Child and adolescent psychiatric clinics of North America
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This article briefly describes the background and development of the core competencies in medicine and their relevance to various levels of medical education: undergraduate, graduate, and post-graduate. The current status and issues of the competencies for each state of training--medical schools, residencies, and continuing medical education--are reviewed. Strategies for developing and implementing the core competencies into child and adolescent psychiatry training are discussed.
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This article provides a summary of the history of the development of the subspecialty of child and adolescent psychiatry and the concomitant development of training in the field. The historical perspective provides a context for the discussion of an overview of child and adolescent psychiatry training in the twenty-first century. Four challenges are identified: recruitment, funding, curriculum, and assessment and remediation, each of which is discussed in some depth. The article concludes with a perspective that focuses efforts in training more on basic core competencies rather than the rapidly expanding and changing medical knowledge and specific clinical interventions relevant to the field.