Garon Marie-Hélène, Létourneau Geneviève, Caron David, Renaud-Cloutier Léa, Désilets Marie, Hudon Alexandre
Department of Psychiatry and Addictology, Faculty of Medicine, Université de Montréal, Montreal, QC H3T 1J4, Canada.
Department of Psychiatry, Institut Universitaire de Gériatrie de Montréal, Montreal, QC H3W 1W5, Canada.
Behav Sci (Basel). 2025 Jun 5;15(6):780. doi: 10.3390/bs15060780.
Psychotherapy is an essential component of mental healthcare, yet its formal instruction within medical curricula remains underdeveloped. This scoping review aimed to map the best practices for teaching psychotherapy to medical students by examining the types of psychotherapy covered and the teaching strategies employed. A systematic search was conducted across the PubMed, Embase, PsycINFO and Google Scholar databases without time restrictions, and studies were selected if they focused on psychotherapy education for medical students. Fifteen studies met the inclusion criteria. The findings revealed that multimodal approaches, combining didactic sessions, experiential learning, clinical exposure and digital content, were the most commonly used and pedagogically effective strategies. Role play and clinical exposition were particularly valued for enhancing communication skills, empathy and therapeutic understanding, while e-learning emerged as a flexible but less frequently used tool. Motivational interviewing was the most frequently taught psychotherapeutic modality, followed by mindfulness, cognitive-behavioral therapy and psychodynamic approaches. Although the overall quality of studies was moderate to high, the heterogeneity in study design and outcome measures limited direct comparisons. These results highlight the need for standardized, experiential and integrated teaching strategies to better prepare future physicians for incorporating psychotherapy principles into clinical practice.
心理治疗是精神卫生保健的重要组成部分,但其在医学课程中的正规教学仍不发达。本综述旨在通过研究所涵盖的心理治疗类型和所采用的教学策略,梳理出向医学生教授心理治疗的最佳实践。我们在PubMed、Embase、PsycINFO和谷歌学术数据库中进行了无时间限制的系统检索,若研究聚焦于医学生的心理治疗教育,则将其纳入。15项研究符合纳入标准。研究结果显示,将理论教学、体验式学习、临床见习和数字内容相结合的多模式方法是最常用且教学效果显著的策略。角色扮演和临床见习在提高沟通技巧、同理心和治疗理解方面尤为受重视,而电子学习则是一种灵活但使用频率较低的工具。动机访谈是教学中最常讲授的心理治疗方式,其次是正念、认知行为疗法和心理动力学方法。尽管研究的总体质量中等偏高,但研究设计和结果测量的异质性限制了直接比较。这些结果凸显了需要标准化、体验式和综合的教学策略,以便更好地让未来的医生为将心理治疗原则融入临床实践做好准备。