Thompson J W, Checker A, Witkin M J, Silverman M M, Goldman H H
Am J Psychiatry. 1983 Jun;140(6):704-7. doi: 10.1176/ajp.140.6.704.
There has been national concern regarding the decreasing number of U.S. medical students entering psychiatric residency training programs in the 1970s at the same time that the Graduate Medical Education National Advisory Committee (GMENAC) report designated psychiatry as one of only three medical specialties with a manpower shortage. The authors document the decline in psychiatric residents in state mental hospitals from 1975 to 1980 and analyze five possible explanations for this absolute and relative decrease. They discuss approaches to altering the situation as well as the emerging role of the state mental hospital in the future training of psychiatric residents.
20世纪70年代，美国医学生进入精神科住院医师培训项目的人数不断减少，这引起了全国的关注。与此同时，毕业后医学教育全国咨询委员会（GMENAC）的报告将精神病学列为仅有的三个存在人力短缺的医学专科之一。作者记录了1975年至1980年州立精神病院精神科住院医师人数的下降情况，并分析了导致这种绝对和相对下降的五种可能原因。他们讨论了改变这种状况的方法，以及州立精神病院在未来精神科住院医师培训中日益凸显的作用。
