title: Parameters of training, academic involvement, and practice setting predictive of retention in combined medical-psychiatric practice.
abstract: OBJECTIVE
  The authors contrasted physicians trained in both psychiatry and another specialty who continue to practice both specialties vs. those who practice only psychiatry, in terms of their training, academic profile, and practice setting.
  
  
  METHODS
  The authors analyzed survey responses from 132 doubly boarded physicians who vary in whether or not they continue to practice both specialties. Group results were compared using chi square, Fisher exact, and t tests.
  
  
  RESULTS
  Of graduates of double-board programs, 79.2% continue in dual practice. Other factors associated with continued combined practice were training in neurology-psychiatry, greater academic involvement, high motivation, practice in a non-public hospital setting, and demonstrated leadership capacity.
  
  
  CONCLUSIONS
  Double-board training programs have been successful in producing a group of clinicians committed to long-term combined medical-psychiatric practice, but this effect is stronger in psychiatry-neurology than in other types of combined practice. Future research should investigate other practice parameters that foster or impede integrated medical-psychiatric care.
authors.affiliation: Tufts Medical Center, Boston, MA, USA, ESilberman@tuftsmedicalcenter.org.
authors.forename: Edward
authors.initials: E
authors.lastname: Silberman
authors.forename: Paul
authors.initials: P
authors.lastname: Summergrad
authors.forename: Lori
authors.initials: L
authors.lastname: Price
mesh_terms: D002321:Career Choice; D005194:Family Practice / Q000706:statistics & numerical data*; D006801:Humans; D007388:Internal Medicine / Q000706:statistics & numerical data*; D008875:Middle Aged; D009462:Neurology / Q000706:statistics & numerical data*; D010820:Physicians / Q000706:statistics & numerical data*; D011364:Professional Practice / Q000706:statistics & numerical data*; D011570:Psychiatry / Q000706:statistics & numerical data*; D013044:Specialty Boards / Q000706:statistics & numerical data