1. Training the trainer Training of clinical psychologists for pedagogic activity Dr. Gilles Michaux Training of clinical psychologists for pedagogic activity Dr. Gilles Michaux

2. “Excellence is an art won by training and habituation.” Aristotle ( 384-322 BCE)

3. Pedagogic (educational) vs. clinical psychology Prevention, training & counselling vs. psychotherapy Moderator training Applied developmental psychology

4. (Prim.) prevention: incidence ￬ Secondary prevention: prevalence ￬ Tertiary prevention: morbus redux ￬ (prophylaxis) Three oz. of prevention are worth a lb. of cure

5. Subject Environment Socialisation adapt. from Weidenmann & Krapp (1993)

6. Learner Environment (culture) Educator Education adapt. from Weidenmann & Krapp (1993)

7. Client Environment (social) Therapist Therapy

8. Level of careExample (1) Behavioural health screeningRapid assessment for anxiety Psycho-education to address anemotional response to a newly diagnosed chronic medical condition (2) Specialty consultationBrief stress inoculation training to assist an individual with a sexual abuse history in undergoing a cervical exam (3) Integrated care programmesTreatment for panic disorder or post- traumatic stress disorder addressed via referral to specialty mental health services Strosahl (1998) Medical psychology

9. Environment (s (s Client/ patient "Coaching" Therapist Prim./tertiary prevention, counselling & training Secondary prevention, inter-/supervision & moderator training

10. Health behaviour education & promotion (based on an integrative approach) Brief psychotherapeutic methods (incl. relaxation) & pain control techniques (to reduce mental health carveout) Training goals

11. Psychosocial interventions fostering compliance & treatment adherence Strategies for improving patient-provider communication (e.g. patient information) Interdisciplinary communication competency (!) Training goals (cont.)

12. Assessment skills for screening inpatients (psychol. risk factors & contraindications) Control-enhancing interventions for coping with surgery or stressful medical procedures (i.e. patient preparation & self- management techniques) Training goals (cont.)

13. Demo (a)

14. Demo (b)

15. Validated trainings Graduate psychology education (GPE) Doctoral gero-psychology training (based on APA guidelines)

16. Basic knowledge & skills in (a) general psychology (b) health psychology (e.g. biological, social, cultural, affective & cognitive factors affecting health & disease) (c) effective interdisciplinary functioning Training skills Newton et al. (2006)

17. Specific knowledge & skills in (a) broad healthcare systems & administrative issues (e.g. understanding hospital practices & healthcare economics; primary care policies & procedures; ethical & legal issues) (b) assessment, intervention & consultation (e.g. assessment & treatment of problems commonly seen in primary care; allocation of time & ressources; practise management skills; collaborative assessment & treatment; behavioural health consultation) Training skills (cont.) Newton et al. (2006)

18. Core objectives Training activities/time period (1) Didactic training (Level I: "exposure to ageing") - Standard graduate courses with added mental health/ageing content (full year) - Specialised courses: assessment & treatment of older adults (one semester); depression & personality disorders in older adults (full year); neuropsychology & neuropsychological assessment (full year) - Special symposia on mental health/ageing (two per year) (2) Consultation & treatment (Level 2: generalist) - Med-Psych consultation clinic (1/2 day per week, full year): diagnostics & consultation - Primary medicine clinic rotation (1/2 day per week, full year): consultation & liaison to primary care team - Brief psychotherapy (individual, couples & family) to primary care elderly/adults Zweig et al. (2006) Training programme (a)

19. Core objectives Training activities/time period (3) (Neuro-)psychological assessment (L 2) - Cognitive ageing rotation (1/2 day per week, full year) - Diagnostic interviewing & psychological assessment - Neuropsychological assessment - Neuropsychology seminar & group supervision (4) Outpatient evaluation & treatment (L 2) - Outpatient geriatric psychology rotation (1/2 day per week, full year) - Diagnostic interviewing & psychological assessment - Psychotherapy (individual, couples & family) - Geriatric psychology seminar & group supervision Zweig et al. (2006) Training programme (b)

20. Cancer prevention Holick, Smith, Giovannucci & Michaud (2010) Cancer Epidemiol Biomarkers Prev;191:39-47. Holick, Smith, Giovannucci & Michaud (2010) Cancer Epidemiol Biomarkers Prev;191:39-47.