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Forensic psychiatric training in Sweden

Forensic psychiatric training in Sweden. The new curriculum. Kristina Sygel MBChB Consultant forensic psychiatrist Rättsmedicinalverket Chairman of the Swedish Forensic Psychiatric Association. Psychiatric specialties National Board of Health and Welfare 2008. Psychiatry ( basic )

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Forensic psychiatric training in Sweden

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  1. Forensicpsychiatrictraining in Sweden The new curriculum Kristina Sygel MBChB Consultant forensic psychiatrist Rättsmedicinalverket Chairman of the Swedish Forensic Psychiatric Association

  2. PsychiatricspecialtiesNational Board of Health and Welfare 2008 • Psychiatry (basic) • Forensicpsychiatry (branch) • Child and adolescentpsychiatry (basic) • i.e. onlywayintoforensicpsychiatry is via (general) psychiatry • Already a specialist in psychiatry • Joint trainingschemebetweenpsychiatry and forensicpsychiatry

  3. Psychiatrists in Sweden • Approximate number of registered specialists: • 3,000 psychiatrists • 100 forensic psychiatrists • 600 child and adolescent psychiatrists • 9,000 general practitioners • In total 50,000 licensed medical practitioners

  4. National ST curriculum templateNational Board of Health and Welfare & Swedish Society of Medicine 2008 • Overall aims • Medical skills • Communication skills • Scientificskills • Leadershipskills • Recommendations • = howaimsshould be achievede.g. • Clinical work, auscultation • trainingcourses, seminars, projects

  5. New curriculum in ForensicPsychiatry Integration of forensic psychiatric care, assessment (court reports), and work in the correctional services

  6. The qualityassuranceframework • Contracts and documentation • Dean of specialist training (one at RMV and others in forensic psychiatric care clinics) • Certified clinical supervisors who are specialists in forensic psychiatry • Scientific supervisors (with PhDs) • Inspections carried out

  7. Our curriculum • Medical skills(assuming all criteria for general psychiatryalreadymet) • Clinical work in forensicpsychiatriccare (1yr) • Court assessmentscarriedout at RMV (~20 long & 25 shortcases) • Courses & seminars (organised by RMV) in e.g.; • Criminology • Liaisonwork-psychiatry, prison and social services • Risk assessment • Relevant laws and regulations • Ethics and a professional approach to MDOs

  8. Communication and leadershipskills • Throughcourses, tutorials, teaching & clinical work • Medical science and audit • a scientific report (>10wks) • An auditproject • Course in basic public health

  9. Work in progress • New guidelines and curriculum already apply • If medical degree prior to 2006, have until 2013 to complete specialist training according to the old curriculum • Quality assurance framework, seminars, and courses currently being designed at RMV in co-operation with SRPF

  10. kristina.sygel@rmv.se

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