Academic Psychiatry 27:252-259, December 2003
© 2003 Academic Psychiatry
Recruitment of U.S. Medical Graduates Into Psychiatry: Reasons for Optimism, Sources of Concern
Frederick S. Sierles, M.D.,
Joel Yager, M.D. and
Sidney H. Weissman, M.D.
Dr. Sierles is Professor of Psychiatry and Behavioral Sciences at Finch University of Health Sciences/The Chicago Medical School. Dr. Yager is Professor and Vice Chair for Education in Psychiatry at the University of New Mexico, Albuquerque, New Mexico and Professor Emeritus of Psychiatry at the University of California at Los Angeles. Dr. Weissman is Professor of Clinical Psychiatry and Director of Psychiatric Residency Training at Northwestern University. Address correspondence to Dr. Sierles, 3333 Green Bay Road, North Chicago, IL 60064, sierlesf{at}mis.finchcms.edu (E-mail).
The authors explain the importance of recruiting U.S. medical graduates into psychiatry, give reasons for optimism about future recruitment, express concerns about problems that could hinder it, and recommend ways to address these concerns. Reasons for optimism include: features of the specialty, such as its focus on the doctor/patient relationship; its increasing job availability and incomes; its scientific achievements; the peaking and possible fading of the National Generalist Initiative; and a 5-year upward recruitment trend. Concerns are: low "overt" interest in psychiatry among entering medical students; clerkship directors' perceptions of a negative educational impact of managed care; graduating seniors' suboptimal satisfaction with their psychiatry clerkships; and what is likely to be a small impact of New Mexico legislation on prescribing privileges for psychologists. The authors make recommendations for addressing these concerns.
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