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Table 7 Child and Adolescent psychiatry training in Europe – synthesis of collected data

From: Training of adult psychiatrists and child and adolescent psychiatrists in europe: a systematic review of training characteristics and transition from child/adolescent to adult mental health services

Child and Adolescent Psychiatry training Number / number of known data (%)
Separate training of CAP and GAP
 Y 21 / 33 (64%)
  from start of training 18 / 33 (55%)
  after common trunk with GAP 3 / 33 (9%)
 N 5 / 33 (15%)
 Contradictory or not specified 7 / 33 (21%)
Is CAP a monospecialty / separate specialty?
 Y 24 / 34 (71%)
National training standards
 Y 26 / 29 (90%)
  fully implemented 10 / 29 (34%)
  implemented in part 15 / 29 (52%)
  not implemented 1 / 29 (4%)
Is there a CAP theoretical program?
 Y 23 / 27 (85%)
  with standardized content 10 / 27 (37%)
  without standardized content 13 / 27 (48%)
 N 3 / 27 (11%)
 Contradictory 1 / 27 (4%)
Program length (total minimum after medical school to be a CAP specialist, in years)
 <  4 3 / 34 (9%)
 4 ≤ ≤ 6 25 / 34 (73%)
 >  6 4 / 34 (12%)
 Contradictory 2 / 34 (6%)
Minimum duration specifically dedicated to CAP during this program (years)
 <  2 2 / 33 (6%)
 2 ≤ <  3 10 / 33 (30%)
 3 ≤ <  4 12 / 33 (36%)
 ≥ 4 4 / 33 (12%)
 Contradictory 5 / 33 (15%)
Supervision
 Access to formal supervision 25 / 27 (93%)
 Independent educational supervision 12 / 27 (44%)
Assessment
 Logbook 22 / 31 (71%)
 Examination to be a trainee in CAP 12 / 30 (40%)
 Examination to finish the training in CAP 22 / 34 (65%)
Duration of inpatient experience (months)
 <  12 5 / 27 (18%)
 12 ≤ ≤ 24 11 / 27 (41%)
 >  24 10 / 27 (37%)
 Contradictory 1 / 27 (4%)
Duration of outpatient experience (months)
 <  12 8 / 27 (30%)
 12 ≤ ≤ 24 11 / 27 (41%)
 >  24 7 / 27 (26%)
 Contradictory 1 / 27 (4%)
General adult psychiatry training
 Y 28 / 31 (91%)
  mandatory 26 / 31 (83%)
  optional 2 / 31 (6%)
 N 1 / 31 (3%)
 Contradictory 2 / 31 (6%)
Child neurology training
 Y 21 / 31 (68)
  mandatory 13 / 31 (42%)
  optional 8 / 31 (26%)
 Not neededa 10 / 31 (32%)
Paediatric experience
 Y 21 / 33 (64%)
  mandatory 14 / 33 (43%)
  optional 3 / 33 (9%)
  not specified 4 / 33 (12%)
 Not neededa 7 / 33 (21%)
 Contradictory 5 / 33 (15%)
Neurology experience
 Y 16 / 27 (59%)
  mandatory 4 / 16 (25%)
  optional 2 / 16 (12.5%)
  not specified 10 / 16 (62.5%)
 N 10 / 27 (37%)
 Contradictory 1 / 27 (4%)
Psychotherapy training
 Presence
  Y 20 / 34 (59%)
   mandatory 14 / 34 (41%)
   optional 6 / 34 (18%)
  Not neededa 7 / 34 (20.5%)
  Contradictory 7 / 34 (20.5%)
 Program structure
  Theoretical & practical 24 / 26 (92%)
  Theoretical only 4 / 26 (8%)
 Type
  CBT 21 / 21 (100%)
  systemic 17 / 21 (81%)
  psychodynamic 18 / 21 (86%)
  other 5 / 21 (24%)
Is research experience compulsory?
 Y 6 / 33 (18%)
 N 19 / 33 (58%)
 Contradictory 8 / 33 (24%)
  1. Abbreviations: Y yes, N no, CAP child and adolescent psychiatry, GAP general adult psychiatry, CBT cognitive behavioural therapy
  2. a: may correspond to ‘no’ or ‘yes optional’