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Training in Psychopharmacology-Pharmacopsychiatry for Residents in Psychiatry

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Education about Mental Health and Illness

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Abstract

In the majority of the countries, specialization in psychiatry comprises a 4–6-year training program, but the number of hours declared as psychopharmacology teaching comprises only 20–40 h within a 5-year resident teaching program. This chapter presents the actual situation of psychopharmacology-pharmacopsychiatry training for specialization in psychiatry, and it proposes a curriculum and a learning catalogue. Indeed, among the rare instruments available, there is the curriculum of the American Society of Clinical Psychopharmacology (ASCP), but it is not widely introduced. The chapter also presents teaching forms and discusses the question about who should teach these disciplines and how both learning and teaching should then be evaluated. It is concluded that a curriculum should include 150–200 h of theoretical teaching in psychopharmacology-pharmacopsychiatry and contain additional 300–400 h centered on practical bedside teaching and provided by senior psychiatrists and other experienced colleagues.

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References

  • Baldwin DS, Kosky N (2007) Off-label prescribing in psychiatric practice. Adv Psychiatr Treat 13(6):414–422

    Article  Google Scholar 

  • Baumann P, Spies M, Moller HJ, Kasper S, Bitter I, Laux G (2017) A proposal for a psychopharmacology-pharmacotherapy catalogue of learning objectives and a curriculum in Europe. World J Biol Psychiatry 18(1):29–38

    Article  PubMed  Google Scholar 

  • Birkett D, Brosen K, Cascorbi I, Gustafsson LL, Maxwell S, Rago L, Rawlins M, Reidenberg M, Sjoqvist F, Smith T et al (2010) Clinical pharmacology in research, teaching and health care: considerations by IUPHAR, the International Union of Basic and Clinical Pharmacology. Basic Clin Pharmacol Toxicol 107(1):531–559

    Article  PubMed  CAS  Google Scholar 

  • Blier P (2014) Rational site-directed pharmacotherapy for major depressive disorder. Int J Neuropsychopharmacol 17(7):997–1008

    Article  CAS  PubMed  Google Scholar 

  • Breyer-Pfaff U, Baumann P, Müller H, Müller-Oerlinghausen B, Poser B, Rommelspacher H, Saletu B (1995a) The Association of Neuropsychopharmacology and Pharmacopsychiatry (AGNP): proposed issues for a residency’s training in psychopharmacology (part 1). Pharmacopsychiatry 28:108–112

    Article  Google Scholar 

  • Breyer-Pfaff U, Baumann P, Müller H, Müller-Oerlinghausen B, Poser B, Rommelspacher H, Saletu B (1995b) The Association of Neuropsychopharmacology and Pharmacopsychiatry (AGNP): proposed issues for a residency’s training in psychopharmacology (part 2). Pharmacopsychiatry 28:153–157

    Article  Google Scholar 

  • Brittlebank A, Hermans M, Bhugra D, Pinto da Costa M, Rojnic-Kuzman M, Fiorillo A, Kurimay T, Hanon C, Wasserman D, van der Gaag RJ (2016) Training in psychiatry throughout Europe. Eur Arch Psychiatry Clin Neurosci 266(2):155–164

    Article  PubMed  PubMed Central  Google Scholar 

  • Brunnauer A, Laux G (2013) The effects of most commonly prescribed second generation antidepressants on driving ability: a systematic review: 70th birthday Prof. Riederer. J Neural Transm 120(1):225–232

    Article  CAS  PubMed  Google Scholar 

  • Buckley PF, Miller BJ, Lehrer DS, Castle DJ (2009) Psychiatric comorbidities and schizophrenia. Schizophr Bull 35(2):383–402

    Article  PubMed  Google Scholar 

  • Chrisman AK, Enderlin HT, Landry KL, Colvin JS, DeJohn MR (2007) Teaching evidence-based medicine pediatric psychopharmacology: integrating psychopharmacologic treatment into the broad spectrum of care. Child Adolesc Psychiatr Clin N Am 16(1):165–181

    Article  PubMed  Google Scholar 

  • Coverdale J, Balon R, Beresin EV, Louie AK, Tait GR, Goldsmith M, Roberts LW (2014) Teaching clinical neuroscience to psychiatry residents: model curricula. Acad Psychiatry 38(2):111–115

    Article  PubMed  Google Scholar 

  • de Leon J (2016) Pharmacogenetic tests in psychiatry: from fear to failure to hype. J Clin Psychopharmacol 36(4):299–304

    Article  PubMed  Google Scholar 

  • Deacon BJ (2013) The biomedical model of mental disorder: a critical analysis of its validity, utility, and effects on psychotherapy research. Clin Psychol Rev 33(7):846–861

    Article  PubMed  Google Scholar 

  • Deligiannidis KM, Girgis RR, Lau A, Balon R, Zisook S (2012) Psychiatry resident/fellow-initiated and -designed multi-modal psychopharmacology curriculum for major depression. Acad Psychiatry 36(5):414–418

    Article  PubMed  Google Scholar 

  • Dell’Osso B, Albert U, Atti AR, Carmassi C, Carra G, Cosci F, Del Vecchio V, Di Nicola M, Ferrari S, Goracci A et al (2015) Bridging the gap between education and appropriate use of benzodiazepines in psychiatric clinical practice. Neuropsychiatr Dis Treat 11:1885–1909

    PubMed  PubMed Central  Google Scholar 

  • Diaz-Caneja CM, Espliego A, Parellada M, Arango C, Moreno C (2014) Polypharmacy with antidepressants in children and adolescents. Int J Neuropsychopharmacol 17(7):1063–1082

    Article  PubMed  Google Scholar 

  • Dubovsky SL (2005) Who is teaching psychopharmacology? Who should be teaching psychopharmacology? Acad Psychiatry 29(2):155–161

    Article  PubMed  Google Scholar 

  • Dubovsky SL, Kaye DL, Pristach CA, DelRegno P, Pessar L, Stiles K (2010) Can academic departments maintain industry relationships while promoting physician professionalism? Acad Med 85(1):68–73

    Article  PubMed  Google Scholar 

  • Ellison JM (2005) Teaching collaboration between pharmacotherapist and psychotherapist. Acad Psychiatry 29(2):195–202

    Article  PubMed  Google Scholar 

  • Fanoe S, Kristensen D, Fink-Jensen A, Jensen HK, Toft E, Nielsen J, Videbech P, Pehrson S, Bundgaard H (2014) Risk of arrhythmia induced by psychotropic medications: a proposal for clinical management. Eur Heart J 35(20):1306–1315

    Article  PubMed  Google Scholar 

  • Fibiger HC (2012) Psychiatry, the pharmaceutical industry, and the road to better therapeutics. Schizophr Bull 38(4):649–650

    Article  PubMed  PubMed Central  Google Scholar 

  • Fleischhacker WW, Uchida H (2014) Critical review of antipsychotic polypharmacy in the treatment of schizophrenia. Int J Neuropsychopharmacol 17(7):1083–1093

    Article  CAS  PubMed  Google Scholar 

  • Fountoulakis KN, Moller HJ (2011) Efficacy of antidepressants: a re-analysis and re-interpretation of the Kirsch data. Int J Neuropsychopharmacol 14(3):405–412

    Article  CAS  PubMed  Google Scholar 

  • Giles LL, Martini DR (2016) Challenges and promises of pediatric psychopharmacology. Acad Pediatr 16(6):508–518

    Article  PubMed  Google Scholar 

  • Glick ID, Rush AJ (2016) Tools to facilitate the teaching and enhance the practice of psychopharmacology. Asian J Psychiatr 19:21–22

    Article  PubMed  Google Scholar 

  • Glick ID, Zisook S (2005) The challenge of teaching psychopharmacology in the new millennium: the role of curricula. Acad Psychiatry 29(2):134–140

    Article  PubMed  Google Scholar 

  • Glick ID, Salzman C, Cohen BM, Klein DF, Moutier C, Nasrallah HA, Ongur D, Wang P, Zisook S (2007) Improving the pedagogy associated with the teaching of psychopharmacology. Acad Psychiatry 31(3):211–217

    Article  PubMed  Google Scholar 

  • Glick I, Balon R, Citrome L, Deligiannidis K, Ellison J, Janowsky DS, Girgis R, Lydiard B, Madaan V, Osser D et al. (2012) Model psychopharmacology curriculum, 7th edn. For training directors and teachers of psychopharmacology in psychiatric residency programs. User’s Guide to the curriculum and table of contents: American Society of Clinical Pharmacology, Inc., p 130

    Google Scholar 

  • Glick I, Balon R, Citrome L, Deligiannidis K, Ellison J, Madaan V, Osser D, Prabhakar D, Wang PW, Zisook S (2014) Model psychopharmacology curriculum for training directors and teachers of psychopharmacology in psychiatric residency programs. The American Society of Clinical Psychopharmacology, Inc.

    Google Scholar 

  • Gray J (2013) The state of clinical pharmacology today. Clin Pharmacol Ther 93(3):231–232

    Article  CAS  PubMed  Google Scholar 

  • Harrison PJ, Baldwin DS, Barnes TR, Burns T, Ebmeier KP, Ferrieer IN, Nutt DJ (2011) No psychiatry without psychopharmacology. Br J Psychiatry 199(4):263–265

    Article  PubMed  Google Scholar 

  • Hiemke C, Bergemann N, Clement HW, Conca A, Deckert J, Domschke K, Eckermann G, Egberts K, Gerlach M, Greiner C et al (2017) Consensus guidelines for therapeutic drug monitoring in neuropsychopharmacology: update 2017. Pharmacopsychiatry 51(1-02):e1

    Google Scholar 

  • Ito H, Yamazumi S (2003) Common types of medication errors on long-term psychiatric care units. Int J Qual Health Care 15(3):207–212

    Article  PubMed  Google Scholar 

  • Jayaram G, Doyle D, Steinwachs D, Samuels J (2011) Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. J Psychiatr Pract 17(2):81–88

    Article  PubMed  Google Scholar 

  • Julius RJ, Novitsky MA Jr, Dubin WR (2009) Medication adherence: a review of the literature and implications for clinical practice. J Psychiatr Pract 15(1):34–44

    Article  PubMed  Google Scholar 

  • Juul D, Winstead DK, Sheiber SC (2005) Assessment of psychopharmacology on the American Board of Psychiatry and Neurology examinations. Acad Psychiatry 29(2):211–214

    Article  PubMed  Google Scholar 

  • Keers RN, Williams SD, Vattakatuchery JJ, Brown P, Miller J, Prescott L, Ashcroft DM (2014) Prevalence, nature and predictors of prescribing errors in mental health hospitals: a prospective multicentre study. BMJ Open 4(9):e006084

    Article  PubMed  PubMed Central  Google Scholar 

  • Keijsers CJ, van Hensbergen L, Jacobs L, Brouwers JR, de Wildt DJ, ten Cate OT, Jansen PA (2012) Geriatric pharmacology and pharmacotherapy education for health professionals and students: a systematic review. Br J Clin Pharmacol 74(5):762–773

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kirsch I, Deacon BJ, Huedo-Medina TB, Scoboria A, Moore TJ, Johnson BT (2008) Initial severity and antidepressant benefits: a meta-analysis of data submitted to the Food and Drug Administration. PLoS Med 5(2):e45

    Article  PubMed  PubMed Central  Google Scholar 

  • Laux G (2014) Proposal for a model psychopharmacology curriculum for psychiatric residents in Germany. Psychopharmakotherapie 21(2):64–68

    Google Scholar 

  • Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med 6(7):e1000100

    Article  PubMed  PubMed Central  Google Scholar 

  • Likic R, Maxwell SR (2009) Prevention of medication errors: teaching and training. Br J Clin Pharmacol 67(6):656–661

    Article  PubMed  PubMed Central  Google Scholar 

  • Loayza N, Crettol S, Riquier F, Eap CB (2012) Adherence to antidepressant treatment: what the doctor thinks and what the patient says. Pharmacopsychiatry 45(5):204–207

    CAS  PubMed  Google Scholar 

  • Lotz-Rambaldi W, Schafer I, ten Doesschate R, Hohagen F (2008) Specialist training in psychiatry in Europe – results of the UEMS-survey. Eur Psychiatry 23(3):157–168

    Article  PubMed  Google Scholar 

  • Mallo CJ, Mintz DL (2013) Teaching all the evidence bases: reintegrating psychodynamic aspects of prescribing into psychopharmacology training. Psychodyn Psychiatry 41(1):13–37

    Article  PubMed  Google Scholar 

  • Mann K, Rothschild JM, Keohane CA, Chu JA, Bates DW (2008) Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. World J Biol Psychiatry 9(1):24–33

    Article  PubMed  Google Scholar 

  • Mayer S, van der Gaag RJ, Dom G, Wassermann D, Gaebel W, Falkai P, Schule C, European Psychiatric A (2014) European Psychiatric Association (EPA) guidance on post-graduate psychiatric training in Europe. Eur Psychiatry 29(2):101–106

    Article  CAS  PubMed  Google Scholar 

  • Members of Emerge EMERG, Agrawal A, Aronson JK, Britten N, Ferner RE, de Smet PA, Fialova D, Fitzgerald RJ, Likic R, Maxwell SR et al (2009) Medication errors: problems and recommendations from a consensus meeting. Br J Clin Pharmacol 67(6):592–598

    Article  Google Scholar 

  • Millan MJ (2014) On ‘polypharmacy’ and multi-target agents, complementary strategies for improving the treatment of depression: a comparative appraisal. Int J Neuropsychopharmacol 17(7):1009–1037

    Article  CAS  PubMed  Google Scholar 

  • Mintz DL (2005) Teaching the prescriber’s role: the psychology of psychopharmacology. Acad Psychiatry 29(2):187–194

    Article  PubMed  Google Scholar 

  • Moher D, Liberati A, Tetzlaff J, Altman DG, Group P (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097

    Article  PubMed  PubMed Central  Google Scholar 

  • Mohr P, Hoschl C, Volavka J (2012) Teaching critical appraisal of articles on psychopharmacology. Acad Psychiatry 36(2):114–117

    Article  PubMed  Google Scholar 

  • Moller HJ, Seemuller F, Schennach-Wolff R, Stubner S, Ruther E, Grohmann R (2014) History, background, concepts and current use of comedication and polypharmacy in psychiatry. Int J Neuropsychopharmacol 17(7):983–996

    Article  PubMed  Google Scholar 

  • Montenegro R (2002) WPA educational programs. World Psychiatry 1(3):190–191

    PubMed  PubMed Central  Google Scholar 

  • Muzyk AJ, White CD, Kinghorn WA, Thrall GC (2013) A psychopharmacology course for psychiatry residents utilizing active-learning and residents-as-teachers to develop life-long learning skills. Acad Psychiatry 37(5):332–335

    Article  PubMed  Google Scholar 

  • Naber D, Hohagen F (2008) Training in psychiatry and psychotherapy in Germany. Encéphale 34(2):107–109

    Article  CAS  PubMed  Google Scholar 

  • Nutt D, Goodwin G (2011) ECNP Summit on the future of CNS drug research in Europe 2011: report prepared for ECNP by David Nutt and Guy Goodwin. Eur Neuropsychopharmacol 21(7):495–499

    Article  CAS  PubMed  Google Scholar 

  • Oakley C, Malik A (2010) Psychiatric training in Europe. Psychiatrist 34:447–450

    Article  Google Scholar 

  • Peglow S, Spiegel D, Memon H, Briscoe G (2014) Big pharma in residency training: losing more than a free lunch? Acad Psychiatry 38(4):516–517

    Article  PubMed  Google Scholar 

  • Perez DL, Torous J, Stern AP, Padmanabhan JL, Keshavan MS (2016) Response to “Tandon et al. Psychiatry is a clinical neuroscience, but how do we move the field”. Asian J Psychiatr 22:15–16

    Article  PubMed  Google Scholar 

  • Prabhakar D, Balon R, Zisook S (2012) Assessing the need for a multi-modal curriculum in psychopharmacology education. Acad Psychiatry 36(6):497–499

    Article  PubMed  Google Scholar 

  • Rakofsky JJ, Dunlop BW (2012) US psychiatric residents’ treatment of patients with bipolar disorder. J Clin Psychopharmacol 32(2):231–236

    Article  CAS  PubMed  Google Scholar 

  • Riese F, Guloksuz S, Roventa C, Fair JD, Haravuori H, Rolko T, Flynn D, Giacco D, Banjac V, Jovanovic N et al (2015) Pharmaceutical industry interactions of psychiatric trainees from 20 European countries. Eur Psychiatry 30(2):284–290

    Article  CAS  PubMed  Google Scholar 

  • Ross S, Loke YK (2009) Training good prescribers: what are the best methods? Clin Med (Lond) 9(5):478–480

    Article  Google Scholar 

  • Ross S, Maxwell S (2012) Prescribing and the core curriculum for tomorrow’s doctors: BPS curriculum in clinical pharmacology and prescribing for medical students. Br J Clin Pharmacol 74(4):644–661

    Article  PubMed  PubMed Central  Google Scholar 

  • Ryan C, Ross S, Davey P, Duncan EM, Francis JJ, Fielding S, Johnston M, Ker J, Lee AJ, MacLeod MJ et al (2014) Prevalence and causes of prescribing errors: the PRescribing Outcomes for Trainee Doctors Engaged in Clinical Training (PROTECT) study. PLoS One 9(1):e79802

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Salzman C (2005) The limited role of expert guidelines in teaching psychopharmacology. Acad Psychiatry 29(2):176–179

    Article  PubMed  Google Scholar 

  • Schildkrout B, Benjamin S, Lauterbach MD (2016) Integrating neuroscience knowledge and neuropsychiatric skills into psychiatry: the way forward. Acad Med 91(5):650–656

    Article  PubMed  Google Scholar 

  • Shader RI (2016) The ten Cs of good clinical care. J Clin Psychopharmacol 36(5):413–414

    Article  PubMed  Google Scholar 

  • Shore JH, Thurman MT, Fujinami L, Brooks E, Nagamoto H (2011) A resident, rural telepsychiatry service: training and improving care for rural populations. Acad Psychiatry 35(4):252–255

    Article  PubMed  Google Scholar 

  • Sjoqvist F (2014) Development of clinical pharmacology as a medical speciality in Europe – the roles of WHO, IUPHAR and EACPT. Basic Clin Pharmacol Toxicol 115(2):172–178

    Article  PubMed  CAS  Google Scholar 

  • Soerensen AL, Lisby M, Nielsen LP, Poulsen BK, Mainz J (2013) The medication process in a psychiatric hospital: are errors a potential threat to patient safety? Risk Manage Healthc Policy 6:23–31

    Article  Google Scholar 

  • Stahl SM (2016) Using neuroscience for naming psychotropic drugs. CNS Spectr 21(3):219–220

    Article  PubMed  Google Scholar 

  • Strous RD (2011) Ethical considerations in clinical training, care and research in psychopharmacology. Int J Neuropsychopharmacol 14(3):413–424

    Article  PubMed  Google Scholar 

  • Suzuki J, Ellison TV, Connery HS, Surber C, Renner JA (2016) Training in buprenorphine and office-based opioid treatment: a survey of psychiatry residency training programs. Acad Psychiatry 40(3):498–502

    Article  PubMed  Google Scholar 

  • Tandon R, Rankupalli B, Suryadevara U, Thornton J (2015) Psychiatry is a clinical neuroscience, but how do we move the field? Asian J Psychiatr 17:135–137

    Article  PubMed  Google Scholar 

  • Torous J, Stern AP, Padmanabhan JL, Keshavan MS, Perez DL (2015) A proposed solution to integrating cognitive-affective neuroscience and neuropsychiatry in psychiatry residency training: the time is now. Asian J Psychiatr 17:116–121

    Article  PubMed  Google Scholar 

  • Vlastelica M (2013) Psychodynamic approach as a creative factor in psychopharmacotherapy. Psychiatr Danub 25(3):316–319

    PubMed  Google Scholar 

  • Weiden PJ, Rao N (2005) Teaching medication compliance to psychiatric residents: placing an orphan topic into a training curriculum. Acad Psychiatry 29(2):203–210

    Article  PubMed  Google Scholar 

  • WHO (2005) World Health Organisation, World Psychiatric Association. Atlas Psychiatric Education and training across the world 2005. Geneva pp 1–44.

    Google Scholar 

  • WPA (2002) World Psychiatric Association institutional program on the core training curriculum for psychiatry. Yokohama pp 1–90

    Google Scholar 

  • Zisook S, Benjamin S, Balon R, Glick I, Louie A, Moutier C, Moyer T, Santos C, Servis M (2005) Alternate methods of teaching psychopharmacology. Acad Psychiatry 29(2):141–154

    Article  PubMed  Google Scholar 

  • Zisook S, Balon R, Benjamin S, Beresin E, Goldberg DA, Jibson MD, Thrall G (2009) Psychopharmacology curriculum field test. Acad Psychiatry 33(5):358–363

    Article  PubMed  Google Scholar 

  • Zohar J, Nutt DJ, Kupfer DJ, Moller HJ, Yamawaki S, Spedding M, Stahl SM (2014) A proposal for an updated neuropsychopharmacological nomenclature. Eur Neuropsychopharmacol 24:1005–1014

    Article  CAS  PubMed  Google Scholar 

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Baumann, P. (2019). Training in Psychopharmacology-Pharmacopsychiatry for Residents in Psychiatry. In: Hermans, M., Chay-Hoon, T., Pi, E. (eds) Education about Mental Health and Illness. Mental Health and Illness Worldwide. Springer, Singapore. https://doi.org/10.1007/978-981-10-2350-7_9

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