Table 1

Relevant ACGME Guidelines and Milestones in Psychiatry and Forensic Psychiatry: Advocacy, Legislation, and Regulation

1. ACGME program requirements for graduate medical education in psychiatry, 20174
    IV.A.5.f).(4)Advocate for quality patient care and optimal patient care systems
    IV.A.5.f).(10)Advocate for the promotion of mental health and the prevention of mental disorders
2. ACGME and ABPN: the psychiatry milestone project, 20155
    MK6 4.2/CDescribes professional advocacy*
    MK6 5.2/CProposes advocacy activities, policy development or scholarly contributions related to professional standards
    SBP2 5.2AAdvocates for improved access to and additional resources within systems of care
    PROF2 5.3/BParticipates in the professional community (e.g., professional societies, patient advocacy groups, and community service organizations)
3. ACGME program requirements for graduate medical education in forensic psychiatry, 201613
    IV.A.2.b).(1).(h)Legal regulation of psychiatric practice
    IV.A.2.b).(2)Must demonstrate competence in their knowledge of the legal system related to forensic psychiatry, including … (f) fundamentals of laws, statutes, and administrative regulations
4. ACGME and ABPN: The forensic psychiatry milestone project, 20156
    PROF2 4.2BParticipates in the primary specialty and forensic psychiatric professional community (e.g., patient advocacy groups, community service organizations)
    SBP2 5.1Advocates for improved access to, better allocation of, and, as appropriate, additional resources within forensic and community systems of care
    MK1 1.1/A,B,CDemonstrates basic knowledge of the legal regulation of psychiatric practice
    MK1 2.2/ADemonstrates knowledge of basic concepts and sources of law and the court structure
    MK1 3.2ADemonstrates knowledge of jurisdiction, constitutional principles, and relevant state and federal laws
    MK1 5.1/ADemonstrates sufficient knowledge to provide assistance in the drafting of legal briefs, statutes or regulations
    PBLI1 5.3/BIndependently teaches appraisal of clinical evidence and legal developments
  • * “Advocacy includes efforts to promote the wellbeing and interests of patients and their families, the mental health care system, and the profession of psychiatry. While advocacy can include work on behalf of specific individuals, it is usually focused on broader system issues, such as access to mental health care services or public awareness of mental health issues. The focus on larger societal problems typically involves work with policy makers (state and federal) and peer or professional organizations (American Psychiatr[ic] Association (APA), National Alliance on Mental Illness (NAMI), etc” (Ref. 5 at 20-1).