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Forensic Psychiatry Fellowship Training: Developmental Stages as an Educational Framework

Dr. Pinals is Director, Forensic Psychiatry Training, and Associate Professor of Psychiatry, Law and Psychiatry Program, University of Massachusetts Medical School, Worcester, MA. Address correspondence to: Debra A. Pinals, MD, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655. E-mail: debra.pinals{at}dmh.state.ma.us

As an official subspecialty of psychiatry, forensic psychiatry residency training must meet the requirements established by the Accreditation Council of Graduate Medical Education. Attendant to these requirements is the expectation that graduates demonstrate core competencies in general areas common to all medical training programs but delineated for each specialty. In forensic psychiatry, trainees must learn to move from the role of healer to objective evaluator on behalf of third parties, a task that differs from general medical care and treatment. Thus, it is important for educators to maintain awareness of the experience of trainees as they adapt to forensic psychiatry, while understanding core competency requirements. This article outlines stages of development of forensic psychiatry fellows as a model for characterizing learning objectives and for supervising trainees in forensic psychiatry fellowship programs. These stages of development include (1) transformation, (2) growth of confidence and adaptation, and (3) identification and realization. Training directors and trainees can utilize this theoretical framework as a basis on which to establish parameters for core competency attainment and supervisory and assessment methods for forensic psychiatry training.

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				M. Rotter and D. Preven Commentary: General Residency Training--the First Forensic Stage J Am Acad Psychiatry Law, September 1, 2005; 33(3): 324 - 327. [Abstract] [Full Text] [PDF]

				C. L. Scott Commentary: Developmental Stages of Forensic Psychiatry Fellowship Training--from Theoretical Underpinnings to Assessment Outcomes J Am Acad Psychiatry Law, September 1, 2005; 33(3): 328 - 334. [Abstract] [Full Text] [PDF]