The Child and Adolescent Psychiatry Match: Problems and Potential Solutions

Abstract

Alternatively, problems exposed in the initial years of the Child and Adolescent Psychiatry Match present the opportunity to design solutions that will strengthen it. These include the establishment of an Accreditation Council for Graduate Medical Education (ACGME) requirement that all programs participate in the Match, empowerment of the Child and Adolescent Psychiatry Match Review Board to lever meaningful responses to Match violations, and the restriction of previously matched residents from enrollment in subsequent Matches without clarification of the circumstances that led to their original Match agreement not being honored.

Current Challenges and Future Opportunities for Child and Adolescent Psychiatry in Japan

“…In the US, as specified by the Accreditation Council for Graduate Medical Education (ACGME), 67 all CAP training programs must incorporate training and assessment in six major competency areas: patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. 68 In Europe, notwithstanding variability in specific training pathways across countries, 69 the European Union of Medical Specialists (UEMS) has outlined a standard CAP curriculum that includes a minimum length of three years, certain basic competency goals, and an approval and auditing process by relevant government authorities responsible for education and training. 70 …”

Child and Adolescent Psychiatry Fellowship Program Participation in the National Resident Matching Program Match: Trends and Implications for Recruitment

“…During the 25 years of use, the role of the Match in recruitment for child and adolescent psychiatry has been discussed at length at the American Academy of Child and Adolescent Psychiatry (AACAP) and the American Association of Directors of Psychiatric Residency Training (AAD-PRT) annual meetings due to persistent concerns of unfilled positions. During the first 10 years, with relatively low utilization by programs, several papers urged programs to use the Match and encouraged AADPRT and AACAP to introduce consequences for programs that did not participate [1,2]. With a continued lack of consensus over the next decade, the AADPRT CAP Caucus designed a "gentlepersons' agreement" in 2016, outlining rules and expectations for programs during recruitment [3].…”