Objective: To illustrate a novel educational program model that can train psychiatrists to develop competencies in caring for patients with movement disorders such as Parkinson’s disease and associated neuropsychiatric symptoms.

Background: The University of California, San Francisco Psychiatry Residency Clinical Neuroscience Area of Distinction (AoD) is an innovative training track for psychiatry residents interested in neuropsychiatry. This AoD uses competency-based medical education (CBME) elements: patients logs and workplace-based learner assessments, allowing track completion of requirements in variable time. Residents participate in dedicated elective rotations, typically in their 3^rd or 4^th postgraduate year. The main rotation takes place at the UCSF Movement Disorders and Neuromodulation Center. There is also a lecture series, attended by learners form multiple disciplines.

Method: An entrustable professional activity (EPA) was developed. A digital learner assessment form was then created, based on this EPA and incorporated in the resident assessment platform. Faculty receive guidelines, with additional support as needed. Residents can be evaluated on 7 different activities during the same visit, including: perform diagnostic evaluation; interpret relevant laboratory studies; provide pharmacological treatment; perform interprofessional care coordination (all for patients with movement disorders and neuropsychiatric manifestations). Activities are rated on the 1-5 entrustment scale used by the psychiatry residency program and are collected in addition to regular evaluations. Residents must reach level 5 at least once for 5 of the activities, and level 4 for the other two (interpreting neuropsychological test reports and/or neuroimaging studies).

Results: Eight residents have completed the AoD to date, one withdrew, and five are currently enrolled. From 2019 to 2024, 6 faculty members evaluated residents on 422 activities. Learner feedback has been positive. The EPA, digital learner assessment form, and other materials developed for this AoD have been disseminated to other Psychiatry program in the U.S, Two of the graduates are now AoD faculty, creating a pipeline for the future.

Conclusion: CBME is a useful framework allowing psychiatry residents to train and achieve competency in caring for patients with movement disorders.

References: 1. Ten Cate O, Chen HC, Hoff RG, et al. Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99. Med Teach. 2015;37(11):983-1002
2. Young JQ, Hasser C, Hung EK, et al. Developing End-of-Training Entrustable Professional Activities for Psychiatry: Results and Methodological Lessons. Acad Med. 2018;93(7):1048-1054
3. Pinilla S, Lenouvel E, Strik W, Klöppel S, Nissen C, Huwendiek S. Entrustable Professional Activities in Psychiatry: A Systematic Review. Acad Psychiatry. 2020 Feb;44(1):37-45
4. Young JQ, Holmboe ES, Frank JR. Competency-Based Assessment in Psychiatric Education: A Systems Approach. Psychiatr Clin North Am. 2021 Jun;44(2):217-235
5. Seritan AL, Kaplan LE, Duong T, et al. Clinical Neurosciences Training for Psychiatry Residents: Implementing the Competency-Based Medical Education Framework. Acad Psychiatry (under review)

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MDS Abstracts - https://www.mdsabstracts.org/abstract/movement-disorders-focused-clinical-neuroscience-training-for-psychiatry-residents-a-competency-based-medical-education-model/