Bourgeois James A, Ton Hendry, Onate John, McCarthy Tracy, Stevenson Frazier T, Servis Mark E, Wilkes Michael S
Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, CA 95817, USA.
Acad Psychiatry. 2008 May-Jun;32(3):249-54. doi: 10.1176/appi.ap.32.3.249.
The authors describe in detail the 3-year model of the Doctoring curriculum plus an elective fourth-year Doctoring course at University of California, Davis School of Medicine (UCDSOM) and University of California, Los Angeles (UCLA) School of Medicine and the critical role for psychiatry faculty leadership and participation.
The authors present a review of curricular materials and course operations for the different Doctoring courses for first-, second-, third-, and fourth-year curriculum. The authors describe the role of psychiatry faculty in both leadership and in group facilitation.
The Doctoring curriculum offers case-based, small-group learning that relies heavily on standardized patients to teach core content around doctor-patient communication, ethics, behavioral medicine, and counseling approaches. There are frequent psychosocial issues woven in to these encounters. Psychiatry faculty members and other mental health professionals are well-prepared by virtue of their training to lead small group discussions and facilitate the supportive elements of the small groups in medical education.
The Doctoring curriculum is both a biopsychosocial educational endeavor and a high-visibility leadership opportunity for the Department of Psychiatry. Other medical schools and departments of psychiatry may wish to pursue similar roles in their didactic programs.
作者详细描述了加利福尼亚大学戴维斯分校医学院(UCDSOM)和加利福尼亚大学洛杉矶分校(UCLA)医学院的三年制临床技能课程模式以及选修的第四年临床技能课程,以及精神病学教师领导和参与的关键作用。
作者对一年级、二年级、三年级和四年级课程中不同临床技能课程的课程材料和课程运作进行了综述。作者描述了精神病学教师在领导和小组促进方面的作用。
临床技能课程提供基于案例的小组学习,严重依赖标准化病人来教授围绕医患沟通、伦理、行为医学和咨询方法的核心内容。这些互动中经常穿插着社会心理问题。精神病学教师和其他心理健康专业人员凭借其培训,做好了领导小组讨论和促进医学教育中小组支持性元素的充分准备。
临床技能课程既是一项生物心理社会教育工作,也是精神病学系一个备受瞩目的领导机会。其他医学院校和精神病学系可能希望在其教学计划中发挥类似作用。