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2024 ACLP Recommendations for Training Residents in Consultation-Liaison Psychiatry.
Scott R Beach1, Carrie L Ernst2, David C Fipps3
1Department of Psychiatry, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Journal of the Academy of Consultation-Liaison Psychiatry
|November 12, 2024
Summary
Updated recommendations for consultation-liaison psychiatry (CLP) training emphasize sufficient rotation time, expert faculty supervision, and a formal curriculum. These guidelines aim to optimize resident education in psychiatric care for medically complex patients.
Area of Science:
- Medical Education
- Psychiatry
- Consultation-Liaison Psychiatry
Background:
- Consultation-Liaison Psychiatry (CLP) training has undergone significant changes, including increased general residency requirements and the impact of the COVID-19 pandemic.
- The Academy of Consultation-Liaison Psychiatry has not updated its CLP residency training recommendations since 2014.
- A 2021 survey indicated substantial structural changes in CLP rotations across residency programs.
Purpose of the Study:
- To provide updated recommendations for optimizing CLP training for all residents.
- To guide residency program directors in enhancing psychiatric education.
- To support residents pursuing CLP fellowship.
Main Methods:
- Convened an 8-member workgroup of Academy of Consultation-Liaison Psychiatry leaders in education.
- Obtained approval from the Academy of Consultation-Liaison Psychiatry Executive Council.
- Utilized a three-stage iterative process to reach consensus.
Main Results:
- Developed 34 consensus recommendations across four domains: structure, faculty supervision, curriculum, and electives.
- Emphasized sufficient resident time on CLP rotations for milestone achievement.
- Stressed the importance of faculty expertise, direct supervision, and a formal didactic curriculum.
Conclusions:
- A strong CLP foundation is crucial for all residents.
- Ensures competency in managing medically complex patients and interdisciplinary collaboration.
- Aims to foster resident interest in pursuing a career in CLP.
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