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Supervision and Boundaries in a Combined Family Practice and Psychiatry Residency Training Program: The National Capital Consortium Experience

Received December 23, 2004; revised July 25, 2005; accepted July 28, 2005. Dr. Lacy is affiliated with the Malcolm Grow Medical Center, Department of Psychiatry, and the Department of Family Practice, Andrews Air Force Base, Maryland. Dr. Flynn is affiliated with the Wilford Hall Medical Center, Department of Psychiatry, and the Department of Internal Medicine, Lackland Air Force Base, Texas. Dr. Warren is affiliated with the Malcolm Grow Medical Center, Family Practice, Andrews Air Force Base, Maryland. Address correspondence to Dr. Lacy, 1050 W. Perimeter Road, Mental Health Flight, Andrews Air Force Base, MD 20762 Copyright © 2005 Academic Psychiatry.

OBJECTIVES: The combined discipline of family practice and psychiatry was created in 1995. There are no established guidelines for 1) teaching residents how to integrate these two specialties, 2) providing appropriate supervision, and 3) helping residents develop personal and professional boundaries. The authors share their approach and aim to stimulate dialogue and promote the establishment of standards for combined programs. METHOD: The authors review some of the difficulties encountered in supervising family practice-psychiatry residents and the rationale for their approach. RESULTS: Providing residents with clear boundaries of practice and supervision that initially separate the two specialties during training facilitates the development of specialty knowledge and skills as well as the capacity to form clear boundaries. CONCLUSION: Our experience suggests that only when residents learn the appropriate practice and boundaries of each specialty can they successfully integrate the two without boundary or role confusion.

This article has been cited by other articles:

				C. H. Warner, J. Morganstein, J. Rachal, and T. Lacy Perceptions and Practices of Graduates of Combined Family Medicine-Psychiatry Residency Programs: A Nationwide Survey Acad Psychiatry, August 1, 2007; 31(4): 297 - 303. [Abstract] [Full Text] [PDF]

				M. Servis Combined Family Practice and Psychiatry Residency Training: A 10-Year Appraisal Acad Psychiatry, December 1, 2005; 29(5): 416 - 418. [Full Text] [PDF]

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