Academic Psychiatry 28:47-55, March 2004
© 2004 Academic Psychiatry
Addressing the Effects of Culture on the Boundary-Keeping Practices of Psychiatry Residents Educated Outside of the United States
Gary E. Myers, Ph.D.
Dr. Myers is Associate Professor in the Departments of Medical Humanities and Psychiatry at Southern Illinois University School of Medicine, Springfield, Illinois. Address correspondence to Dr. Myers, Department of Medical Humanities, Southern Illinois University School of Medicine, 913 North Rutledge St., Springfield, IL 62794-9603.
Objective: The author sought to develop a curriculum for international medical graduate (IMG) psychiatry residents that addresses their culture-based deviations from normative boundary-keeping practices common to U.S.-based psychotherapy practices. Methods: A group consisting of 12 IMG psychiatry residents and one United States graduate (USG) participated in a curriculum consisting of eight monthly, 1-hour seminars. An eight-item, Likert-type 7-point scale, post-then-pre questionnaire assessed the instructional impact of the curriculum. Results: Responses indicated that participation in the curriculum significantly increased the IMG residents’ levels of confidence with respect to boundary theory and practice. Conclusion: International medical graduates confidence levels regarding psychotherapeutic boundaries can be significantly increased through participation in a curriculum that addresses cultural differences.
Key Words: international medical graduate • resident • psychotherapy • culture • boundaries • training
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