Overcoming barriers to teaching medical housestaff about psychiatric aspects of medical practice

Objective: This article describes a training program in psychiatric aspects of medical practice. It is aimed at medical residents. Methods: Six fundamental elements have been identified that contribute to the effectiveness of this program. 1) It directly confronts resistance to such training. 2) Practical skills are emphasized. 3) Learning is active. 4) Attention to group process during training is used. 5) Integration by on- site location of the psychiatrist and co-teaching with medical faculty is essential. 6) Teaching efforts are integrated with clinical service. Results: All 112 medical housestaff participate in the program with a generally enthusiastic response. Conclusions: Successful educational programs for primary care residents require teaching collaboration between psychiatric and medical faculty and impart specific clinical skills while addressing perceived burdens of time and emotional reactions.