Michaelsen Katherine C, Lewis Alan S, Morgan Peter T, McKee Sherry A, Wasser Tobias D
Dr. Michaelsen is Acting Assistant Professor, University of Washington School of Medicine, Seattle, WA. Dr. Lewis is a Lecturer in Psychiatry, Dr. Morgan is Associate Professor of Psychiatry, Dr McKee is Professor of Psychiatry, and Dr. Wasser is Assistant Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Accepted as a Scientific Paper for presentation at the 47th annual meeting of the American Academy of Psychiatry and the Law, October 27-30, 2016, Portland, OR.
J Am Acad Psychiatry Law. 2018 Sep;46(3):322-328. doi: 10.29158/JAAPL.003766-18.
Psychiatry residents' experiences in forensic psychiatry vary greatly across the country, and many psychiatry programs meet the Accreditation Council for Graduate Medical Education requirements for a forensic experience through general psychiatry rotations (e.g., on a consult-liaison service) or classroom-based activities. Forensic clinical experiences during psychiatry residency are important for preparing future general psychiatrists for practice with justice-involved patients, generating interest in forensic psychiatry, and easing the transition from "healer to evaluator" for future fellows. Unfortunately, residency programs interested in expanding their forensic training may face many challenges because of current regulatory frameworks, the nature of forensic practice, and competing demands within residency training programs. This article describes these challenges, and the experience of the authors at one institution with developing a novel forensic experience in a criminal justice diversion setting. The authors conclude with some practical considerations for educators interested in developing forensic experiences at their institutions.
精神病学住院医师在法医精神病学方面的经历在全国差异很大，许多精神病学项目通过普通精神病学轮转（如在会诊联络服务部门）或课堂活动来满足毕业后医学教育认证委员会对法医经历的要求。精神病学住院医师培训期间的法医临床经历对于让未来的普通精神科医生为涉及司法程序的患者提供诊疗做好准备、激发对法医精神病学的兴趣以及帮助未来的研究员顺利从“治疗者”转变为“评估者”都很重要。不幸的是，由于当前的监管框架、法医实践的性质以及住院医师培训项目中的其他竞争需求，有兴趣扩大其法医培训的住院医师项目可能面临许多挑战。本文描述了这些挑战，以及作者所在机构在刑事司法分流环境中开发新型法医经历的经验。作者最后为有兴趣在其机构开发法医经历的教育工作者提供了一些实际考虑因素。
