Dubrovnik - September 27-30, 2006 

 

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26th European Conference on Psychosomatic Research
     
    Programme
     

ENPM Workshop
 

Psychosomatic (bio-psycho-social) postgraduate training in Europe: the need for a curriculum and diploma

Participants

Scheidt Carl: Psychosomatic curricula and training in Germany
Schüßler Gerhard: Psychosomatic curricula and training in Austria and Switzerland
Verissimo Ramiro: Psychosomatic curricula and training in Portugal
Dumitrascu Dan: Psychosomatic curricula and training in Romania
Wasilewski Bogdan: Psychosomatic curricula and training in Poland
Tkalcic Mladenka: Psychosomatic curricula and training in Croatia
Sivik Tatjana: Psychosomatic curricula and training in Sweden
Ancane Gunta: Psychosomatic curricula and training in Latvia
Sensky Tom: Psychosomatic curricula and training in Great Britain
Rehfeldt Emma: Psychosomatic curricula and training in Denmark
Kopp Maria: Psychosomatic curricula and training in Hungaria
Bühring M E F: Psychosomatic curricula and training in Netherlands
Leydenbach Theo: Psychosomatic curricula and training in France

Current Status in different European countries

AUSTRIA

Austrian Society of Psychosomatic and Psychotherapeutic Medicine
www.arztakademie.at / www.psychotherapeutische-medizin.at

  • Since the beginning of 1990 the start of Diplomasfor all doctors
    Psychosocial Medicine
    Psychosomatic Medicine
    Psychotherapeutic Medicine
  • Since 2007 integrated specialisation of psychiatry and psychotherapy

Austrian postgraduate Curricula

  1. Psychosocial Medicine
    180 hours - 40 h theory
    - 40 h Balint/supervision
    - 100 h clinical practice with supervision
    Bio-psycho-social model
    Doctor-patient-communication
    Social medicine
    Time table 1 year
  2. Psychosomatic Medicine
    480 hours - 80 h theory
    - 200 h skill/supervision/self-experience
    80 h group self-experience
    20 h relaxation therapy
    80 Balint/supervision
  • 200 h clinical practice with supervision
  • basics of psychosomatic medicine including diagnosis and therapy in different age groups (child/youth – adult – aging)
  • basics of psychopharmacology
  • basics of special aspects: crisis intervention, psychopharmacology, sexual medicine et al.

Time table 2 years
Final case presentation

CROATIA

No curriculum.
 The Croatian Society for Psychosomatic Research tries to foster training programs.

FRANCE

University postgraduate educational programs with 50 up to 150 h with an university diploma:

  • Basic Theory
  • Clinical Theory
  • Case Discussions

GERMANY

German Society for Psychosomatic Medicine
www.dgpm.de

Specialisation in Psychosomatic Medicine and Psychotherapy,
Subspecialisation in Psychotherapy and Psychoanalysis.

Basic curriculum "Psychosomatic basic care":

  • Theory (20 h)
  • Psychosomatic therapeutic strategies (30 h)
  • Balint Group (10 h)

HUNGARY

PhD training in Psychosomatic Medicine, Specialisation in Psychotherapy with Board Examination

Course Psychosomatic Medicine, accredited for CME, 20 h:

  • General principles of Psychosomatic Medicine
  • Psychosomatic Assessment
  • Main clinical psychosomatic disorders (Pain, Oncology et al.)
  • Psychosomatic prevention
  • Psychosomatic therapy

LATVIA

Postgraduate training for other medical specialities (1-2 months, 4-12 credit points) and specialisation in Psychosomatic Medicine and Psychotherapy (4 years). 

Basic psychosomatic curriculum:

  • Knowledge and theory
  • Doctor-patient-relation
  • Skills in psychosomatic diagnostics
  • Psychosomatic/psychotherapeutic methods
  • Ethic and professionalism in medicine

NETHERLANDS

Postgraduate educational programs are developed and will be ready 2007/2008.

POLAND

Section of Medical Psychosomatic of the Polish Medical Association

Basic course Psychosomatic Medicine - 80 hours

  • Training interpersonal communication,
  • Basic interventions,
  • Balint group,
  • Clinical theory

Course Clinical Psychosomatics - 270 hours

  • 130 hours theoretical lectures and training exercises
  • 60 hours doctor-patient-relation (Balint group)
  • 30 hours communication training
  • 30 hours supervision
  • 2 month clinical internship

Postgraduate training for other medical specialities (1-2 months, 4-12 credit points)

Specialisation in Psychosomatic Medicine and Psychotherapy (4 years). 

PORTUGAL

No postgraduate curriculum

ROMANIA

Postgraduate university courses Psychosomatic Medicine in Bucharest and Cluj:

  • General psychosomatic theory
  • Doctor-patient-communication
  • Therapeutic psychosomatic approaches

A curriculum for a joint degree in Psychosomatic Medicine for CEEPUS Network is in preparation

SWEDEN

Postgraduate University Course Psychosomatic Medicine
    (5 week training, over 200 h, CME):

  • Basic psychosomatic concepts and theory = mind-body interaction
  • Psychodynamic/behavioural concepts and theory of development and therapy (60 h)
  • Group work, patients, supervision (10 h)
  • Doctor-patient-interaction (40 h)
  • Pain (20 h)
  • Stress/ZNS/Neurology (4h)
  • Relaxation therapy (10 h)
  • Psychological/psychosomatic disorders (20 h)
  • Psychosomatic primary health care (20 h)

SWITZERLAND

Swiss Academy of psychosomatic and psychosocial medicine
www.appm.ch

Longstanding interest in the field of psychosocial training:

  • Integrated specialisation in psychiatry and psychotherapy since decades
  • Training in Balint groups etc since decades
  • Organisation of an academy with certified diploma since 1.1.2000

Swiss Curriculum for a postgraduate Diploma in
    Psychosomatische und Psychosoziale Medizin (360 hours)

  • Theory -- 120 hours
    • bio-psychosocial model
    • doctor-patient-communication
    • psychological (psychiatric) disorders
    • coping
    • special aspects: pain, psycho-oncology, somatisation, eating disorders et al.
    • psychosocial aspects of childhood and youth
  • Clinical practice skills with supervision -- 120 hours
  • Self experience -- 120 hours

Skills communication, basic psychotherapeutic skills, relaxation et al.

  • Time table 3 years
  • Final examination no, but re-certification according to CME standards

Resolution

Main Goals

  • Holistic (bio-psycho-social) patient assessment and care in clinical practice (hospital/primary care)
  • Psychosomatic therapeutic interventions to integrate communication and psychological therapies in prevention, treatment and rehabilitation

European postgraduate Core Curriculum on
     "Psychosomatic (bio-psycho-social) Medicine"

Duration/Time: 400 hours

  • Basic knowledge and theory of bio-psycho-social interactions (PNI, PNE, Neurobiology, Socio-biology et al.)
  • Basic knowledge and theory of psychosocial acute/chronic stress
  • Basic knowledge and theory of psychosocial aspects of medical disorders (child/youth, adult, aging)
  • Basic knowledge and theory of psychological disorders (child/youth, adult, aging)
  • Basic knowledge and theory of psychopharmacotherapy
  • Basic knowledge and theory of psychosocial/psychosomatic disorders (pain, somatoform disorders et al.) (child/youth, adult, aging)
  • Basic knowledge and theory of psychosocial therapeutic principles and techniques
  • Skills training in psychosomatic assessment (diagnoses)
  • Advanced skills training in Doctor-Patient-Communication (breaking bad news, coping, compliance, terminal diseases, psychosomatic disorders, psychological disorders, addiction et al.)
  • Skills training in therapeutic interventions (disease management, education, relaxation, counselling, psychotherapeutic strategies)
  • Balint groups for reflection and training of doctor-patient-relationship
  • Clinical practice with supervision - 200 hours
  • Final clinical presentation

Gerhard Schüßler