The psychiatrist and family medicine: a different training approach
- 1 November 1981
- journal article
- Published by Wiley in Medical Education
- Vol. 15 (6), 398-406
- https://doi.org/10.1111/j.1365-2923.1981.tb02422.x
Abstract
A unique 8-year training programme for 110 family medicine residents is described. The psychiatrist works in a family medicine setting with the staff doctors, residents, and patients. The approach evolved because patients wanted a brief problem intervention, and because doctors wanted rapid and efficient methods to identify and treat problems, without using a psychodynamic model. For empirical data collection and clear problem description, a behavioural model is employed. For assessment and therapy, a problem-orientated approach is emphasized, which is rapidly acquired and effectively applied. ‘Diagnoses’ are not used unless relevant, and paradigms or methods of handling common patient problems are employed. The residents learn in groups and develop skills through supervision of actual patient encounters. There is a phased progression of skill acquisition which is reinforced by the staff doctors. Eighty-seven per cent of the residents achieve the required objectives, and can apply and utilize an approach geared to the needs and realities of everyday practice.Keywords
This publication has 7 references indexed in Scilit:
- Teaching Psychotherapy: Learning Objectives in Individual PsychotherapyThe Canadian Journal of Psychiatry, 1980
- Evaluating the Competence of PsychotherapistsThe Canadian Journal of Psychiatry, 1979
- Deciding how to treat – the relevance of psychiatric diagnosisPsychological Medicine, 1979
- The value of feedback in teaching interviewing skills to medical studentsPsychological Medicine, 1978
- The McMaster Model of Family FunctioningJournal of Marital and Family Therapy, 1978
- Training family therapists by setting learning objectives.American Journal of Orthopsychiatry, 1973
- Psychiatric Illness in General Practice: A Detailed Study Using a New Method of Case IdentificationBMJ, 1970