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Untitled Document
Curriculum
The educational needs of psychiatry trainees
are pre-eminent at Western. The training program meets the 2008
Royal College of Physicians and Surgeons of Canada (RCPSC)
certification requirements. The
program comprises five years of postgraduate training.
Postgraduate Year 1 (PGY1)
The PGY1 program is designed to provide a
superb introduction to the Department of Psychiatry and the areas of medicine
relevant to a career in psychiatry. The rotations are selected to facilitate
success also on the
Medical Council of Canada Qualifying Examination Part II
Western has a very innovative block long
orientation program offered during July that is unique across the entire
country. It provides new residents with an extended period of time to grow
accustomed to the city, as well as time to tour the many community agencies
partnered with the hospital. The PGY1 curriculum meets the (new 2008) Royal
College requirements.
| Rotation
|
Duration |
| Extended Orientation |
1 block |
| General Adult Psychiatry |
1 block |
| Child/Adolescent Psychiatry |
1 block |
| Emergency Psychiatry |
1 block |
| Internal Medicine (CTU, Ambulatory, or
Endocrinology) |
1 block |
| Emergency Medicine (Adult) |
1 block |
| Pediatrics - Emergency Room |
1 block |
| Neurology - CTU |
1 block |
| Neuroradiology or Neurology outpatient
clinic |
1 block |
| Family medicine |
1 block |
| Selective (non-psychiatry) |
1 block |
| Selective (non-psychiatry) |
1 block |
| Elective (any specialty) |
1 block |
Postgraduate Years 2 to 5
The PGY2 to PGY5 curriculum has been devised to
fulfill the new RCPSC requirements that took effect in July 2008.
Junior residency (PGY2 and PGY3) consists of
rotations in general adult, child and adolescent, and geriatric psychiatry.
Senior residency (PGY4 and PGY5) consist of
required rotations in consultation-liaison psychiatry, shared care, and care of
patients with severe and persistent mental illness. Senior residency also
includes time for selective and elective rotations.
Throughout PGY2-5 years there will be
concurrent experiences in psychotherapy, addictions and in the care of patients
with severe and persistent mental illness.
Educational Activities
Thursdays are devoted for educational purposes
and residents are excused from clinical duties for scheduled educational
activities. Educational time is either a half day or full day depending on year
of training.
Didactic teaching of core material is an
important part of our training experience and has been integrated into the
residents’ clinical schedule.
During PGY2 and 3, four six-month modules are
taught (two per year). Two six-month adult psychiatry modules deal with the
diverse categories of psychiatric conditions. The modules also include essential
topics in forensic, social, administrative psychiatry, epidemiology and research
methodology.
A six-month module comprehensively covers the
full range of psychotherapies to individuals, couples, families, and groups.
The module on child and adolescent psychiatry focuses on normal and abnormal
development, psychiatric disorders, family disruptions and child-abuse, as well
as therapeutic approaches to children, adolescents and their families.
Interviewing skills are emphasized throughout
the four years of psychiatry specific training. In the first two years, each
resident completes at least one standardized interview done behind a one-way
mirror, while the remainder of the group observes the process in order to
provide constructive feedback. During the second year, teaching of case
formulation is added to the discussion of interviewing techniques. In the third
and fourth years, interviewing sessions are geared towards preparation for the
Final Clinical Encounter (FCE) oral examinations, successful completion of which
is required for Royal College of Physicians and Surgeons of Canada (RCPSC)
certification.
Evaluation using the Phenomena, Diagnosis and
Management (PDM) method is now part of the spring RCPSC examination. PDM skills
are also emphasized throughout the four years at Western with monthly sessions
utilizing what is probably the most extensive and formalized PDM resource of any
psychiatry residency training program in Canada.
Monthly resident facilitated evidence-based
practice sessions are tutored by an expert in the field and Critically Appraised
Topics (CATs) are prepared by the resident facilitator for each session which is
then converted for web based use by all psychiatry trainees at Western.
Electives
Rotation selection is determined primarily by
the particular interests and career goals of the individual residents and
enables residents to undertake the broadest possible experience before making
final career decisions.
Electives include: collaborative (shared)
mental health care services; forensic assessments at jails or detention centers;
community clinic consultations in and outside of London; research projects;
psychotherapy; geriatric psychiatry; psychoses; mood and anxiety disorders;
neuropsychiatry; rural psychiatry; consultation-liaison; eating disorders;
concurrent disorders; emergency psychiatry; and a growing number of other
options.
During PGY1, the
Royal College of Physicians and Surgeons of Canada (RCPSC) specifies that only one selective can be in
psychiatry. Since our program has an orientation block, this is considered a
psychiatry selective, therefore, the remaining two selectives in that year must
be non-psychiatry. The PGY1 elective block can be done in psychiatry.
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