Stoudemire A
Psychosomatics. 2000 May-Jun;41(3):204-9. doi: 10.1176/appi.psy.41.3.204.
Psychiatric education occupies a relatively low status level in most academic departments of psychiatry. This problem may be in part because career teachers rarely generate sustained external grant support. Their salaries may be regarded as perpetual drains on the budgets of department chairs. The author explores a possible relationship between the decline in the emphasis on psychiatric education and the decline in the number of medical students entering psychiatric residency programs. Recommendations for improvement in the support of psychiatric education are made that focus on greater accountability of how tuition fees are distributed to support the salaries of faculty educators. The unique role that consultation-liaison (C-L) psychiatry occupies in psychiatric education, the effects of managed care on C-L psychiatry, and the special problems that C-L psychiatry currently faces with its strong emphasis on non-reimbursable educational activities are discussed. Revitalization of the importance of education in undergraduate medical education is vital for the future of psychiatry.
在大多精神科的学术部门中，精神科教育处于相对较低的地位。这个问题部分可能是因为职业教师很少能获得持续的外部资助支持。他们的薪水可能被视为系主任预算的长期消耗。作者探讨了精神科教育重视程度下降与进入精神科住院医师培训项目的医学生数量下降之间可能存在的关系。提出了改善精神科教育支持的建议，重点是在学费分配以支持教师教育工作者薪资方面提高问责制。讨论了会诊-联络（C-L）精神科在精神科教育中所占据的独特作用、管理式医疗对C-L精神科的影响，以及C-L精神科目前因其高度重视不可报销的教育活动而面临的特殊问题。重振本科医学教育中教育的重要性对精神科的未来至关重要。
