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Innovative Training in Pediatrics, General Psychiatry, and Child Psychiatry: Background, Outcomes, and Experiences

Received October 12, 2007; revised January 28, 2008; accepted January 28, 2008. Dr. Gleason is affiliated with the Department of Psychiatry and Neurology at Tulane University School of Medicine in New Orleans. Dr. Fritz is affiliated with the Department of Child Psychiatry at Brown University in Providence, R.I. Address correspondence to Mary Margaret Gleason, M.D., FAAP, Assistant Professor, Psychiatry and Neurology, Tulane University School of Medicine, 1440 Canal Street TB 52, New Orleans LA 70112; mgleason{at}tulane.edu (e-mail).

OBJECTIVES: The authors describe the history, rationale, and outcomes of combined training programs in pediatrics, psychiatry, and child psychiatry ("triple board"), including narrative feedback from graduates and reflections upon the important components of the program. METHODS: This article reviews the background and experiences of triple board graduates and programs using published data regarding triple board history and outcomes, reflections and follow-up information collected from triple board graduates as part of a national triple board network development, and direct experiences with triple board training programs. RESULTS: The triple board training program provides a unique training background for physicians who serve children and their families. The programs train physicians who seek out additional training opportunities, succeed in passing board certification examinations, and earn national recognition. Additionally, feedback from graduates reflects satisfaction with training experiences. CONCLUSION: The outcomes from this experiment in integrated training in child psychiatry support the consideration of expanding triple board training programs and introducing new innovations in training.

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