Kirwin Paul, Conroy Michelle, Lyketsos Constantine, Greenwald Blaine, Forester Brent, deVries Christine, Ahmed Iqbal Ike, Wiechers Ilse, Zdanys Kristina, Steffens David, Reynolds Charles F
Yale University School of Medicine, VA Connecticut Healthcare System, West Haven, CT, USA.
The Johns Hopkins Hospital, Baltimore, MD, USA.
Acad Psychiatry. 2016 Feb;40(1):145-8. doi: 10.1007/s40596-014-0144-5. Epub 2014 May 9.
Dire shortages of psychiatrists with special expertise in geriatrics, substance abuse, forensics, and psychosomatics create barriers to care for populations with complex mental disorders and pose a significant public health concern. To address these disparities in access to care, we propose streamlining graduate medical education to increase efficiency and enhance cost-effectiveness while simultaneously increasing the number of psychiatric subspecialists in these key areas. We propose that trainees interested in subspecialties complete their general training in 3 years, while meeting ACGME required milestones, and then utilize their 4th year to complete subspecialty fellowship training. Eligible trainees would then qualify for psychiatry subspecialty certification and general psychiatry ABPN certification at the end of 4 years.
老年精神病学、药物滥用、法医精神病学和身心医学方面专业知识的精神科医生严重短缺，这给患有复杂精神障碍的人群的护理造成了障碍，并引发了重大的公共卫生问题。为了解决这些护理可及性方面的差异，我们建议精简毕业后医学教育，以提高效率、增强成本效益，同时增加这些关键领域的精神科专科医生数量。我们建议，对专科感兴趣的受训人员在3年内完成其普通培训，同时达到美国毕业后医学教育认证委员会（ACGME）规定的里程碑，然后利用第4年完成专科进修培训。符合条件的受训人员将在4年结束时获得精神科专科认证和普通精神病学ABPN认证。
