Training of adult psychiatrists and child and adolescent psychiatrists in europe: a systematic review of training characteristics and transition from child/adolescent to adult mental health services.
Journal
BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679
Informations de publication
Date de publication:
13 Jun 2019
13 Jun 2019
Historique:
received:
14
11
2018
accepted:
24
04
2019
entrez:
15
6
2019
pubmed:
15
6
2019
medline:
25
12
2019
Statut:
epublish
Résumé
Profound clinical, conceptual and ideological differences between child and adult mental health service models contribute to transition-related discontinuity of care. Many of these may be related to psychiatry training. A systematic review on General Adult Psychiatry (GAP) and Child and Adult Psychiatry (CAP) training in Europe, with a particular focus on transition as a theme in GAP and CAP training. Thirty-four full-papers, six abstracts and seven additional full text documents were identified. Important variations between countries were found across several domains including assessment of trainees, clinical and educational supervision, psychotherapy training and continuing medical education. Three models of training were identified: i) a generalist common training programme; ii) totally separate training programmes; iii) mixed types. Only two national training programs (UK and Ireland) were identified to have addressed transition as a topic, both involving CAP exclusively. Three models of training in GAP and CAP across Europe are identified, suggesting that the harmonization is not yet realised and a possible barrier to improving transitional care. Training in transition has only recently been considered. It is timely, topical and important to develop evidence-based training approaches on transitional care across Europe into both CAP and GAP training.
Sections du résumé
BACKGROUND
BACKGROUND
Profound clinical, conceptual and ideological differences between child and adult mental health service models contribute to transition-related discontinuity of care. Many of these may be related to psychiatry training.
METHODS
METHODS
A systematic review on General Adult Psychiatry (GAP) and Child and Adult Psychiatry (CAP) training in Europe, with a particular focus on transition as a theme in GAP and CAP training.
RESULTS
RESULTS
Thirty-four full-papers, six abstracts and seven additional full text documents were identified. Important variations between countries were found across several domains including assessment of trainees, clinical and educational supervision, psychotherapy training and continuing medical education. Three models of training were identified: i) a generalist common training programme; ii) totally separate training programmes; iii) mixed types. Only two national training programs (UK and Ireland) were identified to have addressed transition as a topic, both involving CAP exclusively.
CONCLUSION
CONCLUSIONS
Three models of training in GAP and CAP across Europe are identified, suggesting that the harmonization is not yet realised and a possible barrier to improving transitional care. Training in transition has only recently been considered. It is timely, topical and important to develop evidence-based training approaches on transitional care across Europe into both CAP and GAP training.
Identifiants
pubmed: 31196080
doi: 10.1186/s12909-019-1576-0
pii: 10.1186/s12909-019-1576-0
pmc: PMC6567390
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
204Subventions
Organisme : European Union FP7 programme
ID : 602442
Investigateurs
Swaran Singh
(S)
Helena Tuomainen
(H)
Jason Madan
(J)
Jane Warwick
(J)
Cathy Street
(C)
Dieter Wolke
(D)
Moli Paul
(M)
Priya Tah
(P)
Rebecca Appleton
(R)
Alastair Canaway
(A)
James Griffin
(J)
Giovanni de Girolamo
(G)
Giulia Signorini
(G)
Paramala Santosh
(P)
Ilyas Sagar-Ouriaghli
(I)
Natalie Heaney
(N)
Diane Purper-Ouakil
(D)
Frédérick Russet
(F)
Virginie Maurice
(V)
Véronique Humbertclaude
(V)
Athanasios Maras
(A)
Larissa van Bodegom
(L)
Mathilde Overbeek
(M)
Esther Kooymans
(E)
Ulrike Schulze
(U)
Melanie Saam
(M)
Ulrike Breuninger
(U)
Sabine Tremmery
(S)
Gaëlle Hendrickx
(G)
Fiona McNicholas
(F)
Aleksandra Gronostaj
(A)
Tomislav Franić
(T)
Nikolina Davidović
(N)
Frank Verhulst
(F)
Gwen Dieleman
(G)
Suzanne Gerritsen
(S)
Kate Lievesley
(K)
Amanda Tuffrey
(A)
Anna Wilson
(A)
Charlotte Gatherer
(C)
Leanne Walker
(L)
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