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Downsizing Psychiatric Residency Programs

A Pilot Study

Dr. Yager is professor and vice chair for education, Department of Psychiatry, University of New Mexico School of Medicine; Dr. Burt is associate professor of clinical psychiatry, Department of Psychiatry and Biobehavioral Sciences, School of Medicine, University of California at Los Angeles, and medical director, Mental Health Clinic, West Los Angeles VA Medical Center (Brentwood Division); and Dr. Mohl is professor and director of residency training, Department of Psychiatry, University of Texas, Southwestern Medical School. Address reprint requests to Dr. Yager, Department of Psychiatry, University of New Mexico School of Medicine, 2400 Tucker, N.E., Albuquerque, NM 87131–5326. E-mail: jyager{at}unm.edu

Under the varied pressures of decreasing recruitment of American medical school graduates into psychiatry, the thrust of health care policymakers to decrease the production of specialist physicians, and financial cutbacks for training by hospitals, universities, and governments at all levels, many psychiatric training programs are considering downsizing or have already implemented plans to do so. The authors describe the motivations, early experiences, anticipated concerns, and thoughts regarding downsizing obtained from interviews or questionnaires provided by 17 programs in 1993. On the basis of the authors' experiences, some recommendations are offered for the many programs likely to deal with this issue in the future.

Key Words: downsizing • residency program

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