The practice of medicine has changed radically during the past few decades. Patients -- better informed than ever -- now demand more of their physicians, viewing them as partners rather than revering them as sole decision-makers.
In this environment, nonnegotiable core competencies -- ever-evolving and measured by certification, recertification, and, more recently, maintenance of certification -- are more important than ever.
Written from the perspective of those responsible for educating and certifying the next generations of psychiatrists, this groundbreaking compendium by distinguished contributors offers -- for the first time -- a concise look at the final product of the June 2001 Invitational Core Competencies Conference sponsored by the American Board of Psychiatry and Neurology (ABPN) as regards psychiatry (with a future comparable publication focusing on neurology). Divided into four parts, Part I sets the stage for the current concept of physician "competence" by presenting a brief history of medical competence, explaining the logic behind the development of the current competence outline. Part II provides two different views of how to look at core competencies: how competence is defined by the Royal College of Physicians and Surgeons of Canada and, based on some of their work, what is currently being done in the United States. Part III discusses the organizing principles -- identified in 1999 by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties (ABMS) -- that frame all of our conversations about competence, as currently delineated for psychiatrists across the six core competency categories: Patient Care, Medical Knowledge, Interpersonal and Communications Skills, Practice-Based Learning and Improvement, Professionalism, and Systems-Based Practice. Also presented are discussions of when in a physician's career these competencies should be assessed and what methodologies would be appropriate for that assessment. Part IV discusses how the psychiatry core competencies are changing board certification and recertification. Also presented are informed predictions about the changes that medical school faculty and residency training directors will have to make and how practitioners will have to change behaviors to maintain their board certification.
Concluding with an appendix outlining the six core competencies for psychiatry, this invaluable resource will both help psychiatric residents and their faculty and training directors understand the core competencies important to the ABPN and provide practitioners with a view of what will be contained in their upcoming maintenance of certification programs now being designed.
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Stephen C. Scheiber, M.D., is Clinical Professor of Psychiatry at Northwestern University Medical School in Evanston, Illinois; Clinical Professor of Psychiatry at the Medical College of Wisconsin in Milwaukee; and Executive Vice President of the American Board of Psychiatry and Neurology, Inc. in Deerfield, Illinois.
Thomas A. M. Kramer, M.D., is Director of Student Counseling and Resource Service at The University of Chicago in Chicago, Illinois.
Susan E. Adamowski, Ed.D., is Director of New Assessment Initiatives at the American Board of Psychiatry and Neurology, Inc. in Deerfield, Illinois.
ContributorsForewordPrefaceAbbreviationsPart I: An Introduction to Core CompetenciesChapter 1. What Core Competencies Mean to Psychiatrists and TraineesChapter 2. The Evolving Concept of Clinical Competence in Psychiatric PracticePart II: Origins of Core Competencies: Canadian Groundbreaking and American DevelopmentChapter 3. Advance Standards: The Canadian Concept of Specialty Competencies as Delineated by Physician RolesChapter 4. The ACGME and ABMS Initiatives: Toward the Development of Core CompetenciesPart III: Core Competencies and the Practice of Psychiatry Today: The ABPN InitiativeChapter 5. General and Psychiatry-Specific Patient Care Core CompetenciesChapter 6. General and Psychiatry-Specific Medical Knowledge Core CompetenciesChapter 7. Interpersonal and Communications Skills Core CompetenciesChapter 8. Practice-Based Learning and Improvement Core CompetenciesChapter 9. Professionalism Core CompetenciesChapter 10. Systems-Based Practice Core CompetenciesChapter 11. Cross Competencies: What Psychiatrists Should Know About NeurologyPart IV: The Impact of Core CompetenciesChapter 12. Implications of the Core Competencies on ABPN Certification and Maintenance of Certification for Psychiatric PractitionersChapter 13. Implications of the Core Competencies on the Full Spectrum of Psychiatric Medical Education for Clinical Psychiatric Practice: From Medical School Through Continuing Medical EducationChapter 14. A Forward View: Core Competencies in Future Psychiatric PracticeAppendix A: Psychiatry Quadrad Core Competencies OutlineIndex
A collaboration between medical experts from the United States and Canada has resulted in this valuable blueprint for identifying and assessing skills central to the practice of psychiatry.... As a textbook/reference source, Core Competencies for Psychiatric Practice is a must-have tool in any psychiatrist's office. Practicing psychiatrists, individuals just beginning the educational process toward certification, medical school faculty and program directors will find it most useful as it provides a timeline and testing methods for assessing specific core competencies as well as suggestions for re-evaluation. * Behavioral Healthcare Tomorrow * The ABPN conference has provided psychiatry with a potential road map and guidebook to the future. Armed with this road map and guide, the field of psychiatry has a tool to respond to inevitable detours and advances in our knowledge base, as well as changes in our systems of care, to assure ourselves and the public of our ability to meet the needs now and in the future. * Sidney H. Weissman, M.D., Journal of Clinical Psychiatry * Psychiatry residency training directors' work will be made somewhat easier by knowing and understanding the information contained in this book. * Michael J. Schrift, DO, Doody Book Reviews * Core Competencies for Psychiatric Practice is both a hopeful and a helpful report. Its authors have brought much wisdom and insight to these discussions, and most readers will be convinced that defining and assessing core competencies not only will be a central feature of training programs and practice but also will contribute to the improved care of patients and their families. * John S. McIntyre, M.D., Psychiatric Services *
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