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Published Online: 4 April 2003

Residency Requirements Controversial

At the annual meeting of the American Association of Directors of Psychiatric Residency Training in March in Puerto Rico, regulations issued by the Residency Review Committee in Psychiatry (RRC) of the Accreditation Council for Graduate Medical Education were a controversial topic on the agenda.
Specifically, four panelists debated requirements for demonstrating residents’ competency in two major areas—general medicine and psychotherapy.
In the area of general medicine, psychiatry residents must demonstrate that they are competent in patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.
In the area of psychotherapy, the RRC requires residents to demonstrate competency in brief therapy, cognitive-behavioral therapy, combined psychotherapy and psychopharmacology, psychodynamic therapy, and supportive therapy (see story). The regulations went into effect on January 1, 2001.
The panelists also debated the merits of work-hour regulations that will go into effect on July 1 and will affect all medical residents. The regulations will require that residents work a maximum of 80 hours a week, get one day off for every seven worked, and be on call for no longer than 24 hours in a row and no more often than every third night.

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Published online: 4 April 2003
Published in print: April 4, 2003

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