title: Lost in Transition: Examining Transitions in Psychotherapy Training.
abstract: OBJECTIVE
  Disruptions are inevitable during psychiatry residency training and can affect resident learning and patient care. This exploratory study examined the nature and impact of transitions in psychotherapy training.
  
  
  METHODS
  PGY2-5 residents (45/150; 30% response rate) and psychotherapy supervisors (46/247; 18.6% response rate) were surveyed about transitional events during residency training in psychotherapy.
  
  
  RESULTS
  Supervisors and residents ranked the frequency of occurrence of transitional events and their impact very similarly, as well as the "feed forward" items when transitioning to a new supervisor. Residents feeling confused or overwhelmed with the balancing of learning differing models with differing levels of comfort or knowledge was ranked as the issue that occurred most frequently by both supervisors and residents.
  
  
  CONCLUSIONS
  This study highlights issues that arise at transitions during psychotherapy training in psychiatry residency. Strategies for managing these periods are discussed, with a focus on resident learning and improved continuity of patient care.
authors.affiliation: University Health Network, University of Toronto, Toronto, ON, Canada. adrienne.tan@uhn.ca.
authors.forename: Adrienne
authors.initials: A
authors.lastname: Tan
authors.affiliation: University of Toronto, Toronto, Canada.
authors.forename: Diane
authors.initials: D
authors.lastname: Philipp
authors.affiliation: University of Toronto, Toronto, Canada.
authors.forename: Jan
authors.initials: J
authors.lastname: Malat
authors.affiliation: University of Toronto, Toronto, Canada.
authors.forename: Victor
authors.initials: V
authors.lastname: Feder
authors.affiliation: University of Toronto, Toronto, Canada.
authors.forename: Chetana
authors.initials: C
authors.lastname: Kulkarni
authors.affiliation: Mount Sinai Hospital, Toronto, Canada.
authors.forename: Andrea
authors.initials: A
authors.lastname: Lawson
authors.affiliation: Mount Sinai Hospital, Toronto, Canada.
authors.forename: Vivien
authors.initials: V
authors.lastname: So
authors.affiliation: Mount Sinai Hospital, University of Toronto, Toronto, Canada.
authors.forename: Paula
authors.initials: P
authors.lastname: Ravitz
mesh_terms: D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D009934:Organization and Administration / Q000592:standards*; D011570:Psychiatry / Q000193:education* / Q000592:standards; D011613:Psychotherapy / Q000193:education* / Q000592:standards
keywords: Psychotherapy; Residents; Supervision