L’enjeu de la formation pour les psychiatres libéraux est complexe et crucial. En effet, comment concilier, d’une part, une pratique clinique extrêmement prenante et chronophage et ses corollaires (charges administratives, certificats, appels et exigences croissantes des patients, situations d’urgence complexes…) et, d’autre part, la nécessité d’une mise à jour régulière des connaissances dans une discipline en mutation permanente (avancées des neurosciences, complexification des stratégies psychopharmacologiques, diversification des psychothérapies…). Le piège est souvent de parer au plus pressé, à savoir la clinique, au détriment de la formation.

The issue of continuing medical education (CME) for psychiatrists working in private practice is complex. Indeed, how to conciliate on the one hand an extremely time-consuming clinical practice and its corollaries (administrative tasks, certificates, calls and increasing demands of patients, complex emergencies…) and on the other hand the need for a regular updating of knowledge in a constantly changing discipline (advances in neuroscience, complexity of psychopharmacological strategies, diversification of psychotherapies…). In addition to congresses and scientific journals, new digital tools (online training, TED…) are one of the possible solutions to these issues. Formal and informal relationships with colleagues and networking are also essential tools for the sustainability of one's own clinical skills. But ultimately, one of the best ways to continue to train is probably to spend time training colleagues, participate in experience transfer to the youngest (companionship), and contribute to clinical research. All this requires time and implies a potential loss of income related to the reduction of consultation time, but contributes to the maintenance of good practices over time.