Career Paths and Trends: How Does One Become a Leader in Psychiatric Administration? Implications for Residency Training
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In the changing landscape of healthcare the number of psychiatrists entering leadership positions has declined steadily over the years. One factor contributing to this appears to be lack of leadership training during residency training. International competency frameworks have addressed this and some programs, both national and international, have designed innovative curricula to provide didactic and experiential learning in administration during and after residency. Despite guidelines by the Accreditation Council for Graduate Medical Education regarding competency in administrative aspects of health care delivery, most psychiatrists feel ill-equipped to assume a leadership position after residency training. Inculcating comprehensive administrative training into residency faces many challenges related to funding and saturation of existing curricula. Administrative training should be a mandatory element in the training of all residents irrespective of the setting in which they intend to practice. Accreditation Council for Graduate Medical Education should consider taking a prescriptive approach in shaping competency frameworks to address the need for residents to be fluent in administrative aspects of practice. Training psychiatrist-administrators will be crucial in the future of mental health-care, both from the perspective of consumers as well as psychiatry as a specialty.
KeywordsPsychiatric leadership Leadership training in psychiatry residency Training psychiatric administrators
This study was not funded by any grants.
Conflict of interest
Farooq Mohyuddin, Ashwin Jacob Mathai, Pamela Weinberg, and Sy Atezaz Saeed declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
- 10.Breakey WR: Modern community psychiatry. In Breakey WR (Ed), Integrated Mental Health Services. New York, Oxford University Press, pp. 3–11, 1996Google Scholar
- 20.Somers JL, Goldner EM, Leseage AD, et al. Filling gaps in psychiatric education: Skills in administrative psychiatry and knowledge of mental health systems, services and policy. The Canadian Journal of Psychiatry 49:1–6, 2004.Google Scholar
- 22.Mintzberg H: The Structuring of Organisations: A synthesis of the research. Englewood Cliffs, Prentice Hall, 1979.Google Scholar
- 23.Ham C, Dickinson H: Engaging Doctors in Leadership: What we Can Learn from International Experience and Research Evidence? Birmingham, NHS Institute for Innovation and Improvement, 2008.Google Scholar
- 27.Sockalingam S, Stergiopoulos V, Maggi J: Residents’ perceived physician-manager educational needs: A national survey of psychiatry residents. The Canadian Journal of Psychiatry 53:745–752, 2008.Google Scholar
- 29.Special Requirements for Residency Education in Psychiatry, in Graduate Medical Education Directory 194–195. Chicago, American Medical Asociation, l94, p. 148, 2006Google Scholar
- 31.Borus JF: Teaching residents the administration aspects of psychiatric practice. American Journal of Psychiatry 140:44–48, 1983.Google Scholar
- 32.Talbot JA, Sachs J: Teaching psychiatric administration to senior residents. Administration in Mental Health 9:281–288, 1982.Google Scholar
- 35.Frank JR: The CanMEDS 2005 physician competency framework: Better standards. Better physicians. Better care. In: Frank JR, (Ed) The Royal College of Physicians and Surgeons of Canada, Ottawa, 2005.Google Scholar
- 36.NHS Institute for Innovation and Improvement and Academy of Medical Royal Colleges, 2010.Google Scholar
- 37.http://acgme.org/acgmeweb/Portals/0/PDFs/Milestones/PsychiatryMilestones.pdf. The Milestones project, 2013.
- 39.Talbot JA, Hales RE, Keill SL (Eds): Textbook of Administrative Psychiatry, 1st edn., Washington, DC, American Psychiatric Press, 1992.Google Scholar