The practice of medicine has changed radically during the past few decades. Patients -- better informed than ever -- now demand more of their physicians, viewing them as partners rather than revering them as sole decision-makers. In this environment, nonnegotiable core competencies -- ever-evolving and measured by certification, recertification, and, more recently, maintenance of certification -- are more important than ever. Written from the perspective of those responsible for educating and certifying the next generations of psychiatrists, this groundbreaking compendium by distinguished contributors offers -- for the first time -- a concise look at the final product of the June 2001 Invitational Core Competencies Conference sponsored by the American Board of Psychiatry and Neurology (ABPN) as regards psychiatry (with a future comparable publication focusing on neurology). Divided into four parts, Part I sets the stage for the current concept of physician "competence" by presenting a brief history of medical competence, explaining the logic behind the development of the current competence outline. Part II provides two different views of how to look at core competencies: how competence is defined by the Royal College of Physicians and Surgeons of Canada and, based on some of their work, what is currently being done in the United States. Part III discusses the organizing principles -- identified in 1999 by the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties (ABMS) -- that frame all of our conversations about competence, as currently delineated for psychiatrists across the six core competency categories: Patient Care, Medical Knowledge, Interpersonal and Communications Skills, Practice-Based Learning and Improvement, Professionalism, and Systems-Based Practice. Also presented are discussions of when in a physician's career these competencies should be assessed and what methodologies would be appropriate for that assessment. Part IV discusses how the psychiatry core competencies are changing board certification and recertification. Also presented are informed predictions about the changes that medical school faculty and residency training directors will have to make and how practitioners will have to change behaviors to maintain their board certification. Concluding with an appendix outlining the six core competencies for psychiatry, this invaluable resource will both help psychiatric residents and their faculty and training directors understand the core competencies important to the ABPN and provide practitioners with a view of what will be contained in their upcoming maintenance of certification programs now being designed.

This volume is a practical guide for educators working to incorporate the Competencies into their residency programs. It will help training directors and others involved in designing and implementing residency programs to ensure that residents develop all of the Competencies to the level expected of a new practitioner, as required by ACGME.

Named a 2013 Doody's Core Title! "There are few new books to direct PMH-APRN treatment options...Now, this book provides the path to integration of treatment options for the holistic care of psychiatric client by PMH-APRNs."--Doody's Medical Reviews ìThis text is a wonderful compilation of information that is needed within current advanced practice psychiatric mental health nursing. The chapters are informative, have excellent references and provide up to the minute information that is grounded in evidence-based practices.î Barbara Jones Warren, PhD, RN, CNS-BC, PMH, FAAN Professor, Clinical Nursing Director, Psychiatric Nursing Specialty National Institutes of Health/American Nurses Association Ethnic/Racial Minority Fellow The Ohio State College of Nursing This groundbreaking core text fills a void in nursing literature by integrating psychotherapy, psychopharmacology, and complementary and alternative medicine (CAM) approaches into advanced practice nursing. It is organized around psychiatric "syndromes" rather than DSM diagnoses, so it will remain current even after the publication of the DSM-5. The book provides clear and relevant treatment options in the form of decision trees with additional explanatory narratives. These decision trees enable practitioners to distinguish ìnormalî patients from those who require more customized therapeutic interventions. This holistic text integrates neurobiology, theory, and research evidence related to psychotherapy, psychopharmacology, and complementary and alternative medicine interventions. While providing comprehensive information on theory and practice, it simplifies complex aspects of treatment with clarity and provides the depth of content appropriate to support sound clinical reasoning required in advanced practice. The book responds to the current backlash against overmedication in psychiatry. It also fulfills the upcoming requirements by APNA and ISPN that advanced practice psychiatric nurses must have skills in psychotherapy. Additionally, the text focuses on treatment issues across the life span and highlights pertinent clinical differences from the adult population through pediatric pointers and aging alerts. Advanced Practice Psychiatric Nursing reflects the extensive practice and educational experience of editors and contributors from the United States, Canada, and Scotland, all of whom are expert APNs. Key Features: Organized around psychiatric ìsyndromes,î rather than DSM diagnoses, so it will remain relevant after the DSM-5 is published Integrates neurobiology, theory, and research evidence related to psychotherapy. psychopharmacology, and CAM therapies Provides the much-needed content on psychotherapy newly required for all psychiatric advanced practice nurses (APNA & ISPN White Papers) Supports clinical decision skills through thoughtfully designed, easy-to-follow decision trees ICONS highlight life span clinical management differences through Pediatric Pointers and Aging Alerts

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The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

The Accreditation Council for Graduate Medical Education endorsed six General and five Psychiatric Competencies to be attained by psychiatric residents. As a result, these General (Patient Care, Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, and Systems-Based Practice) and Psychiatric (Brief Therapy, Cognitive-Behavioral Therapy, Psychodynamic Psychotherapy, Psychotherapy Combined With Psychopharmacology, and Supportive Therapy) Competencies are now being phased in for all core residency training programs in the United States. This volume, coauthored by the director and the associate director of general psychiatric residency education at Baylor College of Medicine, is a practical guide for educators working to incorporate the Competencies into their residency programs. It will help training directors and others involved in designing and implementing residency programs to ensure that residents develop all of the Competencies to the level expected of a new practitioner, as required by ACGME. The book Lists the specific knowledge, skills, and attitudes that must be taught for each of the Competencies and provides example components for each. (These lists were developed by various groups of experts.) Describes techniques for effectively providing feedback to residents. (Chapter titles include "How Residents Learn and Develop Competence" and "How to Assess Learning and Competence.") Includes example goals and objectives for didactic courses and rotations, as well as ACGME's Toolbox of Assessment Methods©. Offers handy "to-do" lists for the program director, rotation coordinator, and course director, as well as an appendix section that contains forms for verifying resident experience, evaluating psychotherapy supervision, conducting semiannual evaluations, and evaluating residents' progress. Core Competencies for Psychiatric Education is an indispensable guide for anyone trying to learn how best to teach and assess competency-based psychiatric curricula.

This book identifies the core competencies shared by expert therapists and helps clinicians—especially those providing brief dynamic/interpersonal therapy—to develop and apply them in their own work. Rather than being a cookbook of particular techniques, the book richly describes therapists' mental processes and moment-to-moment actions as they engage in effective therapeutic inquiry and improvise to help patients achieve their goals. The author integrates the psychotherapy and cognitive science literatures to provide a unique understanding of therapist expertise. Featuring many illustrative examples, the book offers fresh insights into how learning and interpersonal skills can be enhanced for both therapist and client.