Presentation Information
[SY-80-04]Cultural Psychiatry Residency Training in Canada: Development of a Culturally Competent Curriculum
*Lisa Andermann (Department of Psychiatry, University of Toronto(Canada))
Keywords:
Cultural Psychiatry,Postgraduate Curriculum Development,Cultural Competence
In a highly multicultural and diverse country such as Canada, attention needs to be paid to working with ethnocultural populations, immigrants, refugees and newcomers, as well as our indigenous populations, in order to ensure a high quality of mental health care and mental wellbeing.
Together with colleagues Drs. Kenneth Fung, Ted Lo, Alpna Munshi, Siqi Xue and others in the Department of Psychiatry at University of Toronto for over 20 years, we have been involved in developing a cultural psychiatry curriculum for residents in psychiatric residency training which focuses on topics including assessment and treatment, working with interpreters, ethnopsychopharmacology, spirituality and mental health, and cultural aspects of psychotherapy which is spread over 5 years of training from PGY1 to PGY5. There are also additional curriculum hours focused on underserved and marginalized populations, indigenous mental health, Muslim mental health, global mental health and refugee mental health, where structural competency is also taught in both classroom lectures as well as and electives with community organizations.
A network of Canadian colleagues across the country has published two position papers through the Canadian Psychiatric Association (CPA) on Guidelines for Training in Cultural Psychiatry (Kirmayer et al, 2012; updated 2021). We have been organizing Cultural Psychiatry Day, a national videoconference linking psychiatry departments, trainees and faculty from across the country for over 15 years, with a ½ day session focused on current themes in Cultural Psychiatry with keynote speakers, a panel discussion, and resident presentation using the CFI - Cultural Formulation Interview. Most recently, a CPA position paper on taking action on racism and structural violence in psychiatric training and clinical practice (Jarvis et al, 2023) has offered guidelines on addressing racism in psychiatric training and practice in Canada, looking at history, colonialism, and structural inequities, and proposed solutions including taking part in advocacy at different levels.
References:
Fung, K., Andermann, L., Zaretsky, A., & Lo, H. T. (2008). An integrative approach to cultural competence in the psychiatric curriculum. Academic Psychiatry, 32, 272-282.
Jarvis, G. E., Andermann, L., Ayonrinde, O. A., Beder, M., Cénat, J. M., Ben-Cheikh, I., ... & Kirmayer, L. J. (2023). Taking action on racism and structural violence in psychiatric training and clinical practice. The Canadian Journal of Psychiatry, 68(10), 780-808.
Kirmayer LJ, Fung K, Rousseau C, Lo HT, Menzies P, Guzder J, Ganesan S, Andermann L, McKenzie K. Guidelines for Training in Cultural Psychiatry. Can J Psychiatry. 2021 Feb;66(2):195-246. doi: 10.1177/0706743720907505. Epub 2020 Apr 29. PMID: 32345034; PMCID: PMC7918872.
Together with colleagues Drs. Kenneth Fung, Ted Lo, Alpna Munshi, Siqi Xue and others in the Department of Psychiatry at University of Toronto for over 20 years, we have been involved in developing a cultural psychiatry curriculum for residents in psychiatric residency training which focuses on topics including assessment and treatment, working with interpreters, ethnopsychopharmacology, spirituality and mental health, and cultural aspects of psychotherapy which is spread over 5 years of training from PGY1 to PGY5. There are also additional curriculum hours focused on underserved and marginalized populations, indigenous mental health, Muslim mental health, global mental health and refugee mental health, where structural competency is also taught in both classroom lectures as well as and electives with community organizations.
A network of Canadian colleagues across the country has published two position papers through the Canadian Psychiatric Association (CPA) on Guidelines for Training in Cultural Psychiatry (Kirmayer et al, 2012; updated 2021). We have been organizing Cultural Psychiatry Day, a national videoconference linking psychiatry departments, trainees and faculty from across the country for over 15 years, with a ½ day session focused on current themes in Cultural Psychiatry with keynote speakers, a panel discussion, and resident presentation using the CFI - Cultural Formulation Interview. Most recently, a CPA position paper on taking action on racism and structural violence in psychiatric training and clinical practice (Jarvis et al, 2023) has offered guidelines on addressing racism in psychiatric training and practice in Canada, looking at history, colonialism, and structural inequities, and proposed solutions including taking part in advocacy at different levels.
References:
Fung, K., Andermann, L., Zaretsky, A., & Lo, H. T. (2008). An integrative approach to cultural competence in the psychiatric curriculum. Academic Psychiatry, 32, 272-282.
Jarvis, G. E., Andermann, L., Ayonrinde, O. A., Beder, M., Cénat, J. M., Ben-Cheikh, I., ... & Kirmayer, L. J. (2023). Taking action on racism and structural violence in psychiatric training and clinical practice. The Canadian Journal of Psychiatry, 68(10), 780-808.
Kirmayer LJ, Fung K, Rousseau C, Lo HT, Menzies P, Guzder J, Ganesan S, Andermann L, McKenzie K. Guidelines for Training in Cultural Psychiatry. Can J Psychiatry. 2021 Feb;66(2):195-246. doi: 10.1177/0706743720907505. Epub 2020 Apr 29. PMID: 32345034; PMCID: PMC7918872.