METHODS: A 25-item questionnaire was sent to all adult psychiatry, CAP fellowship, triple-board residency program directors, and coordinators in the US to disseminate to their trainees. Questionnaires also were disseminated via professional groups on social media, and through psychiatry student interest groups to medical students.
RESULTS: A total of 369 people responded, of which 315 questionnaires were evaluable. Approximately half of the respondents were CAP fellows or EC CAP. Most decided to pursue a career in child psychiatry during medical school. Forty-three percent owed more than $200,000 in educational debt. The top reasons for pursuing a career in child and adolescent psychiatry included working with children, finding it to be a rewarding career, and finding it intellectually stimulating. A switch to a 1-year fellowship and higher income potential were noted to be factors that may increase consideration for CAP fellowship among those who chose not to pursue it.
CONCLUSIONS: The majority of early career child and adolescent psychiatrists were recruited during medical school, motivated by altruistic reasons. Early child psychiatry exposure, a means of addressing physician debt, providing additional incentives in geographically undesirable locations, and improving compensation, is needed to improve recruitment to this specialty.
方法:向所有成人精神病学家发送了25项问卷,CAP研究金,三板居住项目主任,和美国的协调员向他们的学员传播。问卷也通过社交媒体上的专业团体传播,并通过精神病学学生兴趣小组到医学生。
结果:共有369人回答,其中315份问卷是可评估的。大约一半的受访者是CAP研究员或ECCAP。大多数人决定在医学院期间从事儿童精神病学。43%的人欠了超过20万美元的教育债务。从事儿童和青少年精神病学工作的主要原因包括与儿童一起工作,发现这是一个有价值的职业,发现它在智力上很刺激。有人指出,改用1年研究金和更高的收入潜力是可能增加选择不追求CAP研究金的人对CAP研究金的考虑的因素。
结论:大多数早期职业儿童和青少年精神科医生是在医学院期间招募的,出于利他主义的原因。早期儿童精神病学暴露,一种解决医生债务的方法,在地理上不受欢迎的地方提供额外的激励,改善补偿,需要改进这一专业的招聘。