Psychiatric residency training, managed case, and, contemporary clinical practice

Managed care has transformed the health care environment that residents enc ounter oil completion of their training. Unfortunately, residency education has riot kept pace with changes in the field, leaving graduates inadequate ly prepared. The authors identify necessary changes in the residency traini ng tasks of instilling values, imparting required knowledge, building core skills, selecting appropriate training sites, and offering a diversity of i nstructors and supervisors. They also discuss the obstacles that have imped ed the evolution of academic clinical sen ices and. clinical training. Thc! suggest strategies of change that may lead to more relevant educational pr ograms that provide residents with a balanced perspective on the strengths and weaknesses of both traditional and contemporary approaches to deliverin g care.