Factor R M, Stein L I, Diamond R J
Department of Psychiatry, University of Wisconsin Medical School, Madison 53792.
Community Ment Health J. 1988 Winter;24(4):310-27. doi: 10.1007/BF00752474.
The ability of mental health practitioners to work well with persons with serious long-term mental illness has expanded significantly over the past two decades. Learning to do this well involves acquiring a broad base of knowledge and a complex range of skills. Such knowledge and experience must be incorporated into the basic residency curriculum for general psychiatrists, though with some notable exceptions this has not occurred for a number of important reasons, including money and the new image that psychiatry is trying to assume. The key elements of such a curriculum include 1) specific learning goals, 2) working within an effective treatment system with high quality clinical rotations, 3) good role models, 4) high quality psychiatric supervision, 5) a well-grounded didactic program, and 6) high quality clinical rotations. We discuss these elements in detail, and we describe the training program in community psychiatry at the University of Wisconsin Medical School Department of Psychiatry. Our residency training program and supervising faculty are affiliated with and partially funded by the Mental Health Center of Dane County to the benefit of both. This marriage between the public-sector mental health care provider and the academic psychiatric training program has created benefits for both parents plus a fertile environment for training future generations of psychiatrists.
在过去二十年中，心理健康从业者与患有严重长期精神疾病的患者有效合作的能力有了显著提升。要学会做好这项工作，需要掌握广泛的知识基础和一系列复杂的技能。这些知识和经验必须纳入普通精神科医生的基础住院医师培训课程，然而，由于包括资金以及精神病学试图塑造的新形象等一些重要原因，尽管有一些显著的例外情况，但这并未实现。这样一个课程的关键要素包括：1）明确的学习目标；2）在一个有效的治疗系统内进行高质量的临床轮转；3）优秀的榜样；4）高质量的精神科督导；5）扎实的教学计划；6）高质量的临床轮转。我们将详细讨论这些要素，并介绍威斯康星大学医学院精神病学系的社区精神病学培训项目。我们的住院医师培训项目和督导教员与戴恩县心理健康中心相关联，并部分由其资助，这对双方都有益处。公共部门的心理健康护理提供者与学术性精神科培训项目之间的这种结合，为双方都带来了好处，也为培养下一代精神科医生创造了有利环境。
