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Training residents for community psychiatric practice: guidelines for curriculum development

D B Brown1, C R Goldman, K S Thompson

  • 1Columbia University College of Physicians and Surgeons.

Community Mental Health Journal
|June 1, 1993
PubMed
Summary

Community psychiatry needs more skilled psychiatrists. Residency programs can be enhanced to train psychiatrists for community practice, addressing the needs of seriously mentally ill and socially disadvantaged patients.

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Area of Science:

  • Psychiatry
  • Medical Education

Background:

  • Critical shortage of psychiatrists for community mental health settings.
  • Need for specialized training to serve seriously mentally ill and socially disadvantaged populations.
  • Existing residency programs may not adequately prepare psychiatrists for community practice.

Purpose of the Study:

  • To define the scope of contemporary community psychiatric practice.
  • To establish training curriculum goals for community psychiatry.
  • To guide the development of residency programs focused on community settings.

Main Methods:

  • Utilized a consensus definition of community psychiatric practice from the American Association of Community Psychiatrists.
  • Identified key knowledge, skill, and attitude objectives for training.

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  • Proposed structural guidelines for clinical training assignments.

    • Main Results:

    • Defined essential components of community psychiatric practice (clinical, administrative, consultative, academic).
    • Outlined specific learning objectives for training programs.
    • Provided a framework for structuring clinical rotations and experiences.

    Conclusions:

    • Enhanced residency training is crucial for recruiting and retaining psychiatrists in community mental health.
    • A structured curriculum based on defined practice areas can effectively prepare psychiatrists for community roles.
    • This framework supports the development of programs to meet the needs of vulnerable patient populations.