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Psychiatry Residency Training Around the World

Received August 29, 2006, revised November 21, 2006; accepted December 15, 2006. Drs. Zisook, Everall, Dunn, Ganadjian, Jin, and Sciolla are affiliated with the University of California, San Diego, California. Dr. Balon is affiliated with the Department of Psychiatry, Wayne State University, Detroit, Michigan. Dr. Björkstén is affiliated with the Department of Psychiatry, Nacka Hospital, Nacka, Sweden. Dr. Parikh is affiliated with the Department of Psychiatry, University of Toronto, Ontario, Canada. Dr. Sidhartha is affiliated with the Department of Psychiatry, University of Texas, Southwestern, Dallas, Texas. Dr. Yoo is affiliated with the Department of Psychiatry, University of California, Riverside, California. Address correspondence to Dr. Zisook, University of California, San Diego, Department of Psychiatry, 9116-A, 9500 Gilman Drive, La Jolla, CA 92093; szisook{at}ucsd.edu (e-mail).

OBJECTIVE: The authors compare and contrast psychiatry residency training in the United States to that in Canada and selected countries in South America, Europe, and Asia. METHOD: Nine individuals who are intimately familiar with psychiatry residency training in the United States (primarily chairs, training directors, associate training directors, or residents) and who trained in other countries describe their past training programs in terms of clinical experiences, didactic structure, supervision, evaluation, and major differences from U.S. training. RESULTS: Medical education and psychiatry training vary considerably in different regions in terms of the duration of training, structure of clinical experiences, level of responsibility and autonomy of trainee, amount of classroom teaching, national examinations, and credentialing. Some are much less structured than training in the United States (e.g., Sweden) while others are somewhat more structured (e.g., Korea), but differences appear to be lessening. CONCLUSIONS: Although similarities outweigh differences between programs in various continents and countries, training programs around the globe have much to learn from each other.

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