Abstract
Objective
This article reviews the current status and recent trends in the American Board of Psychiatry and Neurology (ABPN) psychiatric subspecialties and discusses the implications of those trends as well as several key questions whose answers may well determine subspecialty viability.
Methods
Data are presented on specialty and subspecialty programs; graduates; and ABPN certification candidates and diplomates drawn from several sources, including the records of the ABPN, the websites of the Accreditation Council for Graduate Medical Education and the American Medical Association, and the annual medical education issues of JAMA.
Results
Fewer than half of psychiatry graduates pursue sub-specialty training. While most recent specialty graduates attempt to become certified by the ABPN, many subspecialists elect not to do so. There have been recent decreases in the number of fellowship programs and trainees in geriatric psychiatry and addiction psychiatry. The pass rates for fellowship graduates are superior to those for the “grandfathers” in all of the newer psychiatric subspecialties. Lower percentages of subspecialists than specialists participate in maintenance of certification, and maintenance of certification pass rates are high.
Conclusion
The initial interest in training and certification in some of the ABPN subspecialties appears to have slowed, and the long-term viability of those subspecialties may well depend on the answers to a number of complicated social, economic, and political questions in the new health care era.
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References
Stevens R: American Medicine and the Public Interest: A History of Specialization. Berkeley, University of California Press, 1971
Ludmerer KM: Time to Heal: American Medical Education From the Turn of the Century to the Era of Managed Care. New York, Oxford University Press, 1998
Council on Graduate Medical Education: 2002 Summary Report. Rockville, Md, Department of Health and Human Services, Health Resources and Services Administration, 2002
Council on Graduate Medical Education: Sixteenth Report: Physician Workforce Policy Guidelines for the United States, 2000–2020. Rockville, Md, Department of Health and Human Services, Health Resources and Services Administration, 2005
Langsley DG: Certification in psychiatry and neurology: past, present, and future, in Certification, Recertification, and Lifetime Learning in Psychiatry. Edited by Shore JH, Scheiber SC. Washington, DC, American Psychiatric Press, 1994, pp 19–34
Juul D, Scheiber SC, Kramer TAM: Subspecialty certification by the American Board of Psychiatry and Neurology. Acad Psychiatry 2004; 28:12–17
American Board of Psychiatry and Neurology: ABPN Criteria for Approving New Subspecialties. Buffalo Grove, Ill, American Board of Psychiatry and Neurology, 2008
American Board of Medical Specialties: ABMS Reference Handbook and Certificate Statistics. Evanston, Ill, American Board of Medical Specialties, 2008
Accreditation Council for Graduate Medical Education: Accredited programs by academic year. Available at www.acgme.org/adspublic/reports/accredited_programs.asp
American Medical Association: FREIDA online graduates’ career plans. Available at https://freida.ama-assn.org/Freida/user/specStatisticsSearch.do?method=viewGraduates&=400&pageNumber=3
Graduate medical education. JAMA 2002; 288:1151–1164
Graduate medical education. JAMA 2003; 290:1234–1248
Graduate medical education. JAMA 2004; 292:1099–1113
Graduate medical education. JAMA 2005; 294:1129–1143
Brotherton SE, Etzel SI: Graduate medical education, 2005–2006. JAMA 2006; 296:1154–1169
Brotherton SE, Etzel SI: Graduate medical education, 2006–2007. JAMA 2007; 298:1081–1096
Brotherton SE, Etzel SI: Graduate medical education, 2007–2008. JAMA 2008; 300:1228–1243
Brotherton SE, Etzel SI: Graduate medical education, 2008–2009. JAMA 2009; 302:1357–1372
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Faulkner, L.R., Juul, D., Andrade, N.N. et al. Recent Trends in American Board of Psychiatry and Neurology Psychiatric Subspecialties. Acad Psychiatry 35, 35–39 (2011). https://doi.org/10.1176/appi.ap.35.1.35
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DOI: https://doi.org/10.1176/appi.ap.35.1.35