The practice of psychiatry in the 21st century: challenges for psychiatric education.

Dept. of Psychiatry, University of Colorado, Aurora, USA.
Academic Psychiatry (Impact Factor: 0.81). 10/2011; 35(5):283-92. DOI: 10.1176/appi.ap.35.5.283
Source: PubMed
1 Bookmark
  • Academic Psychiatry 04/2014; 38(3). DOI:10.1007/s40596-014-0116-9 · 0.81 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Academic departments of psychiatry are experiencing unprecedented changes that are difficult and challenging for faculty and administrators. This article examines the factors that influence change and the barriers to effective change. The author reviewed the business literature on change in organizations and examined the psychodynamic factors that mediate individual and organizational response to change. Several business models for effective change management exist and can be utilized by psychiatric educators. The psychodynamic models of change are useful for understanding the psychological impact of change on organizations and individuals. Effective management of change requires careful attention to the goals of the organization, development of a detailed plan to implement change, adequate resources to carry out the change, effective leadership and communication, and contingency plans for unforeseen events. Individual and organizational needs must also be considered. A model for dealing with change in education is presented.
    Academic Psychiatry 08/2014; DOI:10.1007/s40596-014-0211-y · 0.81 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Our objective was to review the use in psychiatry of data arising from interaction with the patient, here called "clinical evidence." We conducted a clinical and historical review. Data from interactions with patients are increasingly marginalized in psychiatry, even as interactional data have an increasing role elsewhere in healthcare. Recommendations for training, clinical care, and administration are made.
    The Journal of nervous and mental disease 09/2013; 201(9):813-817. DOI:10.1097/NMD.0b013e3182a2142f · 1.81 Impact Factor