Khurshid Khurshid A, Bennett Jeffrey I, Vicari Sandy, Lee Karen L, Broquet Karen E
Department of Neurology, University of Chicago, 5841 S. Maryland Avenue, MC 2030, Chicago, IL 60637-1470, USA.
Acad Psychiatry. 2005 Nov-Dec;29(5):452-8. doi: 10.1176/appi.ap.29.5.452.
To survey chief residents' opinion about various aspects of psychotherapy competency determination.
Chief residents of various psychiatry residency programs were surveyed.
One hundred two chief residents were surveyed. Seventy two (70.58%) completed the survey. Eighty four percent of the respondents reported that they were aware of the competencies. The number of patients required for competency determination in five areas of psychotherapy varied widely among the programs. Global assessment by psychotherapy supervisors was the most commonly used method of competency determination (61%). Nineteen (26%) chief residents opined that not all the faculty members involved in teaching and assessing competencies are qualified to do so. Only 23 (31%) of respondents reported that competency criteria were well integrated into the residency curriculum.
The little consistency in psychotherapy competency determination across various programs, the differential preparedness of programs for competencies and the lack of consistent integration of competencies into residency curricula call for development and implementation of more uniform assessment methods. This variability also calls into question the decision to establish a standard in five areas of psychotherapy competency.
调查住院总医师对心理治疗能力判定各方面的看法。
对各精神病学住院医师培训项目的住院总医师进行调查。
共调查了102名住院总医师。72人（70.58%）完成了调查。84%的受访者表示他们知晓这些能力。各项目在心理治疗五个领域进行能力判定所需的患者数量差异很大。心理治疗督导的整体评估是最常用的能力判定方法（61%）。19名（26%）住院总医师认为并非所有参与教学和评估能力的教员都具备相应资质。只有23名（31%）受访者表示能力标准已很好地融入住院医师培训课程。
各项目在心理治疗能力判定方面缺乏一致性，各项目对能力的准备情况存在差异，且能力缺乏在住院医师培训课程中的一致整合，这就需要制定和实施更统一的评估方法。这种变异性也对在心理治疗能力五个领域制定标准的决定提出了质疑。
