About 20% of children in the United States (US) have a diagnosed mental health disorder; half of them did not receive treatment from a mental health professional pre-pandemic [1]. The COVID-19 pandemic has exacerbated pre-existing mental health burden and healthcare disparities [2]. Improving pediatric mental health outcomes positively impacts educational and judicial systems, family functioning, and future employment, and decreases caregiving costs [3]. But access to care has been partly limited by the workforce shortage in child and adolescent psychiatry (CAP). We describe some possible solutions to this workforce shortage including introducing innovative shortened training pathways and tapping global trends in CAP training that efficiently address population needs.About 8300 physicians practice CAP in the US [4]; their distribution is skewed. Massachusetts has as many child and adolescent psychiatrists as Oklahoma, Indiana, Georgia, Mississippi, and Tennessee combined, though 5 times as