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September, 2002
MEDICAL SCHOOL
Minimum medical school education program requirements:(1)
- 130 weeks over at least 4 calendar years
- Purpose of medical education is to provide a general professional education, preparing
students to enter residencies, but "this alone is insufficient to prepare a graduate for
independent, unsupervised practice."
- Curriculum must cover family medicine, internal medicine, obstetrics and gynecology,
pediatrics, psychiatry and surgery, cover all organ systems, and the important aspects of acute,
chronic, continuing, preventive and rehabilitative care.
- Students to acquire appropriate competence in general medical care regardless of subsequent
career specialty.
- Programs to be structured so that knowledge, competence and performance are systematically and
sequentially applied through medical school.
- Medical school must be accredited, and be part of a nonprofit or government university, or, if
independent, governed by a body of persons with no personal or pecuniary interest in the
institution.
- Fully accredited medical schools must successfully complete a re-accreditation process every 7
years.
RESIDENCY
Requirements: (2)
General: Each medical specialty has specified requirements, with minimum standards
for residency directors and faculty, including being licensed to practice medicine in the state
where they teach and board certified in the specialty area, library requirements, minimum didactic
and clinical training, maximum faculty-student ratios, continuous evaluations of residents, and
scholarly and teaching requirements for residents. Note: The standards below relate to
requirements for psychiatry and its subspecialties. Some programs combine psychiatry with another
specialty, such as a 5-year family practice or internal medicine/ psychiatry combined residency. The
entirety of such residency requirements are not included, only those related to psychiatry.
Residency in Psychiatry: 4 years after M.D. earned.
First year: resident should be able to, by end of first year
- undertake initial clinical and laboratory studies of patients presenting with a broad range of
common medical and surgical disorders
- provide limited and appropriate continuous care of patients with medical illnesses and make
appropriate referrals
- be especially conversant with medical disorders displaying symptoms likely to be regarded as
psychiatric and with psychiatric disorders displaying symptoms likely to be regarded as medical
- be especially cognizant of the nature of the interactions between psychiatric treatments and
medical and surgical treatments.
2nd - 4th years:
Overview: residents must be taught to conceptualize all illnesses in terms of biological,
psychological and sociocultural factors that determine normal and disordered behavior, to gather and
organize data, integrate these date with a comprehensive formulation of the problem to support a
well-reasoned differential diagnosis, formulate a treatment plan, and implement treatment and follow
up.
Didactic curriculum to include:
- biological, psychological, sociocultural, economic, ethnic, gender, religious/spiritual,
sexual orientation, and family factors that significantly influence physical and psychological
development in infancy, childhood, adolescence, and adulthood
- etiologies, prevalence, diagnosis, treatment, and prevention of all the psychiatric condition
including the biological, psychological, sociocultural, and iatrogenic factors that affect the
long-term course and treatment of psychiatric illness
- comprehension of diagnosis and treatment of neurologic disorders commonly encountered in
psychiatric patients, such as neoplasms, dementia, headaches, head trauma, infectious diseases,
movement disorders, multiple sclerosis, Parkinson's, seizure disorders, and stroke, related
disorders.
- use, reliability and validity of generally accepted diagnostic techniques, including physical
examination of the patient, laboratory testing, imaging, neurophysiologic and psychological
testing.
- When and how to refer
- research methods in the clinical and behavioral sciences related to psychiatry
- instruction in neurobiology, psychopharmacology, child and adult development, major
psychological theories, and appropriate material from social and behavioral sciences,
psychopathology, treatment of the chronically mentally ill
- instruction about American culture and subcultures, including issues of sex, race, ethnicity,
religion/spirituality, & sexual orientation.
Clinical training includes:
- neurology (at least 2 months)
- inpatient psychiatry (at least 9 months)
- outpatient psychiatry (at least 1 year) emphasizing a developmental and biopsychosocial
approach to outpatient treatment, including a variety of disorders, patients, and treatments,
with both brief and long-term care
- child and adolescent psychiatry (no less than 2 months full-time)
- consultation-liaison, involving patients on other medical and surgical services (2 months
full-time)
- emergency psychiatry, in an emergency room, including crisis intervention and management of
suicidal patients
- community, geriatric, addiction (including detoxification) and forensic psychiatry
- psychological testing
- active collaboration with psychologists, psychiatric nurses, social workers, other personnel
- elements of clinical diagnosis with all age groups, including physical, neurological, and
mental status examination
- relating history and clinical findings to relevant biological, psychological, and social
issues associated with etiology and treatment
- formulating a differential diagnosis and treatment plan
- the major types of therapy, including psychotherapy, family and group therapy, crisis
intervention, pharmacological therapies, and drug and alcohol detoxification
- continuous care for a variety of patients from different age groups
- psychiatric consultation in a variety of medical, surgical, and community settings
- providing care and treatment for the chronically mentally ill with appropriate
psychopharmacologic, psychotherapeutic, and social rehabilitative interventions -providing
psychiatric care to patients who are receiving treatment for nonmedical therapists and
coordinating such treatment.
Residents must have major responsibility for diagnosis and treatment of a reasonable number and
adequate variety of patients with both acute and chronic illnesses representing the major psychotic
and nonpsychotic categories of psychiatric illness.
Child and adolescent psychiatry subspecialty: 5 years: 3 years general, 2 years
child and adolescent.
Requirements similar to general psychiatry, with patients to be children and adolescents, emphasis
on developmental considerations, and the full gamut of psychopathology in children and adolescents.
Geriatric psychiatry: Completion of psychiatric residency, plus 12 months.
Training focuses on geriatric consultation experience in an acute-care hospital and long-term care
facilities, outreach services, crisis intervention, and teaching nonmental health professionals
about mental health in the aged. Includes special focus on the effects of aging on human physiology,
altered pharmacokinetics, pharmacodynamics, and other specified effects of aging. Focus is also on
major psychiatric disorders seen in the elderly, recognition of the stress on caregivers,
recognition and assessment of elder abuse, indications, side effects, and therapeutic limitations of
psychoactive drugs, including changes in pharmacokinetics, pharmacodynamics, drug interactions,
over-medication and compliance problems.
(1) Liaison Committee on Medical
Education. This is the national education program accrediting body for medical schools.
(2) Accreditation Council for Graduate Medical
Education. The national accrediting body for post-medical school education.
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