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Teaching Consultation-Liaison Psychotherapy: Assessment of Adaptation to Medical and Surgical Illness

Received December 2, 2005; revised September 13, 2006; accepted October 11, 2006. Drs. Hunter and Maunder are affiliated with Mount Sinai Hospital, University of Toronto, Ontario. Dr. Gupta is affiliated with the Department of Psychiatry, Women’s College Health Sciences Centre, Toronto, Ontario. Address correspondence to Dr. Gupta, Department of Psychiatry, Women’s College Hospital, 9th floor, 76 Grenville Street, Toronto, Ontario M5S 1B2; mona.gupta{at}utoronto.ca (e-mail).

OBJECTIVE: Little has been written about teaching consultation-liaison inpatient psychotherapy to residents or other trainees. METHOD: Resident interviews at completion of consultation-liaison training identified learning needs. In response, the authors created a seminar series and modified it reiteratively eight times. RESULTS: In this approach, the primary task of consultation-liaison psychotherapy assessment is to determine the success of a patient’s adaptation to hospitalization, and to identify obstacles to adaptation. Selected determinants of adaptation are reviewed and organized as individual factors and intrahospital and extrahospital environmental factors. This provides a viable means of organizing and integrating disparate bodies of knowledge for the student. CONCLUSIONS: The teaching model awaits empirical validation as a tool that enhances teaching and patient care outcomes.

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