The authors attempt to better understand the recent decline in the number of applicants to addiction psychiatry training.
The Corresponding Committee on Training and Education in Addiction Psychiatry of APA's Council on Addiction Psychiatry sent out a 14-question anonymous e-mail survey to all postgraduate-year 2 (PGY-2) through PGY-4 APA Members-in-Training. The questions explored residents' beliefs and attitudes toward addiction psychiatry and sought their opinion on how training in addiction psychiatry can be made more attractive to them.
Of 2,511 eligible psychiatric residents surveyed nationally, 276 (10.6%) residents responded to the survey. Residents who responded had a generally positive impression of addiction psychiatrists but expressed much less favorable attitudes toward the practice of addiction psychiatry. Respondents provided three major subsets of suggestions: employment security and compensation, optimize PGY-1-4 addiction training, and fellowship training issues.
These findings may be used to improve addiction psychiatry training and recruitment.
[Show abstract][Hide abstract] ABSTRACT: The current state of addiction training in medical schools, residencies including psychiatry, and addiction psychiatry and addiction medicine fellowships is presented. Deficits in addiction training are described as well as proposed models targeting training of relevant addiction clinical competencies. Specific recommendations address future roles for psychiatrists who specialize in addiction. Tables and boxes describe addiction training in medical school, residencies, and addiction fellowships, and outline a select history of physician contributions to the addiction field and physician education. Proposed competencies for primary care residents, principles of the patient-centered medical home, and recommended skillsets of tomorrow's psychiatry addiction specialists are outlined.
The Psychiatric clinics of North America 06/2012; 35(2):461-80. DOI:10.1016/j.psc.2012.04.001 · 1.87 Impact Factor
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