To demonstrate how an experience of partnership evolved when a group of psychiatry residents moved beyond the traditional hospital setting and began to question their current training.
Method
We describe our experience in the context of the current literature and suggest ways of implementing community psychiatry training in existing residency programs.
Results
Principles of community psychiatry — partnership, respect and shared responsibility — are good standards in psychiatric care.
Conclusions
Community psychiatry training may be possible in existing resident rotations, although teaching in the community setting may also be of value. Research and clinical work in “community psychiatry” need to be valued. Problems may be enriching if they are resolved collaboratively.
References
1.
Ministry of health expenditure control plan: summary of proposed measures related to physician services.Media Fact Sheet from the Ontario Medical Association.Toronto ON: May 3, 1993.
2.
Government's proposal prevents new doctors from practising anywhere in Ontario.Pairo communication.Toronto ON: May 3, 1994.
3.
DiamondJ., FactorR.M., SteinL.I.Response to “Training residents for community psychiatry practice”.Community Ment Health J1993; 29: 289–296.
4.
BrownD.B., GoldmanC.R., ThompsonK.S.Training residents for community psychiatric practice: guidelines for curriculum development.Community Ment Health J1993; 29: 271–283.
5.
GodardS.L.Comments on “Community psychiatry training for general psychiatry residents: results of a national survey”.Community Ment Health J1993; 29: 81–83.
6.
KaplanH.I., SadockB.J., GrebbJ.A.Synopsis of psychiatry.Baltimore MD: Williams and Wilkins;1994: 201–206.
7.
GodardS.L., CutlerD.L., PollackD.A.Education and training in public psychiatry.New Dir Ment Health Serv1989; 44: 5–16.
8.
FactorR.M., SteinL.I., DiamondR.J.A model community psychiatry curriculum for psychiatry residents.Community Ment Health J1988; 24: 310–326.
9.
WillsM.First-year students get a different kind of homework.The Medical Post April 1995; 30.
10.
WillsM.Experts serve up crash course in new doctor role.The Medical Post April 1995; 31.
11.
MuijenM.The consultant psychiatrist and community care.Psychiatr Bull1993; 17: 513–516.
12.
RichardsR.W., HenryR.C.Community partnerships: educational linkages to increase the number of primary care practitioners.Acad Med1993; 8: 594–596.
13.
SingerM.A.Academic medical centres at the crossroads: personal reflections.Ann R Coll Phys Surg Can1993; 26: 342–344.
14.
ArnoldL.Ideas for medical education.Acad Med1993; 68: 594.
15.
GoldmanC.R., BrownD.B., ThompsonK.S.Community psychiatry training for general psychiatry residents: result of a national survey.Community Ment Health J1993; 29: 67–76.
QuillT.E.Partnerships in patient care: a contractual approach.Ann Intern Med1983; 98: 228–234.
18.
ThomasmaD.C.Beyond medical paternalism and patient autonomy: a model of physician conscience for the physician-patient relationship.Ann Intern Med1983; 98: 243–248.
19.
DeberR.B.Physicians in health care management: 7. The patient-physician partnership: changing roles and the desire for information.Can Med Assoc J1994; 151: 171–176.
20.
DeberR.B.Physicians in health care management: 8. The patient-physician partnership: decision making, problem solving and the desire to participate.Can Med Assoc J1994; 151: 423–427.
21.
LeattP., BarnsleyJ.Physicians in health care management: 9. Strategic alliances and relationships between organizations.Can Med Assoc J1994; 151: 763–767.
22.
Lemieux-CharlesL.Physicians in health care management: 10. Managing conflict through negotiation.Can Med Assoc J1994; 151: 1129–1132.
23.
BrayJ.D., Bevilacqua.A multidisciplinary public-academic liaison to improve public mental health services in South Carolina.Hosp Comm Psychiatry1993; 44: 985–990.
24.
ReedJ.Leadership in the mental health service: what role for doctors?Psychiatr Bull1995; 19: 67–72.
25.
KyriakosT.Doctors under attack - or just paranoid?The Medical Post, May 1995; 6.
26.
CasselsD.Tarnished Images.The Medical Post, April 1993; 8–12.
