The Geriatric Forensic Psychiatry Rotation at University of Chicago: Utilization and Educational Benefit of a Subspecialty Rotation in Psychiatric Residency Training.

Amanda I Goldstein,Sanford Finkel,Carolyn Shima,Deborah Spitz

doi:10.3389/fpsyg.2019.02123

Amanda I Goldstein, Sanford Finkel + Show 2 more

Open Access

https://doi.org/10.3389/fpsyg.2019.02123

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Abstract

Ten years ago, the University of Chicago Department of Psychiatry and Behavioral Neuroscience established a geriatric forensic psychiatry rotation for 4th-year psychiatry residents as one option in a required experience in forensic psychiatry. The rotation’s primary emphasis was to learn about cases of testamentary capacity and undue influence. The program was supervised by a senior faculty member, an experienced clinician who was board-certified in Geriatric Psychiatry.ResultsOver the past decade, three of the 11 residents have pursued career paths in forensic psychiatry, while another has become a geriatric psychiatrist. More than half of the respondents have pursued geriatric and/or forensic work following their graduations, and all believe that what they learned in the rotation applied to their general practice work. All 11 indicated that the rotation increased their interest in and understanding of forensic work. Ten “strongly agreed” that the geriatric forensic psychiatry rotation was a valuable learning experience; one “agreed.” On average, trainees worked on 4.64 forensic cases over the course of the rotation and attended 2–3 trials or depositions. Over the last 3 years of the program, all three of the participating residents have chosen to complete a forensic fellowship following the rotation.ConclusionResidents affirm that a geriatric forensic psychiatry rotation is a valuable learning experience, one that has utility after their graduation. The University of Chicago Department of Psychiatry and Behavioral Neuroscience is committed to continuing this rotation as an important part of their forensic experience in resident education and to encourage more interest in the area of geriatric psychiatry.

Highlights

There are many specialized clinical and educational experiences offered within psychiatry residency programs in the United States and Canada, the content of which may depend in part on departmental expertise, priorities, and orientation, as well as on geography and resident interest
The 11 graduates dedicated an average of 4.09 h per week to the Geriatric Forensic Psychiatry Rotation
In our examination of the utilization, experience of residents, and educational benefit of this specialized training experience in geriatric forensic psychiatry, we found resident response to be overwhelmingly positive

Summary

Introduction

There are many specialized clinical and educational experiences offered within psychiatry residency programs in the United States and Canada, the content of which may depend in part on departmental expertise, priorities, and orientation, as well as on geography and resident interest. The University of Chicago, like many programs, provides residents with the opportunity to observe, assist, or write a shadow report on at least one forensic case during their residency training. At many institutions, this is the only forensic opportunity available to residents. The University of Chicago has crafted a more robust training experience to allow interested residents a hands-on, one-on-one training experience focused in these two frequently overlooked divisions of psychiatry

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