Sexson Sandra B, Thomas Christopher R, Pope Kayla
Department of Psychiatry, Medical College of Georgia, Augusta, GA 30912, USA.
Acad Psychiatry. 2008 Sep-Oct;32(5):377-85. doi: 10.1176/appi.ap.32.5.377.
Previous studies indicate declining interest in child and adolescent psychiatry (CAP) as a career choice during psychiatry residency training. Programs have developed integrated training in psychiatry and CAP as a means to address the workforce shortage in CAP, but little is known about the number or nature of these training tracks.
A survey was conducted among all program directors of Accreditation Council for Graduate Medical Education (ACGME) accredited CAP residency training programs in the United States. Those reporting integrated training with their affiliated psychiatry training programs were contacted for in-depth interview. Integrated research programs were not included in this survey.
Of the 115 ACGME accredited CAP programs at the time of the survey, 93 responded and 33 of those indicated having some form of integrated training in psychiatry and CAP. Only seven programs identified residents in integrated training in the first year of residency.
There is no consensus regarding a definition of integrated psychiatry and CAP training. Even though integrated training may provide opportunities for recruitment and retention of child and adolescent psychiatrists, few programs currently offer fully integrated training. This article describes several potential models for integrated training tracks, identifying factors to consider when developing such pathways.
先前的研究表明，在精神病学住院医师培训期间，选择儿童和青少年精神病学（CAP）作为职业的兴趣在下降。各项目已开展精神病学与CAP的综合培训，以解决CAP领域劳动力短缺的问题，但对于这些培训途径的数量或性质了解甚少。
对美国毕业后医学教育认证委员会（ACGME）认可的所有CAP住院医师培训项目的项目主任进行了一项调查。与那些报告与其附属精神病学培训项目进行综合培训的人员进行了深入访谈。综合研究项目不包括在本次调查中。
在调查时，115个经ACGME认可的CAP项目中，93个做出了回应，其中33个表示在精神病学和CAP方面有某种形式的综合培训。只有7个项目在住院医师培训的第一年确定了参加综合培训的住院医师。
关于精神病学与CAP综合培训的定义尚未达成共识。尽管综合培训可能为招募和留住儿童和青少年精神科医生提供机会，但目前很少有项目提供完全综合的培训。本文描述了综合培训途径的几种潜在模式，确定了开发此类途径时需要考虑的因素。
