What is it about?
A proposal for how to merge psychiatry and neurology residency training programs. It also allows for subspecialty emphasis 'tracks'. The proposal does not extend training time, and does not change current practice or departmental structures.
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Why is it important?
The proposed training program is aimed to address the large gaps each side (neurology and psychiatry) faces in diagnosis and management of patients with brain disorders, while attending to the growing need to sub-specialize. It is accomplished through re-allocating time spent on less relevant rotations to the most relevant experiences.
Perspectives
"We don't know what we don't know". As products of combined training, we as authors have seen many things missed because of lack of training across the brain. These experiences instigated what has been many years in the making - from conceptualization to actualization of this article. We originally planned to have the first half aimed at explaining why this change is necessary, but ultimately left most out due to size. A "prequel" to this end is in preparation. Our hope is that program directors who already see this need will implement this training paradigm as a pilot program and document results so that we can collectively "put it to the test".
Joshua Brown
McLean Hospital / Harvard Medical School
Read the Original
This page is a summary of: Time for Brain Medicine, Journal of Neuropsychiatry, April 2023, American Psychiatric Association,
DOI: 10.1176/appi.neuropsych.21120312.
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