The Biopsychosocial Model of Program Self-Evaluation: an Innovative and Holistic Approach to Enhance Child and Adolescent Psychiatry Training and Recruitment

  • Ayesha WaheedEmail author
  • Julie M. Sadhu
  • Anna J. Kerlek
  • Paul C. Lee
Feature: Perspective

Over the past few years, general psychiatry residency programs have seen a steady rise in the number of applicants. In contrast, although there has been an overall increase in the number of child and adolescent psychiatry (CAP) fellows over the past two decades, many CAP fellowship programs continue the much longer history of struggling to fill their allocated positions [1, 2, 3]. The number of applicants for child and adolescent psychiatry programs is smaller than the number of allocated spots nationally. Consequently, recruitment is a challenging task for these programs. Many factors play a part in this chronic and ongoing problem [3, 4]. The National Resident Matching Program (NRMP) has developed the “Match Communication Code of Conduct” to provide ethical guidelines for the interface between programs and applicants who utilize the Match process [5]. However, there is no systematic blueprint, framework, or methodical approach that CAP program directors can utilize to become...


Compliance with Ethical Standards


Dr. Waheed, Dr. Kerlek, and Dr. Lee report no disclosures or conflict of interest. Dr. Sadhu receives book royalties from the Concise Guide to Child and Adolescent Psychiatry, Fifth Edition, published by American Psychiatric Association Publishing.

The opinions expressed in this paper are those of the authors and do not reflect the official policy or position of the Department of the Army, Department of Defense, or the US Government.


  1. 1.
    Beresin EV, Borus JF. Child psychiatry fellowship training: a crisis in recruitment and manpower. Am J Psychiatry. 1989;146(6):759–63.CrossRefGoogle Scholar
  2. 2.
    NRMP Results and data specialties matching service, 2017 appointment year. Accessed 4 Nov 2017.
  3. 3.
    Silver LB. Child psychiatry perspectives. The crisis in child psychiatry recruitment in the United States--circa 1980. J Am Acad Child Psychiatry. 1980;19(4):711–9.CrossRefGoogle Scholar
  4. 4.
    Shaw JA, Lewis JE, Katyal S. Factors affecting recruitment into child and adolescent psychiatry. Acad Psychiatry. 2010;34(3):183–9.CrossRefGoogle Scholar
  5. 5.
    NRMP Match communication code of conduct. Accessed 4 Nov 2017.
  6. 6.
    Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196(4286):129–36.CrossRefGoogle Scholar
  7. 7.
    Engel GL. The clinical application of the biopsychosocial model. Am J Psychiatry. 1980;137(5):535–44.CrossRefGoogle Scholar

Copyright information

© Academic Psychiatry 2019

Authors and Affiliations

  1. 1.Drexel University College of MedicinePhiladelphiaUSA
  2. 2.Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  3. 3.Wexner Medical CenterThe Ohio State UniversityColumbusUSA
  4. 4.Tripler Army Medical CenterUniversity of Hawaii John A. Burns School of MedicineHonoluluUSA

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