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Journal of ECT:
doi: 10.1097/YCT.0b013e31827989b9
Original Studies

Electroconvulsive Therapy Teaching in Canada: Cause for Concern.

Patry, Simon MD, FRCPC*; Graf, Peter PhD; Delva, Nicholas John MD; Chan, Peter MD§; Enns, Murray MD; Gilron, Ian MD; Gosselin, Caroline MD§; Jewell, Mark BA, RPN#; Lawson, James Stuart PhD**; Martin, Barry MD††; Milev, Roumen MD‡‡

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Abstract

Aim

The objective of this study was to present survey data on the teaching of electroconvulsive therapy (ECT) in health care centers across Canada.

Methods

Of 1273 centers identified, 175 were found to practice ECT. These centers were asked to complete a questionnaire, and 107 (61%) of them answered 5 questions dealing specifically with ECT teaching. These questions were as follows:

Results

Sixty percent of respondents had no ECT teaching program for psychiatry residents. Pedagogical methods varied, ranging from direct observation of ECT treatments to directed readings. Few centers required a minimum number of supervised treatments. No resident-administered ECT is performed without direct supervision. Interestingly, various groups of health care professionals were often invited to participate in ECT training.

Conclusions

The situation regarding ECT teaching continues to be a cause for concern given the noted absence of organized, structured, and mandatory programs. No resident administering ECT, however, goes unsupervised, which is in keeping with good practice. Electroconvulsive therapy is taught in many different ways, and teaching is accessible to different groups of health care professionals. However, much remains to be done to standardize ECT teaching to render this therapy available to all those who need it and to overcome the stigma and bias associated with it.

Copyright © 2013 by Lippincott Williams & Wilkins

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