INTRODUCTION Programs must demonstrate that their residents are taught and assessed in professionalism. Most programs struggle with finding viable ways to teach and assess this critical competency. UTHSCSA Family and Community Medicine Residency developed an innovative option for interactive learning and assessment of residents in this competency which would be transferrable to other programs a...

Concerns about the pharmaceutical industry's influence in academic medical centers and on medical education have led many medical schools and teaching hospitals to adopt conflict-of-interest (COI) policies. Although the restrictiveness of these policies differs, the goal is the same: to shield physicians-in-training from the persuasive aspects of pharmaceutical promotion. But do these policies ...

Based on their experience with implementing a course in evidence-based practice for a psychiatry residency program, the authors identify barriers that must be overcome in teaching this approach to practice. Barriers to evidence-based teaching include students’ concern that an emphasis on research evidence may ignore the human context of mental health problems, students’ perception of inconsiste...

OBJECTIVE To demonstrate that sexual abuse of patients by psychiatrists can be due to a variety of contributors, which may include therapists' psychopathic and narcissistic personality styles. METHOD Data from a prospective cohort of residents training in psychiatry were examined to evaluate the personality traits of 2 psychiatrists subsequently convicted of boundary violations. RESULTS The...

BACKGROUND Primary care physicians (PCPs) provide ~50 % of all mental health services in the U.S. Given the widening gap between patient mental health needs and resources available to meet those needs, there is an increasing demand for family medicine and psychiatry trainees to master competencies in both behavioral medicine and primary care counseling during residency-if for no other reason th...

The professions of law and psychiatry are currently interacting with significant intensity and frequency to the extent that involvement of the mental health professional in a wide ranging number of legal arenas has become an essential adjunct to the fair and equitable dispensation of justice. The psychiatrist may become involved in civil matters dealing with testamentary capacity, contractual c...

Acquiring expertise in psychotherapy is central to the professional development of psychiatrists able to employ a broad therapeutic repertoire in their clinical practice. This article reviews how postgraduate psychiatry programs address this important aspect of training. We present the results of a national survey of psychotherapy education in Canadian psychiatry residency programs. The results...

Psychiatrists working in corrections, particularly in areas that have a shortage of forensic practitioners, may encounter a variety of ethics-related conflicts, especially when working both as clinicians and forensic evaluators within smaller systems. Such conflicts may include unavoidable dual treating and forensic evaluator relationships, and awareness of information that may complicate patie...

The subject of adolescence has occupied a unique place in psychiatric training programs: it is the stepchild of both adult and child residencies. This has long been the case, despite the recognition that adolescence poses special problems in diagnosis and treatment and despite the fact that in residency programs, both adult and child, the caseload consists of many patients in the 12-20 age brac...