Awardees for Curriculum Development for Psychiatry Residency Training Programs
This award is given to outstanding psychiatric residency training programs that address spirituality and mental health. Click on school names for descriptions of their programs.
2006
- Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences
- George Washington University Medical Center, Psychiatry and Behavioral Sciences
- Texas Tech University, Health Sciences Center, School of Medicine, Department of Neuropsychiatry and Behavioral Sciences
- University of California, Irvine, Department of Psychiatry & Human Behavior
2005
- Rush University Medical Center, Department of Religion, Health & Human Values
- University of British Columbia, Vancouver General Hospital, Department of Psychiatry
- University of Kansas Medical Center, Department of Psychiatry and Behavioral Sciences
- University of South Carolina, School of Medicine, Department of Neuropsychiatry & Behavioral Science
2003
- Medical University of South Carolina, Department of Family Medicine
- University of California, Los Angeles, Child and Adolescent Psychiatry Fellowship Training Program
- University of Louisville, Department of Psychiatry
- University of Saskatchewan, Department of Psychiatry
2002
- George Washington University, Department of Psychiatry and Behavioral Sciences
- Tulane University School of Medicine, Department of Psychiatry and Neurology
- University of California, Davis School of Medicine
- University of Washington Medical Center
2000
- Emory University, School of Medicine, Division of Child and Adolescent Psychiatry
- University of Alabama at Birmingham
1999
- Children's Hospital of Philadelphia, University of Pennsylvania, School of Medicine
- Cleveland Clinic Foundation
- East Tennessee State University, James H. Quillen College of Medicine
- Georgetown University Medical Center
- George Washington University School of Medicine, Children’s National Medical Center
- Southern Illinois University School of Medicine
- University of New Mexico School of Medicine
- Wright State University, School of Medicine
1998
- Albert Einstein College of Medicine, Bronx-Lebanon Hospital Center
- Baylor College of Medicine, Department of Psychiatry and Behavioral Sciences
- Harvard Medical School, Brigham and Women's Hospital
- Jefferson Medical College, Thomas Jefferson University Hospital
- Loma Linda University School of Medicine
- University of California, San Francisco, California Pacific Medical Center
- University of Pittsburgh Medical Center
Program Descriptions
Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences
Course Director: Linda B. Andrews, MD, Director of Residency Education
Course Design
- Videotaping religious and spiritual histories for resident critique
- Interviews with patients whose emotional distress is related to spiritual beliefs
- Empathy seminars to learn to listen more effectively and respond empathically
- Pastoral Care rotation for psychiatry residents
- The Healer's Council for discussing Native American, Tibetan, Shamanistic, Ayurvedic and Chinese healing practices
- Wellness programs in Christian prayer, meditation, Tibetan practices, Hatha Yoga and Tai Chi QiGong
For Institutional Change
- Grand Rounds Templeton Lectures (3) by nationally/internationally known speakers
- Psychotherapy and Faith Conference (20 residents)
George Washington University Medical Center, Psychiatry and Behavioral Sciences
Course Director: James L. Griffith, MD, Associate Chairman Psychiatry and Neurology
Course Design
- Integrating spirituality into outpatient treatment and bedside interviews (35 residents)
- Critically examine relevant research literature in spirituality and health
- Resident scholarly projects on post traumatic symptoms from torture/trauma, demoralization from illnesses, suicidal impulses, role of religious professionals in disaster/trauma
- Clinical interventions to build resilience by utilizing a person's spiritual resources
Research
- Clinical research projects on how spirituality contributes to recovery
- Research assistant, statistical analysis support, mentored instruction
Texas Tech University, Health Sciences Center, School of Medicine, Department of Neuropsychiatry and Behavioral Sciences
Course Director: Thomas F. McGovern, Ed.D., Professor of Neuropsychiatry
Modified resident curriculum to emphasize spirituality as an essential core element of psychiatry training, which includes:
- Documentation of resident experiences in portfolios (over 4 years of training)
- Identify the religious and spiritual context of psychiatric practice in West Texas
- Interaction with chaplains in the inpatient psychiatry unit
- Participation in ethical consults at the University Medical Center
- Explore spiritual dimensions of addiction treatment
- Attend Alcoholics Anonymous (AA) meetings
- Involvement in hospice/end of life experiences with patients and families
- Utilization of inventories/scales to measure spirituality
- Seminar series covering dimensions of suffering (5 sessions)
- Psychotherapy case conference series (10 sessions/yr, 20 sessions over 2 years)
University of California, Irvine, Department of Psychiatry & Human Behavior
Course Director: Charles Nguyen, MD, Assistant Residency Director
Course Design:
- Develop a psychiatry and spirituality curriculum for 30 psychiatry residents per year while potentially serving more than 100 medical students per year during required clerkship
- 18 hours of didactic lectures to include:
- the patient as integral person
- evidence linking spirituality and mental health
- how to take a spiritual history
- describing spiritual experiences
- spirituality and religious traditions and cultures
- perspectives on healing the whole person
- Elective book discussion groups for 4th year residents chosen by participants
- Case conferences with Socratic discussion of resident cases, occur weekly
- Individual supervision in psychiatry and spirituality clinic
- Annual conference on medicine and spirituality co-sponsored with the UCI Medicine and Spirituality Forum
- Residents will learn to interview patients with sensitivity to spiritual beliefs and practices
For institutional change:
- Grand Rounds (faculty/ residents) twice per month, two spiritually-based sessions per year
- Journal club (faculty/residents) twice per month, evidence-based, two sessions spiritually-based per year
- Annual conference on medicine and spirituality co-sponsored with the UCI Medicine and Spirituality Forum
Research:
- Comprehensive review of major psychiatrists and their understanding of religion's relationship to clinical findings; culminating in a published review article/book
Rush University Medical Center, Department of Religion, Health & Human Values
Course Director: Patricia Murphy, PhD
Course: Bridging the Gap: Science and Spirituality
Bridging the Gap: Science and Spirituality Curriculum at Rush University Medical Center responds to the growing body of research that relates religion/spirituality to health outcomes as well as the shifting sensitivity to cultural ethnicities reflected in the DSM-IV. The curriculum integrates research, theory, and clinical experience. Lectures over the three year period are as follows:
- Religious/Spiritual Beliefs of Diverse Groups
- What I Wish My Doctor Knew About My Spirituality
- Assessing Spiritual Resources and Struggles
- Access to Spirituality for the Physician
- Brief Interventions to Help Patients Access Spirituality
- Addressing Spirituality at the End of Life
- Spirituality and Self Psychology
- Spirituality and Cognitive Theory
- Spirituality and Developmental Stages
- Ethics in Discussing Religion/Spirituality with Patients
Each year, residents address issues of transference and countertransference related to religion/spirituality in Psychiatric Resident Case Presentations.
Grand Rounds presentations, which extend our training to the others at Rush and at neighboring medical centers, include "From Research to Practice: Advances in Spiritually-Integrated Treatment" by Kenneth Pargament, Ph.D. and "Recent Research in Religion and Depression" by Patricia Murphy, Ph.D. in the first year of the curriculum. In the second and third years of the curriculum, Grand Rounds topics are Spirituality and Psychotherapy and God Images and Object Relations.
First year residents participate with the chaplain in the Spiritual Resources Group on the adult psychiatry inpatient units. Second year residents are orientated to bereavement related to perinatal death and accompany a chaplain attending to a death in labor and delivery or the neonatal intensive care units. They also participate in the spirituality groups as part of their rotation in chemical dependency. Third and fourth year residents incorporate their training into outpatient practice.
University of British Columbia, Vancouver General Hospital, Department of Psychiatry
Course Directors: Soma Ganesan, MD FRCP; Andrea Grabovac, MD FRCP
Course: Interface between Religion, Spirituality and Psychiatry
The "Interface between Religion, Spirituality and Psychiatry" course for psychiatry residents at the University of British Columbia promotes increased understanding of spiritual aspects of self and others and the effective translation of this knowledge into clinical practice. The mandatory 10 session didactic course is taught by faculty from diverse backgrounds, including pastoral care, counseling psychology, religious studies and psychiatry. In addition, an elective quarterly Journal Club focused on this topic and departmental grand rounds provide opportunity for further discussion and exploration.
Improved education at the resident level is essential for raising physicians' awareness of the importance of spirituality in patient care. Teaching residents must therefore also be coupled with course evaluations that measure the efficacy of the training that residents receive, in order to determine if the goals of the educational program are being met in the most effective way. Therefore, in addition to the standard course evaluations completed by residents, course effectiveness will be evaluated using a Course Impact Questionnaire that will be administered at the beginning of the course, at wk 10 and again at 6-month followup.
Learning objectives for the didactic portion of the course include the current understanding of the relationship between religious and spiritual beliefs and physical and mental health, introduction to spiritual phenomenology, including spiritual emergencies (e.g., Kundalini episodes), current research literature on neurobiology of spiritual experience and spiritual/religious issues in psychodynamic therapy (e.g., significance of God images). By the end of the course, residents have learned the skills to take a spiritual/religious history, to incorporate information gathered into the biopsychosocialspiritual understanding of the patient, and to reflect this in the diagnosis and treatment plan. They are able to identify how their own spiritual/religious beliefs might impact their case formulation, diagnosis and management plans and recognize and work through transference and countertransference reactions. Criteria for referral to chaplains, spiritual directors or culturally based healers are reviewed.
Clinical application of above material will be through supervised assessments, formulation and management of cases. Elective sites include the Vancouver Hospital Psychiatry Cross-cultural Clinic, which is a an outpatient psychiatric clinic staffed by a team of psychiatrists speaking seventeen different languages, and the British Columbia Cancer Agency, where treatment includes palliative care and end-of-life issues.
University of Kansas Medical Center, Department of Psychiatry and Behavioral Sciences
Course Director: Joan M.T. Collison, MD
Course: Development of a Departmental-Based Curriculum of Spirituality in Healthcare for Psychiatry Residents, other Healthcare Professionals, and Clergy/Pastoral Care Professionals
Implementation of this course is based upon the underlying premise that attending to the spiritual dimension of patients' lives is a vital aspect of the foundational imperative of medicine to heal. Although human spirituality is often unrecognized, it remains a powerful source of both strength and challenge for all lives impacted by illness, both as patients and as those who care for patients within personal or professional relationships. For healthcare professionals, awareness of our own personal spirituality is key to deepening our understanding of the interrelationship of spiritual, psychological, and physical aspects of health, while also essential to growth in our capacity for sensitive attunement and compassionate response to the spiritual needs of patients within the healthcare environment. Goals of this course include:
- Facilitating ongoing growth in knowledge, understanding, awareness, and appreciation of the nature of the interrelationship of the human spiritual dimension and health, particularly as spirituality impacts and is impacted by physical and mental illness and suffering
- Identifying the role of spirituality in all facets of healthcare, and fostering the skills and confidence of healthcare professionals to recognize and respond to spiritual aspects of patient care in a respectful, sensitive, and appropriate manner
- Recognizing and responding to the uniquely fertile ground of healthcare for spiritual challenge, struggle, growth, and healing by building an institutional environment attuned and prepared to identify and readily address spiritual concerns, issues, and need of patients
- Fostering a healthcare climate that stimulates and encourages individuals striving to provide fully compassionate care, by providing intra- and inter-disciplinary support of healthcare professionals endeavoring to integrate spirituality and healthcare within personal and professional roles
- Exploring the role of spirituality in psychological growth and development, mental health, and mental illness, and identifying leadership opportunities and responsibilities to expand the integration of spiritual care into psychiatric and other medical care.
Participation in core didactic lectures is required for psychiatric residents, and open to medical, nursing, and social work students, as well as other healthcare professionals performing psychiatric rotations during the course. Master's and doctoral level students from local seminaries, and local chaplaincy students, will also be invited to participate in core didactic sessions. Psychiatry residents will be encouraged to participate in a course-based research project assessing spiritual care needs of patients receiving acute or chronic mental healthcare services. The course additionally includes annual grand rounds, and ongoing individually structured small learning groups, designed to offer additional in-depth and specifically focused educational opportunities spanning the 3-year curriculum. These will be publicized and open to healthcare and spiritual care professionals throughout the University of Kansas and local Kansas City medical community. Selected didactic courses may also be repeated in evening sessions to accommodate a greater number of course participants, based upon interest levels of small group and grand rounds participants.
University of South Carolina School of Medicine, Department of Neuropsychiatry
Course Director: Craig Stuck, MD
Course: Palmetto Health/University of South Carolina Curriculum on Spirituality: Incorporating a Spiritual Worldview within Psychiatry in the Bible Belt
The Spirituality and Cultural Competency Psychiatry Curriculum at the University of South Carolina involves integration of didactic and rotational experiences within the general and child psychiatry residency programs. It also includes a unique collaboration of disciplines including faculty and students from psychiatry, psychology, and seminary programs. The goal of this curriculum is to educate, motivate, and encourage integration of spiritual issues into psychiatric practice.
Lecture topics:
- Defining Spirituality and increasing resident awareness as to how spirituality contributes to their professionalism
- Spiritual assessment with screening questions for individuals and families
- Relevance of integrating spirituality into psychiatric assessment
- Major traditions of belief
- Spirituality and addiction, chronic illness, and end-of-life issues
- Spiritual development in children
- Working together with religious professionals
For institutional change:
- Meetings with residents/faculty to form focus groups regarding the spirituality program
- Psych residents will interact with seminary students
- Clinic forms (print and electronic) revised to include section for "spiritual history" and "bio-psycho-social-spiritual formulation"
- FICA tool integrated into teaching of interview skills
- Residents and faculty from different spiritual backgrounds will contribute resources for their spiritual communities
- Spirituality topic for Grand Rounds presentations
Research:
- Psychiatry in the Bible Belt: Can a training experience focused on bringing mental health professionals in training (Psych residents) together with clergy-in-training impact how these caregivers relate to each other with beliefs, attitudes, and practice during their training experiences?" This study looks at the interaction between mental health workers and their clients' community-based clergy.
