S The Handbook of Psychiatric Education is a comprehen- e c o sive, authoritative text that covers everything the educator n d needs to know about recruiting, teaching, supervising, men- E toring, and evaluating students and trainees in psychiatry pro- d i t grams. This second edition is a total departure from the previous io n Handbook of one, released more than 15 years ago, and constitutes an entirely original text rather than a revision. Under the direction of a new edi- tor, who has many years of experience directing psychiatry training PSYCHIATRIC programs, as well as serving as president of the American Asso- ciation of Directors of Psychiatric Residency Programs, the book’s content has been expanded and completely updated by a stellar H list of contributors with intimate knowledge of their topics. In addi- a E DUC ATI O N n tion to foundational knowledge about adult learning, profession- d b alism, and supervision, the book explores essential topics such as o o residency recruitment, student advising, curriculum, assessment k and evaluation, accreditation, financing, residency administration, o Second Edition f and much more. P S Y C Beautifully written, down-to-earth, and full of the kind of practical H knowledge it takes years to acquire firsthand, the Handbook of Psy- I A chiatric Education should be required reading for any faculty mem- T R ber assuming administrative educational responsibilities. I C E D About the Editor U C Donna M. Sudak, M.D., is a Professor of Psychiatry and Vice A Chair for Education in the Department of Psychiatry at Drexel T I University College of Medicine and Program Director of the O N Tower Health–Brandywine Hospital GeneralPsychiatry Resi- dency in Philadelphia, Pennsylvania. S u d a k Edited by Donna M. Sudak, M.D. Cover design: Rick A. Prather Cover images: © SDI Productions WWW.APPI.ORG Used under license from iStock © wavebreakmedia © Monkey Business Images Used under license from Shutterstock HANDBOOK OF PSYCHIATRIC EDUCATION Second Edition HANDBOOK OF PSYCHIATRIC EDUCATION Second Edition Edited by Donna M. Sudak, M.D. Note: The authors have worked to ensure that all information in this book is ac- curate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consis- tent with standards set by the U.S. Food and Drug Administration and the gen- eral medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these rea- sons and because human and mechanical errors sometimes occur, we recom- mend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Association Publishing represent the findings, conclusions, and views of the individual authors and do not necessar- ily represent the policies and opinions of American Psychiatric Association Publishing or the American Psychiatric Association. If you wish to buy 50 or more copies of the same title, please go to www.appi.org/ specialdiscounts for more information. Copyright © 2021 American Psychiatric Association Publishing ALL RIGHTS RESERVED Second Edition Manufactured in the United States of America on acid-free paper 25 24 23 22 21 5 4 3 2 1 American Psychiatric Association Publishing 800 Maine Avenue SW, Suite 900 Washington, DC 20024-2812 www.appi.org Library of Congress Cataloging-in-Publication Data Names: Sudak, Donna M., editor. | American Psychiatric Association, issuing body. Title: Handbook of psychiatric education / edited by Donna M. Sudak. Description: Second edition. | Washington, DC : American Psychiatric Associ- ation Publishing, [2021] | Includes bibliographical references and index. Identifiers: LCCN 2020057226 (print) | LCCN 2020057227 (ebook) | ISBN 9781615373444 (paperback ; alk. paper) | ISBN 9781615373826 (ebook) Subjects: MESH: Psychiatry–education | Education, Medical | United States Classification: LCC RC459 (print) | LCC RC459 (ebook) | NLM WM 18 | DDC 616.890071–dc23 LC record available at https://lccn.loc.gov/2020057226 LC ebook record available at https://lccn.loc.gov/2020057227 British Library Cataloguing in Publication Data A CIP record is available from the British Library. Contents Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii Part I General Topics in Psychiatric Education 1 Principles of Adult Learning . . . . . . . . . . . . . . . . . . . . . . . . .3 Bianca Baotran T. Nguyen, M.D., M.P.H. Melissa R. Arbuckle, M.D., Ph.D. 2 Professionalism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Sandra M. DeJong, M.D., M.Sc. 3 Wellness, Burnout, and Resilience . . . . . . . . . . . . . . . . . . .31 Joan M. Anzia, M.D. Carol A. Bernstein, M.D. 4 Mentoring and Supervision . . . . . . . . . . . . . . . . . . . . . . . . .45 Donna M. Sudak, M.D. Sallie G. DeGolia, M.D., M.P.H. 5 Taking a Scholarly Approach to Psychiatric Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Laurel J. Bessey, M.D. Art Walaszek, M.D. 6 Enhancing Diversity and Inclusion in Psychiatry Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Vishal Madaan, M.D. Adrienne Adams, M.D., M.S. Colin Stewart, M.D. Francis Lu, M.D. Part II Medical Student Education 7 Undergraduate Preclinical Curriculum and Psychiatry Clerkships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Daniel E. Gih, M.D. Sheritta Strong, M.D. Sharon Hammer, M.D. 8 Special Considerations in Medical Student Education . . . . . . . . . . . . . . . . . . . . . . . 125 Katharine J. Nelson, M.D. Lora Wichser, M.D. 9 Residency Recruitment and Student Advising . . . . . 141 Jessica Kovach, M.D. John Spollen, M.D. Lia A. Thomas, M.D. 10 Evaluation Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159 Alex Loeks-Johnson, M.D. Lora Wichser, M.D. Part III Resident and Fellowship Education 11 Curriculum: Begin With the End . . . . . . . . . . . . . . . . . . . .175 Jacqueline A. Hobbs, M.D., Ph.D. Robert N. Averbuch, M.D. Richard C. Holbert, M.D. Gary L. Kanter, M.D. Herbert E. Ward, Jr., M.D. 12 Accreditation, Financing, and Residency Administration . . . . . . . . . . . . . . . . . . . . . . . . .195 Randon S. Welton, M.D. 13 Evaluation of Resident Trainees . . . . . . . . . . . . . . . . . . . .209 Kim-Lan Czelusta, M.D. 14 Subspecialty Training in Psychiatry . . . . . . . . . . . . . . . . .221 William Newman, M.D. John Hearn, M.D. Anne McBride, M.D. Carrie Ernst, M.D. Anna Kerlek, M.D. 15 Faculty and Career Development in Academic Psychiatry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .239 Mary “Molly” Camp, M.D. Adam Brenner, M.D. Glossary of Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .251 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .257 CONTRIBUTORS Adrienne Adams, M.D., M.S. Training Director, Child and Adolescent Psychiatry Fellowship, Depart- ment of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, Illinois Joan M. Anzia, M.D. Professor, Department of Psychiatry and Behavioral Sciences, and Vice Chair for Education, Northwestern University/Feinberg School of Medicine, Chicago, Illinois Melissa R. Arbuckle, M.D., Ph.D. Vice Chair for Education and Director of Resident Education, Depart- ment of Psychiatry, Columbia University Irving Medical Center and the New York State Psychiatric Institute, New York Robert N. Averbuch, M.D. Associate Professor, Department of Psychiatry, and Associate Resi- dency Training Director, University of Florida College of Medicine, Gainesville, Florida Carol A. Bernstein, M.D. Professor and Vice Chair, Faculty Development and Wellbeing, Depart- ments of Psychiatry and Behavioral Science and Obstetrics and Gyne- cology and Women’s Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York Laurel J. Bessey, M.D. Clinical Assistant Professor of Psychiatry and Associate Residency Training Director, University of Wisconsin School of Medicine and Pub- lic Health, Madison, Wisconsin Adam Brenner, M.D. Distinguished Teaching Professor, Department of Psychiatry, Univer- sity of Texas Southwestern Medical Center, Dallas, Texas Mary “Molly” Camp, M.D. Associate Professor, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas ix