
Psychosomatics 41:204-209, June 2000
© 2000 The Academy of Psychosomatic Medicine
Quo Vadis, Psychiatry?
Problems and Potential for the Future of Medical Student Education in Psychiatry
Alan Stoudemire, M.D.
"Quo vadis, psychiatry?" or translated, "Psychiatry, where are you going?" was received June 16, 1999; revised November 9, 1999; accepted November 25, 1999. Published posthumously. Dr. Stoudemire died February 2, 2000.
Psychiatric education occupies a relatively low status level in most academic departments of psychiatry. This problem may be in part because career teachers rarely generate sustained external grant support. Their salaries may be regarded as perpetual drains on the budgets of department chairs. The author explores a possible relationship between the decline in the emphasis on psychiatric education and the decline in the number of medical students entering psychiatric residency programs. Recommendations for improvement in the support of psychiatric education are made that focus on greater accountability of how tuition fees are distributed to support the salaries of faculty educators. The unique role that consultation-liaison (C-L) psychiatry occupies in psychiatric education, the effects of managed care on C-L psychiatry, and the special problems that C-L psychiatry currently faces with its strong emphasis on nonreimbursable educational activities are discussed. Revitalization of the importance of education in undergraduate medical education is vital for the future of psychiatry.
Key Words: Medical Student Education
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