Rakofsky Jeffrey
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta.
Focus (Am Psychiatr Publ). 2021 Jan;19(1):46-49. doi: 10.1176/appi.focus.20200037. Epub 2021 Jan 25.
Medications available to treat psychiatric illnesses continue to increase, in conjunction with a shifting of outpatient psychiatric practice from psychotherapy toward medication management. To be successful in this climate, a psychiatrist needs to select the appropriate pharmacologic option(s) for their patient, drawing from old and new psychotropics while accounting for variables such as a patient's comorbid medical conditions and potential drug-drug interactions. In the absence of any national psychopharmacology training guidelines, these skills are taught to varying degrees in American psychiatric residency training programs. The past 20 years have seen an increase in innovations in the areas of psychopharmacology curricula topics, teaching strategies, and assessments of psychopharmacology knowledge and skills. Psychiatric training programs can benefit from and build on these innovations, ensuring that all physicians graduating from a psychiatric residency program meet psychopharmacology-based learning objectives and that their learning can be measured in a valid and reliable way.
可用于治疗精神疾病的药物持续增加,与此同时,门诊精神科诊疗实践正从心理治疗转向药物管理。为了在这种环境中取得成功,精神科医生需要为患者选择合适的药物治疗方案,既要借鉴新旧精神药物,又要考虑患者的合并内科疾病和潜在药物相互作用等变量。由于缺乏全国性的精神药理学培训指南,这些技能在美国精神科住院医师培训项目中的教授程度各不相同。在过去20年里,精神药理学课程主题、教学策略以及精神药理学知识和技能评估等领域的创新不断增加。精神科培训项目可以从这些创新中受益并加以发展,确保所有从精神科住院医师项目毕业的医生都能达到基于精神药理学的学习目标,并且他们的学习能够以有效且可靠的方式进行衡量。