The psychiatrist and family medicine: a different training approach
作者:
A. L. LESSER,
期刊:
Medical Education
(WILEY Available online 1981)
卷期:
Volume 15,
issue 6
页码: 398-406
ISSN:0737-3805
年代: 1981
DOI:10.1111/j.1365-2923.1981.tb02422.x
出版商: Blackwell Publishing Ltd
关键词: Teaching/*methods;Family practice/*educ;Psychiatry/*educ;*Education, medical, graduate;Internship;Interviews;Behaviour;Problem‐solving;Ontario
数据来源: WILEY
摘要:
SummaryA 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
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