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The RRC Mandate for Residency Programs to Demonstrate Psychodynamic Psychotherapy Competency Among Residents: A Debate

Received November 15, 2004; revised December 9, 2004; accepted January 13, 2005. Dr. Yager is with the Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque, New Mexico. Dr. Mellman is with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, and NY State Psychiatric Institute, New York, New York. Dr. Rubin is with the Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri. Dr. Tasman is with the Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, Kentucky. Address correspondence and reprint requests to Joel Yager, M.D., Department of Psychiatry/MSC09 5030, University of New Mexico School of Medicine, 1 University of New Mexico, Albuquerque, NM 87131-0001; jyager{at}unm.edu (E-mail). Copyright © 2005 Academic Psychiatry.

OBJECTIVE: The Residency Review Committee (RRC) requirement that residents must achieve competency in psychodynamic psychotherapy has generated considerable deliberation. METHODS: The authors debated this subject at the 2004 American Psychiatric Association (APA) meetings. RESULTS: Arguments favoring current requirements emphasize the importance of psychodynamic psychotherapy for psychiatric training and practice, as essential skill and as part of core psychiatric identity. Opposing arguments, while supporting training in basic psychotherapeutic skills, focus on what some consider a skimpy evidence base, competing time requirements, changing practice patterns of psychiatry, and challenges to reliably and validly demonstrating this competency. CONCLUSION: RRC decisions regarding current psychotherapy competency requirements will appreciably shape future psychiatric residency training.

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