Department of General Adult Psychiatry, Castle Peak Hospital, Hong Kong, China.
University of San Carlos of Guatemala, Guatemala, Guatemala.
Int Rev Psychiatry. 2020 Mar;32(2):178-185. doi: 10.1080/09540261.2019.1648242. Epub 2019 Sep 3.
Mental health disorders cause a large burden on global public health, with many patients living years with the disability. However, many doctors are ill-equipped to treat mental health disorders given inadequate training during their undergraduate years. In some countries, psychiatry is even considered an elective course rather than a core module. There is, therefore, a pressing need to improve the training of medical students in managing mental health disorders. Measures need to be implemented to attract students to choose psychiatry as their career. Given the developments in the fields and the challenges currently faced by trainees and early career psychiatrists, changes may also be made to the training programme in the postgraduate stage to unify the variations across the world in terms of the training duration and format. This paper will describe the ways that undergraduate and postgraduate psychiatry training may be ameliorated to improve the delivery of mental healthcare around the world and to equip doctors to face challenges in the future.
心理健康障碍给全球公共卫生带来了巨大负担,许多患者在患病多年后仍无法康复。然而,由于本科阶段接受的培训不足,许多医生在治疗心理健康障碍方面能力不足。在一些国家,精神病学甚至被视为选修课程,而不是核心模块。因此,迫切需要提高医学生管理心理健康障碍的培训水平。需要采取措施吸引学生选择精神病学作为自己的职业。鉴于该领域的发展以及受训者和早期职业精神科医生目前面临的挑战,研究生阶段的培训计划也可能会有所改变,以统一全球范围内在培训时间和形式上的差异。本文将介绍如何改进本科和研究生阶段的精神病学培训,以改善全球的精神卫生保健服务,并使医生能够应对未来的挑战。