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Family Skills for General Psychiatry Residents: Meeting ACGME Core Competency Requirements

Received December 10, 2004; revised; October 11, 2005; accepted September 21, 2005. Dr. Berman is Clinical Professor of Psychiatry and Coordinator of Systems Training, University of Pennsylvania School of Medicine, Department of Psychiatry, Philadelphia, Pennsylvania. Dr. Heru is Associate Professor (Clinical) of Psychiatry, Brown Medical School, Providence, Rhode Island. Dr. Grunebaum is Clinical Professor of Psychiatry at Harvard Medical School, Boston Massachusetts, and Director of Couples and Family Therapy Training at Cambridge Hospital, Cambridge, Massachusetts. Dr. Rolland is Professor of Psychiatry and Co-Director, Center for Family Health, University of Chicago Pritzker School of Medicine, Chicago, Illinois. Dr. Wood is Associate Professor of Psychiatry and Pediatrics, School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York. Dr. Bruty is second-year Fellow and Chief of Child and Adolescent Psychiatry, University of South Florida Medical School, Department of Psychiatry and Behavioral Medicine, Tampa, Florida. Address Correspondence to Chair of the Family Committee; Ellen Berman M.D., Mallwyd Rd., Merion, PA 19066; emberman{at}yahoo.com (E-mail). Copyright © 2006 Academic Psychiatry.

OBJECTIVE: The authors discuss the knowledge, attitudes, and skills needed for a resident to be competent in supporting and working with families, as mandated by the residency review committee (RRC) core competencies. METHODS: The RRC core competencies, as they relate to patients and their families, are reviewed. The Group for Advancement of Psychiatry (GAP) presents an operational version of these core competencies. RESULTS: Methods of assessment, challenges in teaching, and ways of overcoming programmatic constraints are outlined. Examples of training programs that offer ways of integrating the teaching of family skills into existing programs are described. CONCLUSIONS: The implications of the current RRC core competency requirements pertaining to families have the potential to change the training environment substantially. The GAP Family Committee proposes recommendations to facilitate the training of residents in family skills.

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