title: Overview of training in the twenty-first century.
abstract: 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.
authors.affiliation: Division of Child, Adolescent and Family Psychiatry, Department of Psychiatry and Health Behavior, Medical College of Georgia, 1515 Pope Avenue, Augusta, GA 30912-3800, USA. ssexson@mail.mcg.edu
authors.forename: Sandra B
authors.initials: SB
authors.lastname: Sexson
mesh_terms: D000293:Adolescent; D000296:Adolescent Psychiatry / Q000193:education*; D002321:Career Choice; D002648:Child; D002665:Child Psychiatry / Q000193:education*; D002983:Clinical Competence; D003479:Curriculum / Q000639:trends; D004503:Education, Medical, Graduate / Q000639:trends*; D005544:Forecasting; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D007396:Internship and Residency / Q000639:trends*; D013038:Specialization / Q000639:trends; D013044:Specialty Boards / Q000639:trends; D014481:United States; D000078329:Workforce