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PsychiatrPsychiatryy inin India:India: TTrainingraining && trainingtraining centrcentreses Second Edition Editors: T.S. Sathyanarayana Rao & Abhinav Tandon Psychiatry in India: Training & training centres Second Edition Editors: T.S. Sathyanarayana Rao Abhinav Tandon Publisher: Indian Journal of Psychiatry www.indianjpsychiatry.org Psychiatry in India : Training & training centres Second edition, the supplement of Indian Journal of Psychiatry Editors: T.S. Sathyanarayana Rao Abhinav Tandon © Indian Journal of Psychiatry, 2015 Original ISBN No: Print ISSN 0019-5545 E-ISSN 1998 - 3794 Archived at www.indianjpsychiatry.org First print: 2011 Revised & Updated edition : 2013 Second Edition: 2015 Composed and Printed at: Ramya Creations 2nd Floor, Madvesha Complex Nazarbad Main Road, Mysuru 570 010, India. Phone: 0821 2445187 Email: [email protected] Cover design by : Darshan M.S. Consultant Neuropsychiatrist Formerly Resident, Dept. of Psychiatry, JSSMC Mysuru, Karnataka, India. & Late Anjana M.S. Copyright © 2015 The entire contents are protected under Indian and International copyrights. Disclaimer: The information and opinions presented in the Journal and in this book Indian Research in Psychiatry: A Journey of six decades reflect the views of the authors and not of the Journal or its Editorial Board or the Publishers. Publication does not constitute endorsement. Neither the Indian Journal of Psychiatry / Indian Research in Psychiatry: A Journey of six decades nor its publishers nor anyone else involved in creating, producing or delivering the materials contained therein, assumes any liability or responsibility for the accuracy, completeness, or usefulness of any information provided nor shall they be liable for any direct, indirect, incidental, special, consequential or punitive damages arising out of their use. The Indian Journal of Psychiatry/ Indian Research in Psychiatry: A Journey of six decades, nor its publishers, nor any other party involved in the preparation of material contained herein represents or warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from the use of such material. Readers are encouraged to confirm the information contained herein with other sources. Editorial Office T. S. Sathyanarayana Rao Professor and Formerly Head, Department of Psychiatry, JSS Medical College Hospital, JSS University M.G. Road, Mysuru - 570004, India Tel : 0821-2335187 Mob: +91 9845282399 Fax: No. 0821- 2335501 Email: [email protected] [email protected] Website: www.indianjpsychiatry.org Editorial Team Honorary Editor T. S. Sathyanarayana Rao, Mysuru Honorary Associate Editors K.S. Shaji, Trissur Sandeep Grover, Chandigarh Honorary Deputy Editor Prasad G Rao, Hyderabad O.P. Singh, Kolkata Honorary Assistant Editor Abhinav Tandon, Allahabad Honorary Field Editors Swaminath G, Bangalore Ajay Singh, Mumbai Bhatia M.S., Delhi Chittaranjan Andrade, Bangalore Debasish Basu, Chandigarh Devasish Ray, Kolkata Kamala Deka, Dibrugarh Kangan Pathak, Guwahati Margoob Mustaq Ahmed, Srinagar Om Prakash, New Delhi Nilesh Shah, Mumbai Prathap Tharyan, Vellore Rajshekhar Bipeta, Hyderabad Sonia Parial, Raipur Sujata Sethi, Rohtak Sujit Sarkhel, Ranchi Suresh Kumar, Chennai Tandon S.K., Bhopal Thara, Chennai Vikram Kumar Yeragani, Bangalore Vinod Sinha, Ranchi Vivek C. Kirpekar, Nagpur IPS Executive Council Members President Vidhyadhar Watve, Pune Vice President / President elect: Prasad G. Rao, Hyderabad General Secretary N N Raju, Vishakapatnam Hon. Treasurer Vinay Kumar, Patna Hon. Editor T.S. Sathyanarayana Rao, Mysuru Immediate Past President T.V. Asokan, Chennai Immediate Past Secretary Asim Kumar Mallik, Kolkata IPS Executive Council Kishore Gujar, Pune Mrugesh Vaishnav, Ahmedabad O.P. Singh, Kolkata Arabind Brahma, Kolkata K.K. Mishra, Sevagram Om Prakash, New Delhi Sunil Goyal, New Delhi Foreword Indian Psychiatric Society (From the first edition) One of the key aim and objectives of the Indian Psychiatric Society, a professional body of Psychiatrists in India, is to promote and advance the subject of psychiatry and its allied sciences. It also aims to formulate and advise on the standards of education and training for medical and auxiliary personnel in Psychiatry and to recommend adequate teaching facilities for the purpose. Indian Psychiatric Society (IPS) was founded in January 1947 and it goes to the credit of the founding visionaries that in the same year the Society appointed a committee on Postgraduate Psychiatry Education. However, it took the Society a little more than six decades to produce and recommend a formal statement on the essentials of Postgraduate Training in Psychiatry that needs to be followed uniformly in India. In the year 2010, IPS has made recommendations to Govt. of India and the Medical Council of India for “Minimum Standards of Competency Based Training in Psychiatry”. It details the subjects specific and other learning objectives, practical competencies, teaching – learning and evaluation methods. While undertaking this task, it was felt by the Society that the profession should have a complete appraisal of Psychiatry Training facilities available in India and the standards followed for the same in various training centres. The Society has great satisfaction that this acute need for a comprehensive appraisal is being partially fulfilled by this Special Supplement of the Indian Journal of Psychiatry, “Psychiatry in India: Training and Training Centres”. In this Supplement, a wide range of articles are being covered scanning the philosophy of training in psychiatry, past and future trends, models of training as practiced abroad and their relevance to India, issues of specialty training etc. A very interesting and highly useful and relevant segment covers training needs of trainees, especially day-to-day practical needs in their clinical work. This useful Supplement could not have been possible but for the untiring efforts of Dr. T.S.S. Rao, Hon. Editor of Indian Journal of Psychiatry and his editorial team, as well as, the excellent contributions to this Supplement by various eminent authors. Indian Psychiatric Society hopes that this Supplement will help to complete a long standing void in our information and knowledge and be the torch bearer in terms of guiding the trainees in Psychiatry. Ajit Avasthi M. Thirunavukarasu U. C. Garg President Vice-President General Secretary From the President, Indian Psychiatric Society (From Revised and Updated edition) Foreword This book “Psychiatry in India: Training and Training centres” traces the early history about training in Mental Health and critically evaluate the present system of training and also recommends measures for further improvisation. What one appreciates in this book is not a birds eye view of relevant sections but an in-depth analysis because of the contributions of legends in the respective field. It is commendable to see chapters on education and training in other countries for comparison of our state which will pave way for further emulation. I congratulate Prof. T.S.S.Rao for conceiving the concept and compiling this academic registry on Psychiatry training. I am sure that this book “Psychiatry in India: Training and Training centers”would be perceived as a significant contribution in the annals of academic psychiatry. Fiat Lux, Prof. T.V. Asokan Zone 16 Representative, WPA President, Indian Psychiatric Society 2014 Foreward Indian Psychiatric Society It gives great pleasure to see the "Psychiatry in India; Training and Training Centres" by the Honorary Editor Prof. T.S.S. Rao and his editorial team. The long felt need is to look into the issues of undergraduate and post graduate education in India, which is a key aim of Indian Psychiatry Society, the professional body of psychiatrists of India. The First edition was brought out in 2011. It helped in the formulation of the policies for mental health deliverance. Indian Psychiatric Society, since it was founded in 1947, through innumerable visionaries has been in the fore front of formulation of psychiatric education in medical curriculum. The Psychiatric education both in undergraduate and post graduate level need to be streamlined for uniformity, consistency and assessment of the imparted education. IPS has recommended after a due work out, a formal statement to the Government of India and the Medical Council of India. The main body related to academic education was apprised of the update from time to time. Lot of changes further evolved and so also there are many more centres of training in medical education both at undergraduate and post graduate level. So the need to upgrade the details of the centres of education and Indian Psychiatric Society has again taken on itself to work up all the aspects comprehensively. The society is very pleased and has great satisfaction that a comprehensive appraisal has gone in once again to update all the aspects of psychiatric education and training. We are aware of the interactions between our society and Government of India, through Minister of health on the one hand and the Medical Council of India on the other hand is a very dynamic, continuous process. In the current supplement, we are happy that lot more details are covered on academics, including the forthcoming "New Mental Health Care Bill", especially the Rights of Mentally Ill. This issue also covers on the most important topics Viz.: How to read and write research