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Acad Psychiatry 32:470-474, November-December 2008
doi: 10.1176/appi.ap.32.6.470
© 2008 Academic Psychiatry
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Teaching Evidence-Based Psychiatry: Integrating and Aligning the Formal and Hidden Curricula

Sacha Agrawal, M.D., Peter Szatmari, M.D., M.Sc. and Mark Hanson, M.D., M.Ed.

Received August 10, 2007; revised October 28, 2007, and January 8, 2008; accepted February 13, 2008. The authors are affiliated with Psychiatry and Behavioural Neurosciences at McMaster University in Ontario, Canada. Address correspondence to Sacha Agrawal, M.D., McMaster University, Psychiatry and Behavioural Neurosciences, 2757 King Street East, Hamilton, Ontario L8G 5E4, Canada; agrawas{at}mcmaster.ca (e-mail).

OBJECTIVE: The authors argue that adopting evidence-based psychiatry will require a paradigm shift in the training of psychiatry residents, and offer some suggestions for how this transformation might be achieved. METHODS: The authors review the growing literature that addresses how best to teach evidence-based medicine and highlight several examples of innovative instructional and assessment methods. RESULTS: Little is known about how best to instill among residents the attitudes, knowledge, skills, and behaviors that are necessary to practice evidence-based psychiatry. However, there are indications that the integration of evidence-based medicine instruction into routine clinical care and the alignment of the "hidden curriculum" with evidence-based practice are important. CONCLUSION: A whole-program approach may be necessary to create the conditions required in postgraduate training to produce evidence-based psychiatrists.




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J. H. Coverdale, L. Weiss Roberts, and A. K. Louie
Teaching Evidence-Based Psychiatry to Residents and Fellows: Developing the Curriculum
Acad Psychiatry, November 1, 2008; 32(6): 453 - 457.
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