Psychiatric training in rural and remote areas: increasing skills and building partnerships.

摘要: Andrea Berntson, MD1, Elliot Goldner, MD, MHSc, FRCPC2, John Leverette, FRCPC3, Pippa Moss, MBBS, FRCPC4, Mark Tapper, FRCPC5, Brian Hodges, MEd, FRCPC6 This paper was developed in collaboration with the Canadian Psychiatric Association's Standing Committee on Education and approved by Board of Directors April 10, 2005. Rural or remote communities may be ideal locations to rain residents general psychiatry. In addition, evidence from rural medical education literature suggests that developing educational experiences these also improve recruitment retention. University departments psychiatry, partnership national organizations underserved themselves, are beginning develop training sites small communities. examines opportunities for explores necessary adaptation existing curricula provide optimal learning environments. Introduction Most provinces have a dramatic imbalance between number psychiatrists serving large urban centres those Statistics physician supply Canada consistently reveal ratios as high 1 psychiatrist every 30 000 more people regions (1). contrasts sharply low 5 12 regions. studies recommend at least 8 10 (2,3). Until recently, despite long-standing recognition this problem, academic health sciences seemed scarcely interested addressing issue. As Dongier noted 1988, "So far, professional associations only produced sporadic efforts, very few academics working isolation attempted establish links peripheral areas, various degrees cooperation little lasting success" (4, p 338). is unfortunate because there ample some main solutions problem under control centres. For example, many show physicians likely settle areas which they had prior personal contact during (5,6). Curran Rourke indicate psychiatry who not born raised underserviced area practise if received early exposure practice (6). well, psychiatric has clear benefits regard producing well-rounded graduates. After defining parameters rural, urban, communities, CanMEDS competencies context. Next, barriers programs These include characteristics psychiatrists, unique demands practice, resident attitudes such training. The examined, well their readiness (which includes appropriate supervision funding) Also examined partners element decentralized programs. Adjunct issues use distance other technologies reviewed. impact distributed networks retention considered, concludes recommendations practice. Definitions variously defined Canada; no single, commonly accepted definition exists (7). Organization Economic Co-operation Development considers region than one-half live population density fewer 150 persons per square kilometre (see www.hc-sc-gc. …