Kates N, Cook P, Denson J, Low J
McMaster University Hamilton, Ontario.
Can J Psychiatry. 1989 Apr;34(3):195-9. doi: 10.1177/070674378903400307.
Recent changes in Royal College training requirements have highlighted the need for residency programs to be able to offer challenging and worthwhile experiences to their trainees in caring for the chronically mentally ill. This training should bring them into contact with patients at each stage of their illness and recovery and expose them to the different settings in which treatment or management takes place. Postgraduate programs face many problems in organizing this teaching that arise from the nature and course of long-term psychiatric illnesses, the organization of residency training programs, attitudes and preconceptions of residents and teachers and competing time demands. The authors review these problems, identify specific goals for the training and suggest strategies for achieving these goals. Expectations of postgraduate programs, clinical placements, supervisors and residents themselves are outlined.
皇家医学院培训要求最近的变化凸显了住院医师培训项目有必要为其学员提供在照顾慢性精神病患者方面具有挑战性且有价值的经历。这种培训应使他们在患者疾病和康复的各个阶段都能接触到患者，并让他们了解治疗或管理所发生的不同环境。研究生项目在组织这种教学时面临许多问题，这些问题源于长期精神疾病的性质和病程、住院医师培训项目的组织、住院医师和教师的态度及先入之见以及相互竞争的时间需求。作者回顾了这些问题，确定了培训的具体目标，并提出了实现这些目标的策略。概述了对研究生项目、临床实习安排、督导人员和住院医师自身的期望。
