Academic Psychiatry 27:149-153, September 2003
© 2003 Academic Psychiatry
Psychotherapy Competencies: Development and Implementation
Lisa A. Mellman, M.D. and
Eugene Beresin, M.D.
Dr. Mellman is Associate Clinical Professor and Associate Director of Training in the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York State Psychiatric Institute, New York, NY. Dr. Beresin is Associate Professor of Psychiatry, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts. Dr. Beresin is also Media Column Editor for Academic Psychiatry. Address correspondence to Dr. Mellman, New York State Psychiatric Institute, 1051 Riverside Dr., New York, NY 10032, lam3{at}columbia.edu (E-mail).
New requirements by the Psychiatry Residency Review Committee of the Accreditation Council for Graduate Medical Education maintain that residents must be competent in five specified psychotherapies. This shift toward evidence-based education and assessment highlights psychotherapy as an integral part of a psychiatrist's training and identity, while introducing accountability of training programs, faculty, and individual residents. Training directors must now find the resources in faculty, patients, and residency teaching time to teach, supervise and assess residents so they graduate with competency. The American Association of Directors of Residency Training (AADPRT) appointed a Task Force on Competency to assist training directors with the new requirements. The Task Force, through the establishment of five workgroups, has written sample competencies for each required psychotherapy: brief, cognitive behavioral, psychodynamic, supportive and combined psychotherapy and psychopharmacology. In this article, the authors describe the historical context of the new requirements, and the goals, process and issues that arose in the development of the sample competencies.
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