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Getting Our Own House in Order: Improving Psychiatry Education to Medical Students as a Prelude to Medical School Education Reform

Received April 8, 2005; revised September 20, 2005; accepted September 20, 2005. Dr. Alpert is Director of Medical Student Education in Psychiatry, Harvard Medical School, Boston, Massachusetts. Dr. Schlozman is Associate Director of Medical Student Education in Psychiatry, Harvard Medical School, Boston, Massachusetts. Dr. Badaracco is Chief of Psychiatry at the Beth-Israel Deaconess Medical Center and Massachusetts Mental Health Center, Boston, Massachusetts and Chair of the Medical Education Council of the Harvard Medical School Psychiatry Executive Committee. Dr. Burke is Chief of Psychiatry at the Cambridge Health Alliance, Cambridge, Massachusetts. Dr. Borus is Chair, Department of Psychiatry, Brigham and Women’s Hospital and Faulkner Hospital, Boston, Massachusetts. Address correspondence to Dr. Alpert, 50 Staniford St., Suite 401, Boston, MA 02114; jalpert{at}partners.org (E-mail). Copyright © 2006 Academic Psychiatry.

OBJECTIVE: The authors summarize efforts to revitalize psychiatry teaching to medical students at Harvard Medical School (HMS) in advance of a major overhaul of the medical school curriculum. METHODS: This preliminary report chronicles key challenges and the organization of the reform effort within the departments of psychiatry affiliated with the medical school. RESULTS: Based upon a comprehensive internal review of psychiatric education at the medical school, the HMS Psychiatry Executive Committee and psychiatry faculty concluded that psychiatry teaching was underresourced and lacked cohesion and consistent standards and expectations across clinical sites involved in psychiatry teaching. Through a willingness to identify and vigorously address deficiencies in medical student education within a large decentralized program, psychiatry has earned a reputation as an effective reform agent at the medical school. CONCLUSIONS: Psychiatry education improvements have strengthened our partnership with the medical school as it is undertaking major educational reform of its entire curriculum.

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