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Training in Consultation-Liaison Psychiatry and Psychosomatic Medicine

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Person Centered Approach to Recovery in Medicine

Part of the book series: Integrating Psychiatry and Primary Care ((IPPC))

Abstract

Training is a central issue for consultation-liaison (C-L) psychiatrists and specialists in psychosomatic medicine (PM), firstly for their own education. There is a wide variety of training of residents and fellows in different countries. Guidelines for training were developed and agreed in the USA, in Australia and New Zealand, and in Europe.

Secondly, C-L and PM specialists have an important role as teachers. They educate medical students and give courses in communication skills and psychosomatic competencies for general practitioners, residents and specialists of other medical specialties, and other health-care professionals like nurses or case managers. Such training courses proved effective to improve communication with and treatment of patients with comorbid medical and mental health problems.

In this chapter, we review training modalities (a) for residents and fellows in C-L psychiatry and PM and (b) for nonpsychiatric health-care professionals in different countries. In this review, we mainly focus on the situation in the USA, Europe, and Australia and New Zealand.

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References

  1. Fritzsche K, Larisch A. Treating patients with functional somatic symptoms. A treatment guide for use in general practice. Scand J Primary Health Care. 2003;21(3):132–5.

    Article  Google Scholar 

  2. Fritzsche K, Scheib P, Ko N, Wirsching M, Kuhnert A, Hick J, et al. Results of a psychosomatic training program in China, Vietnam and Laos: successful cross-cultural transfer of a postgraduate training program for medical doctors. Biopsychosoc Med. 2012;6(1):17. https://doi.org/10.1186/1751-0759-6-17.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Smith RC, Lyles JS, Mettler J, Stoffelmayr BE, Van Egeren LF, Marshall AA, et al. The effectiveness of intensive training for residents in interviewing—a randomized, controlled study. Ann Intern Med. 1998;128:118–26.

    Article  CAS  PubMed  Google Scholar 

  4. Langewitz WA, Eich P, Kiss A, Wössmer B. Improving communication skills—a randomized controlled behaviorally oriented intervention study for residents in internal medicine. Psychosom Med. 1998;60(3):268–76.

    Article  CAS  PubMed  Google Scholar 

  5. Stiefel F, Barth J, Bensing J, Fallowfield L, Jost L, Razavi D, et al. Communication skills training in oncology: a position paper based on a consensus meeting among European experts in 2009. Ann Oncol. 2010;21(2):204–7. https://doi.org/10.1093/annonc/mdp564.

    Article  CAS  PubMed  Google Scholar 

  6. Barth J, Lannen P. Efficacy of communication skills training courses in oncology: a systematic review and meta-analysis. Ann Oncol. 2011;22(5):1030–40. https://doi.org/10.1093/annonc/mdq441.

    Article  CAS  PubMed  Google Scholar 

  7. Royal College of Physicians and Surgeons of Canada. 2005. http://rcpsc.medical.org/canmeds/CanMEDS2005/index.php. Accessed 2 Nov 2017.

    Google Scholar 

  8. Guthrie E, Creed F. Postgraduate training. In: Benjamin S, House A, Jenkins P, editors. Liaison psychiatry. Defining needs and planning services, vol. 1994. London: Gaskell; 1994. p. 99–103.

    Google Scholar 

  9. Gitlin DF, Schindler BA, Stern TA, Epstein SA, Lamdan RM, McCarty TA, et al. Recommended guidelines for consultation-liaison psychiatric training in psychiatry residency programs. A report from the Academy of Psychosomatic Medicine Task Force on Psychiatric Resident Training in Consultation-Liaison Psychiatry. Psychosomatics. 1996;37(1):3–11.

    Article  CAS  PubMed  Google Scholar 

  10. Worley LL, Levenson JL, Stern TA, Epstein SA, Rundell JR, Crone CC, et al. Core competencies for fellowship training in psychosomatic medicine: a collaborative effort by the APA Council on Psychosomatic Medicine, the ABPN Psychosomatic Committee, and the Academy of Psychosomatic Medicine. Psychosomatics. 2009;50(6):557–62. https://doi.org/10.1176/appi.psy.50.6.557.

    Article  PubMed  Google Scholar 

  11. Söllner W, Creed F, European Association of Consultation-Liaison Psychiatry and Psychosomatics Workgroup on Training in Consultation-Liaison Psychiatry and Psychosomatics. European guidelines for training in consultation-liaison psychiatry and psychosomatics: report of the EACLPP Workgroup on Training in Consultation-Liaison Psychiatry and Psychosomatics. J Psychosom Res. 2007;62(4):505–6.

    Article  Google Scholar 

  12. Rymaszewska J, Söllner W. Training in consultation-liaison psychiatry in Eastern Europe. J Psychosom Res. 2012;72(6):460–2. https://doi.org/10.1016/j.jpsychores.2012.02.006.

    Article  PubMed  Google Scholar 

  13. Heinrich TW, Schwartz AC, Zimbrean PC, Wright MT, Academy of Psychosomatic Medicine’s Residency Education Subcommittee. The state of the service: a survey of psychiatry resident education in psychosomatic medicine. Psychosomatics. 2013;54(6):560–6. https://doi.org/10.1016/j.psym.2013.07.005.

    Article  PubMed  Google Scholar 

  14. Leentjens AF, Rundell JR, Diefenbacher A, Kathol R, Guthrie E. Psychosomatic medicine and consultation-liaison psychiatry: scope of practice, processes, and competencies for psychiatrists working in the field of CL psychiatry or psychosomatics. A consensus statement of the European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP) and the Academy of Psychosomatic Medicine (APM). Psychosomatics. 2011;52(1):19–25. https://doi.org/10.1016/j.psym.2010.11.022.

    Article  PubMed  Google Scholar 

  15. Engel GL. The clinical application of the biopsychosocial model. Am J Psychiatry. 1980;137:535–44.

    Article  CAS  PubMed  Google Scholar 

  16. Adler RH. Engel’s biopsychosocial model is still relevant today. J Psychosom Res. 2009;67(6):607–11.

    Article  PubMed  Google Scholar 

  17. Fava GA, Sonino N. From the lesson of George Engel to current knowledge: the biopsychosocial model 40 years later. Psychother Psychosom. 2017;86(5):257–9. https://doi.org/10.1159/000478808.

    Article  PubMed  Google Scholar 

  18. Benning TB. Limitations of the biopsychosocial model in psychiatry. Adv Med Educ Pract. 2015;6:347–52. https://doi.org/10.2147/AMEP.S82937.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Nestel D, Kidd J. Peer assisted learning in patient-centred interviewing: the impact on student tutors. Med Teach. 2005;27(5):439–44.

    Article  PubMed  Google Scholar 

  20. Doering S, Schneider G, Burgmer M, Sensmeier J, Schrewe FB, Friederichs H, Heuft G. Evaluation of the clinical course psychosomatics and psychotherapy employing standardized patients. Z Psychosom Med Psychother. 2010;56(4):385–98.

    PubMed  Google Scholar 

  21. Keifenheim KE, Teufel M, Ip J, Speiser N, Leehr EJ, Zipfel S, et al. Teaching history taking to medical students: a systematic review. BMC Med Educ. 2015;15:159. https://doi.org/10.1186/s12909-015-0443-x.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Keifenheim KE, Petzold ER, Junne F, Erschens RS, Speiser N, Herrmann-Werner A, et al. Peer-assisted history-taking groups: a subjective assessment of their impact upon medical students’ interview skills. GMS J Med Educ. 2017;34(3):Doc35. https://doi.org/10.3205/zma001112.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Berger S, Goetz K, Leowardi-Bauer C, Schultz JH, Szecsenyi J, Mahler C. Anchoring interprofessional education in undergraduate curricula: the Heidelberg story. J Interprof Care. 2017;31(2):175–9. Epub 2016 Nov 23. https://doi.org/10.1080/13561820.2016.1240156.

    Article  PubMed  Google Scholar 

  24. Shulman R. Psychosomatic education: who teaches what and where at the University of British Columbia. J Psychosom Res. 1983;27(1):17–20.

    Article  CAS  PubMed  Google Scholar 

  25. Voineskos G, Hsu K, Hunter RC. The teaching of consultation-liaison psychiatry in the undergraduate curriculum of Canadian medical schools. Gen Hosp Psychiatry. 1984;6(2):117–22.

    Article  CAS  PubMed  Google Scholar 

  26. Lobo A, Campayo A, de-la-Cámara C, Saz P, Salvador H, Lobo-Escolar L, et al. The teaching of liaison psychiatry. J Psychosom Res. 2012;72(6):457–9. https://doi.org/10.1016/j.jpsychores.2012.01.012.

    Article  PubMed  Google Scholar 

  27. Kathol RG, Melek S, Bair B, Sargent S. Financing mental health and substance use disorder care within physical health: a look to the future. Pschiatr Clin North Am. 2008;31(1):11–25.

    Article  Google Scholar 

  28. American Psychiatric Association Ad Hoc Work Group on the Integration of Psychiatry and Primary Care. https://www.psychiatry.org/psychiatrists/practice/professional-interests/integrated-care/

  29. Zipfel S, Herzog W, Kruse J, Henningsen P. Psychosomatic medicine in Germany: more timely than ever. Psychother Psychosom. 2016;85(5):262–9. https://doi.org/10.1159/000447701.

    Article  PubMed  Google Scholar 

  30. Goldberg D, Gask L, O’Dowd T. The treatment of somatization: teaching techniques of reattribution. J Psychosom Res. 1989;33:689–95.

    Article  CAS  PubMed  Google Scholar 

  31. Fink P, Rosendal M, Toft T. Assessment and treatment of functional disorders in general practice: the extended reattribution and management model—an advanced educational program for nonpsychiatric doctors. Psychosomatics. 2002;43(2):93–131.

    Article  PubMed  Google Scholar 

  32. Toft T, Rosendal M, Ørnbøl E, Olesen F, Frostholm L, Fink P. Training general practitioners in the treatment of functional somatic symptoms: effects on patient health in a cluster-randomised controlled trial (the Functional Illness in Primary Care study). Psychother Psychosom. 2010;79(4):227–37. https://doi.org/10.1159/000313691.

    Article  PubMed  Google Scholar 

  33. Larisch A, Schweickhardt A, Wirsching M, Fritzsche K. Psychosocial interventions for somatizing patients by the general practitioner. A randomized controlled trial. J Psychosom Res. 2004;57:507–14.

    Article  PubMed  Google Scholar 

  34. Morriss R, Dowrick C, Salmon P, Peters S, Dunn G, Rogers A, et al. Cluster randomised controlled trial of training practices in reattribution for medically unexplained symptoms. Br J Psychiatry. 2007;191:536–42.

    Article  PubMed  Google Scholar 

  35. Sockalingam S, Arena A, Serhal E, Mohri L, Alloo J, Crawford A. Building provincial mental health capacity in primary care: an evaluation of a project ECHO mental health program. Acad Psychiatry. 2017. https://doi.org/10.1007/s40596-017-0735-z.

    Article  PubMed  Google Scholar 

  36. Houpt JL, Weinstein HM, Russell ML. The application of competency-based education to consultation-liaison psychiatry: II. Intervention knowledge and skills. Int J Psychiatry Med. 1976–1977;7(4):309–20.

    Article  PubMed  Google Scholar 

  37. Maislinger S, Rumpold G, Kantner-Rumplmair W, Stelzig M, Riessland-Seifert A. Curriculum for a course in C-L psychiatry, psychology, and psychosomatics in Austria. J Psychosom Res. 2007;62(5):599–600.

    Article  PubMed  Google Scholar 

  38. Fritzsche K, Stein B, Larisch A, Weidner K, Diefenbacher A, Burian R, Söllner W. First curriculum for care of patients with mental and psychosomatic disorders in the context of a consultation-liaison service. Psychother Psychosom Med Psychol. 2009;59:246–7.

    Article  PubMed  Google Scholar 

  39. Huyse FJ, Herzog T, Lobo A, Malt UF, Opmeer BC, Stein B, et al. Consultation-liaison psychiatric service delivery: results from a European study. Gen Hosp Psychiatry. 2001;23:124–32.

    Article  CAS  PubMed  Google Scholar 

  40. Leentjens A, Lobo A. On the history of the European Association of Consultation-Liaison Psychiatry and Psychosomatics (EACLPP). J Psychosom Res. 2011;70(6):575–7.

    Article  PubMed  Google Scholar 

  41. Royal College of Psychiatrists. https://www.rcpsych.ac.uk/pdf/Liaison_Psychiatry_Curriculum_August_2016.pdf

  42. Royal Australian and New Zealand College of Psychiatrists. Curriculum for fellowship. https://www.ranzcp.org/Pre-Fellowship/About-the-training-program.aspx

  43. Georgescu D, Berney A. Consultation–liaison psychiatry: a new psychiatric subspecialty in Switzerland. J Psychosom Res. 2011;71(6):429–30.

    Article  PubMed  Google Scholar 

  44. Eales S, Wilson N, Waghorn J. A competence framework for liaison. Mental Health Nursing. 2014;1–31. https://www.rcpsych.ac.uk/pdf/A Competence Framework for Liaison. Mental Health Nursing 2014.pdf

  45. Kathol RG, Butler M, McAlpine DD, Kane RL. Barriers to physical and mental condition integrated service delivery. Psychosom Med. 2010;72(6):511–8. https://doi.org/10.1097/PSY.0b013e3181e2c4a0.

    Article  PubMed  Google Scholar 

  46. Huyse FJ, Lyons JS, Stiefel F, Slaets J, de Jonge P, Latour C. Operationalizing the biopsychosocial model: the intermed. Psychosomatics. 2001;42(1):5–13.

    Article  CAS  PubMed  Google Scholar 

  47. Stiefel FC, Huyse FJ, Söllner W, Slaets JP, Lyons JS, Latour CH, et al. Operationalizing integrated care on a clinical level: the INTERMED project. Med Clin North Am. 2006;90(4):713–58.

    Article  PubMed  Google Scholar 

  48. Latour C, Perez R, Kathol RG, Huyse F, Cohen JS. The integrated case management manual: assisting complex patients regain physical and mental health. New York: Springer; 2010.

    Google Scholar 

  49. Jiménez X, Thorkelson G. Medical countertransference and the trainee: identifying a training gap. J Psychiatr Pract. 2012;18(2):109–17. https://doi.org/10.1097/01.pra.0000413276.03467.49.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychosomatic Medicine and Psychotherapy, Paracelsus Medical School, General Hospital Nuremberg, Nuremberg, Germany

    Wolfgang Söllner

  2. Leeds Institute of Health Sciences, University of Leeds, Leeds, UK

    Else Guthrie

  3. Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland

    Alexandre Berney

Authors
  1. Wolfgang Söllner
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  2. Else Guthrie
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  3. Alexandre Berney
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Corresponding author

Correspondence to Wolfgang Söllner .

Editor information

Editors and Affiliations

  1. Institute of Psychiatry, Department of Biomedical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy

    Luigi Grassi

  2. University of Michigan Rogel Cancer Center, Ann Arbor, MI, USA

    Michelle B. Riba

  3. Inova Fairfax Hospital, Johns Hopkins University Inova Fairfax Hospital, Falls Church, VA, USA

    Thomas Wise

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Söllner, W., Guthrie, E., Berney, A. (2019). Training in Consultation-Liaison Psychiatry and Psychosomatic Medicine. In: Grassi, L., Riba, M., Wise, T. (eds) Person Centered Approach to Recovery in Medicine. Integrating Psychiatry and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-74736-1_17

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  • DOI: https://doi.org/10.1007/978-3-319-74736-1_17

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  • Online ISBN: 978-3-319-74736-1

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