Concerns about training in ECT, and its effects on the quality of ECT administration, date back several decades. Many resident surveys in Britain, Canada and the United States have demonstrated poor preparation for the administration of ECT. Adherence to the guidelines offered by the APA Task Force on ECT training have not been systematically studied, but it appears doubtful that most residency programs have the motivation and ability to meet even minimal teaching standards. Additionally, it has been observed that as new technologies evolve and older ones are refined, public demand, level of expectation (and disappointment) are likely to exert increasing medicolegal pressure on medical procedures.
Belmont Center and Thomas Jefferson College of Medicine, Philadelphia, PA.
Editor's Note: The following abstracts have been accepted for presentation at the annual meeting of the Association for Convulsive Therapy (ACT).