Training in a clozapine clinic for psychiatry residents: a plea and suggestions for implementation

Acad Psychiatry. 2013 Jan 1;37(1):27-30. doi: 10.1176/appi.ap.11090159.

Abstract

Objective: The authors sought to develop a model educational clinic and curriculum for psychiatric residents, to increase knowledge and comfort about clozapine prescribing. This matters because clozapine is an important evidence-based treatment for refractory schizophrenia that remains underutilized in clinical practice.

Method: This is a description of how the Clozapine Clinic of the Massachusetts General Hospital (MGH) Schizophrenia Program was integrated into the curriculum of the MGH-McLean Adult Psychiatric Residency.

Results: PGY-II residents participated in a weekly clozapine clinic with direct patient contact and accompanying curriculum-based instruction for a 6-week period. The method of teaching by participating in a dedicated Clozapine Clinic received favorable feedback. Residents' knowledge about clozapine increased.

Conclusion: Residency programs should determine whether their trainees receive sufficient training in the use of clozapine and consider setting up clozapine clinics where feasible.

MeSH terms

  • Adult
  • Antipsychotic Agents / therapeutic use*
  • Clozapine / therapeutic use*
  • Curriculum / standards*
  • Evidence-Based Medicine / methods
  • Humans
  • Internship and Residency / methods*
  • Internship and Residency / organization & administration
  • Massachusetts
  • Psychiatry / education*
  • Schizophrenia / drug therapy*

Substances

  • Antipsychotic Agents
  • Clozapine