Objective: To consider how shifting scientific, technological, social, and financial pressures are likely to significantly alter psychiatric practice, careers, and education in the 21st century, this article reviews trends and innovations likely to have an effect on tomorrow's psychiatrists and their educators. Results: The psychiatric profession…

Objective: The National Institute of Mental Health (NIMH) determined that declines in the psychiatrist-researcher workforce are harming public needs and that significant steps are necessary to alter current trends. Method: The NIMH commissioned the Institute of Medicine (IOM) to examine the undersupply and recommend solutions. The NIMH…

Objective: The authors describe the evolution of a novel national training program to develop minority faculty for mental health services research careers. Recruiting, training, and sustaining minority health professionals for academic research careers in mental health services research have proven challenging. Method: Over the past 8 years the…

Objective: The authors describe the complexity of social processes for implementing technological change. Once a new technology is available, information about its availability and benefits must be made available to the community of users, with opportunities to try the innovations and find them worthwhile, despite organizational resistances.…

Objective: The Residency Review Committee (RRC) requirement that residents must achieve competency in psychodynamic psychotherapy has generated considerable deliberation. Methods: The authors debated this subject at the 2004 American Psychiatric Association (APA) meetings. Results: Arguments favoring current requirements emphasize the importance…

Objective: This article provides a brief overview of important issues for educators regarding medical education and technology. Methods: The literature describes key concepts, prototypical technology tools, and model programs. A work group of psychiatric educators was convened three times by phone conference to discuss the literature. Findings…

A Clinical Experience Worksheet (CEW) system developed for recording and monitoring overall clinical experience in the psychiatric residency program at the University of California at Los Angeles (UCLA) is described. Methods for using the monthly hand-tallied form are discussed along with its advantages for individual and program evaluation. (JT)

Little striking difference was found between students choosing psychiatry as a first career choice and those choosing it second or third. Results imply recruiting students in the last two groups for psychiatry specialization may be difficult, based on their attitudes about scientific advancement and social status in the profession. (MSE)