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Research ArticleRegular Articles

Toward a New Model of Training in Canadian Forensic Psychiatry

Brad D. Booth, Sumeeta Chatterjee, Joel Watts and Graham Glancy
Journal of the American Academy of Psychiatry and the Law Online September 2021, 49 (3) 381-395; DOI: https://doi.org/10.29158/JAAPL.200112-20
Brad D. Booth
Dr. Booth is Associate Professor and Dr. Watts is Assistant Professor, Department of Psychiatry, University of Ottawa, Ottawa, Ontario. Dr. Chatterjee is Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario. Dr. Glancy is Associate Professor and Director, Forensic Psychiatry, University of Toronto, Toronto, Ontario.
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Sumeeta Chatterjee
Dr. Booth is Associate Professor and Dr. Watts is Assistant Professor, Department of Psychiatry, University of Ottawa, Ottawa, Ontario. Dr. Chatterjee is Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario. Dr. Glancy is Associate Professor and Director, Forensic Psychiatry, University of Toronto, Toronto, Ontario.
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Joel Watts
Dr. Booth is Associate Professor and Dr. Watts is Assistant Professor, Department of Psychiatry, University of Ottawa, Ottawa, Ontario. Dr. Chatterjee is Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario. Dr. Glancy is Associate Professor and Director, Forensic Psychiatry, University of Toronto, Toronto, Ontario.
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Graham Glancy
Dr. Booth is Associate Professor and Dr. Watts is Assistant Professor, Department of Psychiatry, University of Ottawa, Ottawa, Ontario. Dr. Chatterjee is Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario. Dr. Glancy is Associate Professor and Director, Forensic Psychiatry, University of Toronto, Toronto, Ontario.
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    Figure 1.

    Progression to competency as a forensic psychiatrist based on Miller's Pyramid of Competence.20 OSCEs = objective structured clinical examinations; CEx = clinical evaluation exercise.

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    Figure 2.

    Stages of the Competence by Design model from general psychiatry transitioning to the discipline of forensic psychiatry to independent practice. CPD = continuing professional development; CME = continuing medical education. Adapted from The Royal College of Physicians and Surgeons of Canada.33

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    Table 1

    Entrusted Professional Acts for Canadian Forensic Psychiatry

    Transition to Discipline
        1. Providing general psychiatric assessments, including acute risk assessments, and developing management plans
        2. Documenting psychiatric clinical encounters
        3. Discussing and documenting consent for forensic examinations
        4. Working effectively as a member of the clinical team
    Foundations of Discipline
        1. Conducting uncomplicated assessment of fitness to stand trial
        2. Applying the forensic approach to assessing criminal responsibility
        3. Providing treatment and management of risk for individuals under the jurisdiction of the Criminal Code Review Board
    Core of Discipline
        1. Conducting forensic psychiatry evaluations
        2. Writing forensic psychiatry reports
        3. Providing expert testimony
        4. Providing ongoing management for patients with complex issues
        5. Working with the forensic psychiatry team to provide patient care and manage risk
        6. Using risk assessment tools for violence and sexual risk assessments
    Transition to Practice
        1. Managing the caseload of a forensic psychiatrist
        2. Developing and maintaining a professional curriculum vitae
        3. Developing a continuing professional development plan for the first 3 to 5 years of practice
    • © 2019 The Royal College of Physicians and Surgeons of Canada. All rights reserved. Referenced and produced with permission.36

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Journal of the American Academy of Psychiatry and the Law Online: 49 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 49, Issue 3
1 Sep 2021
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Toward a New Model of Training in Canadian Forensic Psychiatry
Brad D. Booth, Sumeeta Chatterjee, Joel Watts, Graham Glancy
Journal of the American Academy of Psychiatry and the Law Online Sep 2021, 49 (3) 381-395; DOI: 10.29158/JAAPL.200112-20

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Toward a New Model of Training in Canadian Forensic Psychiatry
Brad D. Booth, Sumeeta Chatterjee, Joel Watts, Graham Glancy
Journal of the American Academy of Psychiatry and the Law Online Sep 2021, 49 (3) 381-395; DOI: 10.29158/JAAPL.200112-20
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  • Article
    • Abstract
    • The Traditional Model of Training
    • Competence by Design
    • The Core Elements of Competence by Design
    • Description of Competence by Design
    • International Comparison
    • Conclusions
    • Acknowledgments
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Keywords

  • forensic psychiatry
  • resident education
  • pedagogy
  • Competence by Design

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