Article

Do psychiatry residents identify as psychotherapists? A multisite survey

Department of Psychiatry, University of California, San Diego, La Jolla, CA 92093-9116, USA.
Annals of Clinical Psychiatry (Impact Factor: 2.36). 02/2011; 23(1):30-9.
Source: PubMed

ABSTRACT

Psychiatric training was once synonymous with learning psychotherapy, but current psychiatric trainees face many options for integrating psychopharmacology and psychotherapy into their future practices, including providing primarily medication-focused visits. We examined psychiatry residents' attitudes towards learning psychotherapy, practicing psychotherapy in the future, and overall identification as psychotherapists.
We surveyed residents from 15 US residency programs during 2006-2007. The survey included 36 Likert-scaled items inquiring about residents' attitudes towards their psychotherapy training and supervision, their level of psychotherapy competence, the role of psychotherapy in their psychiatric identity, and their future practice plans. Four items asked about personal psychotherapy experience. Here we describe findings related to attitudes concerning being a psychotherapist and future practice plans.
Among 249 respondents, most (82%) viewed becoming a psychotherapist as integral to their psychiatric identity. Fifty-four percent planned to provide formal psychotherapy, whereas 62% anticipated psychopharmacology would be the foundation of treatment for most patients. Residents with personal psychotherapy experience and first-year postgraduate residents (PGY-1) were more likely to identify as psychotherapists, plan to pursue further psychotherapy training postresidency, and anticipate psychotherapy being central to their future practice.
Despite concerns about the diminishing role of psychotherapy in the practice of psychiatry and in psychiatrists' professional identity, most psychiatric residents view psychotherapy as integral to their professional identities and future practice plans.

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    • "In 2008 the Royal College of Physicians and Surgeons of Canada implemented new requirements for psychotherapy training for residents. Psychiatry residents are now required to attain increased competencies in a broad range of psychotherapies throughout their training in psychiatry [9]. This study explored psychiatry trainees' attitudes towards psychotherapy in order to provide data on how psychiatry trainees at an Atlantic Canadian medical school perceive psychotherapy. "

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    ABSTRACT: All German societies of medicine have been ordered by the Federal Association of Physicians (Bundesarztekammer) to propose new revised regulations for the education of residents. The German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) is offering a broad extension of education in psychotherapy while education in pharmacotherapy is still rather small and limited. The working group Biological Psychiatry of the German Association of Psychiatric Hospitals (Bundesdirektorenkonferenz, BDK) suggests a detailed proposal of a psychopharmacology curriculum based on a Delphi method consent of medical directors involved in the education of psychiatric residents. Issues include general pharmacology, neurobiological principles, clinical pharmacology of different classes of psychotropics (antidepressants, anti-psychotics, mood stabilizers, anxiolytics, hypnotics, stimulants etc.), special aspects (e. g. preg-nancy, geriatric patients) as well as ethical, legal and economic aspects. About 160 hours of theo-retical education are proposed, clinical teaching should be interactive, with vignettes and supervi-sion covering about 300 hours.
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