[Psychiatric Residency Training in the United States].

Kenichiro Okano
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Abstract

Psychiatric residency training programs in the United States are based on regulation by the ACGME (Accreditation Council for Graduate Medical Education). They basically consist of a four-year course (six years if the child program is included), with a variety of didactic courses as well as clinical assignments in different clinical settings affiliated with the local resi- dency program. Each resident is closely supervised by his/her supervisor during his/her clini- cal assignment. Clinical training opportunities are supplemented by on-call duties which require each resident to apply the entire repertoire of skills of a fully-fledged psychiatrist, with intake assessment for hospitalization as well as acute psychiatric coverage in emergency rooms. The author participated in one of these programs at the Menninger Clinic in Kansas in the early 1990s. He discussed one of his own anecdotes, which depicts a potential pitfall for inexperienced psychiatric clinicians.

[美国精神病学住院医师培训]。
在美国,精神科住院医师培训项目是基于ACGME(研究生医学教育认证委员会)的规定。他们基本上包括一个为期四年的课程(如果包括儿童课程,则为六年),包括各种教学课程以及与当地住院医师项目相关的不同临床环境中的临床任务。每位住院医师在他/她的临床任务期间由他/她的主管密切监督。临床培训机会由随叫随到的职责补充,这要求每位住院医生运用一名专业精神病医生的全部技能,对住院进行入院评估,并在急诊室进行急性精神病治疗。作者于20世纪90年代初在堪萨斯州的Menninger诊所参加了其中一个项目。他谈到了他自己的一件轶事,它描述了缺乏经验的精神病临床医生的一个潜在陷阱。
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