • A comprehensive curriculum framework is proposed, covering various educational components.
  • Specific recommendations for the Accreditation Council for Graduate Medical Education (ACGME) are outlined.
  • Potential obstacles and solutions for implementation are discussed.

Conclusions:

  • Enhanced residency training is crucial for effectively managing the chronically mentally ill.
  • Curriculum reform and updated accreditation requirements are necessary to meet patient needs.
  • Addressing implementation challenges will facilitate improved psychiatric care.