Thorpe L, Leclair K, Donnelly M, MacBeath L
Department of Psychiatry, University of Saskatchewan, Saskatoon.
Can J Psychiatry. 1993 Mar;38(2):90-5. doi: 10.1177/070674379303800204.
Geriatric psychiatry is now a mandatory part of psychiatric residency education in Canada. Educational requirements in geriatric psychiatry were updated by the Royal College of Physicians and Surgeons of Canada in 1988, and guidelines were developed in more detail in 1989 by the Section on Geriatric Psychiatry of the Canadian Psychiatric Association (CPA). These guidelines are presented here together with a survey, conducted in the fall of 1991, of all 16 Canadian psychiatry residency programs. Thirteen of the training centres now require residents to have a formal rotation in geriatric psychiatry, generally three months in length. Residents are exposed to elderly patients in other services, such as consultation/liaison, but these services may not include formal teaching in geriatric psychiatry. Most programs have a seminar series in geriatric psychiatry and have training guidelines similar to those of the CPA. However, it is not clear how closely these are being followed, since it was felt in almost one-third of all programs that there was an insufficient number of teachers to fulfill the training requirements. In addition, a number of training directors felt that the objectives were too comprehensive to be met in the three month period. Earlier studies in the field are reviewed, implications of the current findings are discussed, and suggestions are made for further research.
老年精神病学现已成为加拿大精神病学住院医师培训教育的必修部分。1988年，加拿大皇家内科医师和外科医师学院更新了老年精神病学的教育要求，1989年，加拿大精神病学协会（CPA）老年精神病学分会制定了更详细的指南。本文展示了这些指南，并附上了1991年秋季对加拿大所有16个精神病学住院医师培训项目进行的一项调查结果。现在有13个培训中心要求住院医师进行老年精神病学的正式轮转，通常为期三个月。住院医师会在其他科室接触老年患者，如会诊/联络科室，但这些科室可能不包括老年精神病学的正规教学。大多数项目都有老年精神病学系列研讨会，并且有与CPA类似的培训指南。然而，目前尚不清楚这些指南的遵循程度如何，因为几乎三分之一的项目认为教师数量不足以满足培训要求。此外，一些培训主任认为目标过于全面，无法在三个月内实现。本文回顾了该领域早期的研究，讨论了当前研究结果的影响，并提出了进一步研究的建议。
