Academic Psychiatry 23:61-70, June 1999
© 1999 Academic Psychiatry
The Quality of Psychiatric Residency
The Assessment of Programs and Options for Distributing Psychiatric Residents in the Service of Health Care Reform
AADPRT Task Force on the Quality of Residency Programs
AADPRT Task Force on the Quality of Residency Programs: Chair: Joel Yager, M.D. Work Group Leaders: Nathan Smith, M.D., Framing the Debate, with contributions by Deborah Spitz, M.D.; James W. Thompson, M.D., Estimating the Need for Psychiatrists, with contributions by Arnold Andersen, M.D., Tina Lee, M.D., and S.K. Park, M.D.; Richard L. Elliott, M.D., Ph.D., Defining the Quality of Psychiatric Residency Programs, with contributions by David Greenfeld, M.D., Nalini V. Juthani, M.D., Eugene H. Rubin, M.D., and W. Douglas Skelton, M.D.; Bryce Templeton, M.D., Methods of Assessment; Gordon D. Strauss, M.D., Options, with contributions by Brent Coyle, M.D., Vivien Burt, M.D., Ph.D., Steven K. Dobscha, M.D., Steven Kramer, M.D., John Kuldau, M.D., Joan Lang, M.D., and Bruce Levy, M.D.
Address correspondence and reprint requests to Dr. Yager, Department of Psychiatry, University of New Mexico School of Medicine, 2400 Tucker, NE, Albuquerque, NM 87131–5326; e–mail: jyager{at}unm.edu
Recent health care reform initiatives proposed training fewer medical specialists, including psychiatrists, and determining the size and location of training programs via centralized regulatory mechanisms. Facing such potential future developments, the American Association of Directors of Psychiatric Residency Training appointed a Task Force on the Quality of Residency Programs to develop informed recommendations for the field. This paper describes the Task Force's considerations and recommendations concerning how the least damaging and most effective decisions could be made regarding the distribution of residency positions, program size, and the future funding of training stipends. The recommendations emphasize voluntary decisions, feedback from local and regional stakeholders regarding perceived needs and demands for psychiatrists, and Federal or regional funding of post-graduate training stipends that are not primarily tied to providing clinical services. (Academic Psychiatry 1999; 23:61–70)
Key Words: Residency Training • Health Care Reform • Quality
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