Goethals K, Roza S
Tijdschr Psychiatr. 2019;61(3):200-204.
Forensic psychiatry attracts considerable attention from media and politicians. All psychiatrists, not only those working in the forensic field, should be able to evaluate safety for society on the one hand and qualitative health care for psychiatric patients on the other. However, little attention is paid to specific forensic issues, in both psychiatric training and in medical school.
AIM: To map relevant topics for a forensic psychiatric curriculum in medical schools and psychiatric residency training.
METHOD: The main findings regarding educational topics in forensic psychiatry are discussed based on policy papers and scientific articles.
RESULTS: Four important topics should be covered in general psychiatric training, i.e. mental health legislation, risk assessment and management, professionalism and ethics, and expert witness training. The Netherlands has a specific training programme for psychiatrists interested in expert report writing and testimony for criminal courts. In Belgium, psychiatrists can acquire specific professional competence in forensic psychiatry.
CONCLUSION: Acknowledgement of the above-mentioned topics in the general medical and psychiatric curriculum will lead to better knowledge and competencies for all psychiatrists, both in Belgium and the Netherlands. Continuing attention and evaluation will be necessary given the high societal relevance.
法医精神病学引起了媒体和政界人士的广泛关注。所有精神科医生,不仅是从事法医领域工作的医生,一方面应能够评估对社会的安全性,另一方面应能够评估对精神病患者的高质量医疗保健。然而,在精神病学培训和医学院校教育中,对特定的法医问题关注甚少。
梳理医学院校和精神科住院医师培训中法医精神病学课程的相关主题。
基于政策文件和科学文章,讨论法医精神病学教育主题的主要研究结果。
普通精神病学培训应涵盖四个重要主题,即精神卫生立法、风险评估与管理、专业精神与伦理以及专家证人培训。荷兰为有志于撰写刑事法庭专家报告和提供证词的精神科医生制定了专门的培训计划。在比利时,精神科医生可以获得法医精神病学方面的特定专业能力。
在普通医学和精神病学课程中认可上述主题,将使比利时和荷兰的所有精神科医生具备更丰富的知识和更强的能力。鉴于其高度的社会相关性,需要持续关注和评估。