Yager J
Department of Psychiatry and Biobehavioral Sciences, School of Medicine, University of California, Los Angeles.
Hosp Community Psychiatry. 1987 Oct;38(10):1076-81. doi: 10.1176/ps.38.10.1076.
Efforts to contain the cost of medical care are having a profound impact on psychiatric residency training programs, which must cope with diminishing levels of funding from both federal and private sources. The programs are also being buffeted by other forces that help shape psychiatry's manpower needs, such as the corporatization of American medicine, new models of health care delivery, the regulation of medical care, the trend toward subspecialization, a perceived oversupply of physicians, and the growing number of mental health professionals who are not physicians. The author discusses how these developments are impinging on residency training programs and what the programs can do to meet the challenges they pose. He believes psychiatry will be best served by resisting tendencies to compromise on the quality of training for its future practitioners.
控制医疗成本的努力正在对精神科住院医师培训项目产生深远影响，这些项目必须应对来自联邦和私人来源的资金水平不断下降的问题。这些项目还受到其他有助于塑造精神病学人力需求的力量的冲击，比如美国医疗的公司化、新的医疗保健提供模式、医疗监管、专科化趋势、人们认为医生供应过剩，以及非医生心理健康专业人员数量的不断增加。作者讨论了这些发展如何影响住院医师培训项目，以及这些项目可以采取哪些措施来应对它们带来的挑战。他认为，抵制在为未来从业者提供培训质量方面妥协的倾向，将最有利于精神病学的发展。
