Training the next generation of psychiatrists in integrated medical-psychiatric care

Robert M. McCarron, Sarah K. Rivelli, Virginia O'brien, John C Onate

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations


With the implementation of the Affordable Care Act (ACA), there will be a growing demand for mental health care in this country (Patient Protection and Affordable Care Act. U. S. Public Law 111-148-March 23, 2010). It is likely much of this care will continue to be delivered in the primary care setting and not in traditional outpatient psychiatric clinic sites. Primary care providers (PCPs) will be in the position to further expand their existing role as primary behavioral health providers. What does this mean for the future of psychiatry and how psychiatrists are trained? This chapter addresses the current state of psychiatric education and suggests practical ways in which this training can adapt to fast moving organizational changes, while staying true to the essential components of psychiatric practice (e.g., biopsychosocial formulation, inclusion of psychotherapy, focus on the therapeutic alliance between provider and patient, and maintaining an expertise in psychopharmacology). We will discuss the importance of teaching psychiatry residents how to effectively interface with PCPs and other physicians, including as much-needed educational and clinical consultants. An overview on how best to train residents in the area of preventive medicine will also be provided.

Original languageEnglish (US)
Title of host publicationIntegrated Care in Psychiatry: Redefining the Role of Mental Health Professionals in the Medical Setting
PublisherSpringer New York
Number of pages14
ISBN (Print)9781493906888, 1493906879, 9781493906871
StatePublished - May 1 2014

ASJC Scopus subject areas

  • Medicine(all)


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