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Child and Adolescent Psychiatry Fellowship Program Participation in the National Resident Matching Program Match: Trends and Implications for Recruitment



Recruitment is one of the most important missions for the Child and Adolescent Psychiatry (CAP) Caucus of the American Association of Directors of Psychiatric Residency Training, the American Academy of Child and Adolescent Psychiatry, and the American Association of Directors of Child and Adolescent Psychiatry. A review of the National Resident Matching Program (NRMP) Match data is needed to inform current and future practices.


The NRMP, Accreditation Council for Graduate Medical Education, and Association of American Medical College databases were queried from 1996 to 2021.


The NRMP data show that the number of programs participating in the Match has increased from 87 in 1996 to 106 in 2021 and that the percentage of programs that fill their positions in the Match is increasing and has increased from 41% in 1996 to 67% in 2021. However, each year, a percentage of programs do not fill their positions offered in the Match. The numbers indicate a surplus of positions for the number of applicants that appears to be increasing, and there are currently 49 more positions than applicants.


Trends in the CAP Match are encouraging, and importantly, more programs and applicants are using the Match. One concerning trend is the surplus of positions while there is a great need for child psychiatrists. More research is needed on the incentives for programs and applicants to participate in the Match and how to increase interest in child and adolescent psychiatry.

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  1. Ascherman LI, Lamps C. The child and adolescent psychiatry match: problems and potential solutions. Acad Psychiatry. 2005;29(1):8–13.

    Article  Google Scholar 

  2. Sargent J. A viable match is essential for child and adolescent psychiatry residencies. Acad Psychiatry. 2005;29(1):6–7.

    Article  Google Scholar 

  3. Joshi SV, Stock S, Adams A, Gleason MM, Varley CK. Statement regarding the National Resident Matching Program Child and Adolescent Psychiatry Match: a call to uphold the gentlepersons’ agreement. Acad Psychiatry. 2016;40(3):552–4.

    Article  Google Scholar 

  4. Santos CW, Sexson S, American Association of Directors of Psychiatric Residency Training Executive Committee and Child and Adolescent Caucus, American Academy of Child and Adolescent Psychiatry Work Group on Training Education, Society of Professors of Child and Adolescent Psychiatry. Supporting the child and adolescent psychiatry match. J Am Acad Child Adolesc Psychiatry. 2002;41(12):1398–400.

    Article  Google Scholar 

  5. Fox GS. An open letter regarding the failed child/adolescent psychiatry match. AADPRT Newsletter. 1994.

  6. Gressel GM, Van Arsdale A, Dioun SM, Goldberg GL, Nevadunsky NS. The gynecologic oncology fellowship interview process: challenges and potential areas for improvement. Gynecol Oncol Rep. 2017;20:115–20.

    Article  Google Scholar 

  7. Lee MV, Katzen JT, Al-Khalili R, Choudhery S, Whitman G, Brem R. Breast imaging fellowship match: applicants’ perspectives of years two and three. J Breast Imaging. 2020;2(5):471–7.

    Article  Google Scholar 

  8. Glover M, Patel TY. The radiology fellowship arms race cannot be won. J Am Coll Radiol. 2016;13(4):461–4.

    Article  Google Scholar 

  9. Harner CD, Ranawat AS, Niederle M, Roth AE, Stern PJ, Hurwitz SR, et al. AOA symposium: current state of fellowship hiring: is a universal match necessary? Is it possible? J Bone Joint Surg Am. 2008;90(6):1375–84.

    Article  Google Scholar 

  10. Cannada LK, Luhmann SJ, Hu SS, Quinn RH. The fellowship match process: the history and a report of the current experience. J Bone Joint Surg Am. 2015;97(1):e3.

    Article  Google Scholar 

  11. Renno M, Maurice AD, Kennedy C, Mink R. The pediatric subspecialty match: past, present, and future. J Pediatr. 2016;173:4–5.

    Article  Google Scholar 

  12. National Resident Matching Program. Results and Data: Specialties Matching Service Appointment Years(s). National Resident Matching Program, Washington, DC, 2008–2020.

  13. Sengupta S, Jacobson S, Williamson E. Straight on through: the current state of child tracks in psychiatry residency. Acad Psychiatry. 2019.

    Article  PubMed  Google Scholar 

  14. Harris JC. Meeting the workforce shortage: toward 4-year board certification in child and adolescent psychiatry. J Am Acad Child Adolesc Psychiatry. 2018;57(10):722–4.

    Article  Google Scholar 

  15. Shaw JA, Lewis JE, Katyal S. Factors affecting recruitment into child and adolescent psychiatry training. Acad Psychiatry. 2010;34(3):183–9.

    Article  Google Scholar 

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Thank you to Don Hilty for bringing this group together.

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Correspondence to Edwin Williamson.

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Shashank Joshi and Erica Shoemaker are past or present AADPRT CAP Caucus Chairs. Shashank Joshi, A. Lee Lewis, Erica Shoemaker, Edwin Williamson, and Isheeta Zalpuri are past or present members of the AACAP Training and Education Committee. Anna Kerlek is chair of the AADPRT Recruitment Committee. Erica Shoemaker is a Guest Editor of Academic Psychiatry. Manuscripts that are authored by a member of the Editorial Board undergo the same editorial review process applied to all manuscripts, including double anonymous review.

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Williamson, E., Shoemaker, E., Kim, A. et al. Child and Adolescent Psychiatry Fellowship Program Participation in the National Resident Matching Program Match: Trends and Implications for Recruitment. Acad Psychiatry 46, 25–30 (2022).

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