Harbishettar Vijaykumar, Murthy Pratima
Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Indian J Psychiatry. 2019 Apr;61(Suppl 4):S804-S808. doi: 10.4103/psychiatry.IndianJPsychiatry_148_19.
In India, postgraduate (PG) training in Psychiatry began in 1941 and came under the regulation of the Medical Council of India in 1956. Since then, it has evolved into a more structured objective system. Most PG courses require compulsory submission of a dissertation work to provide experience in planning, executing, and disseminating research, in addition to clinical work, thus preparing the students to be future teachers or trainers and clinical practitioners. The training regulatory board needs to revisit the curriculum with regard to the provisions under the Mental Healthcare Act (MHCA) 2017, to incorporate the necessary knowledge, skills, and competence of trainees. The Act gives directions to the psychiatrists to act in certain ways in certain situations and makes documentation and completing forms more important. There are provisions for doing research in patients with severe mental illness with certain safeguards. The article discusses the aspects of the MHCA that necessitate modifications to the training, to equip the trainee psychiatrists to work within the framework of the act and also to familiarize them with the aspects of patient safeguards while conducting research. The trainees should take the initiative and put in efforts to understand the practical implications. Mentored learning of practical scenarios in their clinical postings is the best way to learn. Finally, one has to understand that there may be varying interpretations of the provisions of the act. Any interpretation of the provision can still be challenged in court.
在印度，精神病学研究生培训始于1941年，并于1956年纳入印度医学委员会的监管。从那时起，它已发展成为一个更加结构化的目标体系。大多数研究生课程要求必须提交论文作品，以便除临床工作外，还能提供规划、执行和传播研究的经验，从而使学生为未来成为教师、培训师或临床从业者做好准备。培训监管委员会需要根据2017年《精神卫生保健法》（MHCA）的规定重新审视课程，以纳入学员所需的知识、技能和能力。该法案指导精神科医生在某些情况下以特定方式行事，并使文件记录和填写表格变得更加重要。有关于在有一定保障措施的情况下对严重精神疾病患者进行研究的规定。本文讨论了《精神卫生保健法》中需要对培训进行修改的方面，以使实习精神科医生能够在该法案的框架内工作，并使他们在进行研究时熟悉患者保障措施的各个方面。学员应主动努力理解实际影响。在临床实习中通过指导学习实际场景是最好的学习方式。最后，必须明白对于该法案的规定可能存在不同的解释。对该规定的任何解释仍可能在法庭上受到质疑。
