Current and future psychotherapy trends in United States graduate psychiatric training

Rivista di psichiatria, 2005, 40, 1 26 SUMMARY. Objective. To assess the current role of psychotherapy during graduate training in the United States. Methods. A questionnaire was distributed to one hundred and sixty general graduate psychiatric training programs in the United States. Results. Programs reported an increase in psychotherapy training in anticipation of the competency-based guidelines recently delineated and approved by the Accreditation Council for Graduate Medical Education (ACGME). A majority of respondents (54%) reported an increase in psychotherapy training in their programs in the last 2 years, while 42% of respondents anticipate an increase in the next 2 years. The emphasis during graduate psychiatric training remains on individual psychotherapy, with 75% of the total psychotherapy seminar hours dedicated to this topic. However, current and anticipated funding for psychotherapy training remains stagnant. The majority of the programs (78%) reported no changes in funding during the last 2 years, while 75% of the programs anticipate funding to remain unchanged in the next 2 years. Graduate training programs are considering a variety of assessment tools to objectively document residency competency in psychotherapy. Conclusions. Graduate medical education and, in particular, graduate psychiatric training is currently facing major training challenges. While funding has not increased, new training priorities are more demanding with respect to the implementation of the new core competency model recently established by the ACGME and the American Board of Medical Specialties (ABMS).

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