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Reorientation of postgraduate training in the background of the Mental Healthcare Act 2017

机译:在 2017年精神保健法的背景下重新定位研究生培训

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摘要

In India, postgraduate (PG) training in Psychiatry began in 1941 and came under the regulation of the Medical Council of India in 1956. Since then, it has evolved into a more structured objective system. Most PG courses require compulsory submission of a dissertation work to provide experience in planning, executing, and disseminating research, in addition to clinical work, thus preparing the students to be future teachers or trainers and clinical practitioners. The training regulatory board needs to revisit the curriculum with regard to the provisions under the Mental Healthcare Act (MHCA) 2017, to incorporate the necessary knowledge, skills, and competence of trainees. The Act gives directions to the psychiatrists to act in certain ways in certain situations and makes documentation and completing forms more important. There are provisions for doing research in patients with severe mental illness with certain safeguards. The article discusses the aspects of the MHCA that necessitate modifications to the training, to equip the trainee psychiatrists to work within the framework of the act and also to familiarize them with the aspects of patient safeguards while conducting research. The trainees should take the initiative and put in efforts to understand the practical implications. Mentored learning of practical scenarios in their clinical postings is the best way to learn. Finally, one has to understand that there may be varying interpretations of the provisions of the act. Any interpretation of the provision can still be challenged in court.
机译:在印度,精神病学的研究生(PG)培训始于1941年,并于1956年受到印度医学委员会的监管。从那时起,它已发展成为结构更明确的目标系统。除临床工作外,大多数PG课程都要求强制提交学位论文,以提供规划,执行和传播研究的经验,从而使学生成为未来的老师或培训师和临床医生。培训监管委员会需要根据《 2017年精神保健法》(MHCA)的规定重新审查课程,以吸收必要的知识,技能和受训人员的能力。该法令指示精神科医生在某些情况下以某些方式行事,并使记录和填写表格更加重要。对于有一定保障措施的严重精神疾病患者,有研究规定。本文讨论了MHCA的各个方面,这些方面需要对培训进行修改,以使受训的精神科医生在行为框架内工作,并在进行研究时使他们熟悉患者保障措施的各个方面。学员应采取主动,并努力理解其实际含义。在他们的临床工作中指导实际情景的学习是最好的学习方法。最后,必须理解,该法令的规定可能有不同的解释。对该规定的任何解释仍然可以在法庭上提出质疑。

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