Psychiatric Quarterly

, Volume 86, Issue 3, pp 325–335 | Cite as

Career Paths and Trends: How Does One Become a Leader in Psychiatric Administration? Implications for Residency Training

  • Farooq MohyuddinEmail author
  • Ashwin Jacob Mathai
  • Pamela Weinberg
  • Sy Atezaz Saeed
Original Paper


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.


Psychiatric 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.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Farooq Mohyuddin
    • 1
    Email author
  • Ashwin Jacob Mathai
    • 2
  • Pamela Weinberg
    • 3
  • Sy Atezaz Saeed
    • 4
  1. 1.Saint Elizabeths Hospital/DBHWashington DCUSA
  2. 2.Psychiatry Residency Training ProgramSaint Elizabeths Hospital/DBHWashington DCUSA
  3. 3.Promoting Specialized Care and Health, Inc.FlushingUSA
  4. 4.Department of Psychiatry and Behavioral Medicine, Brody School of MedicineEast Carolina UniversityGreenvilleUSA

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