The Processes of Psychiatric Residency Training: Part I. Selection of Trainees and the Outcome of Training

Abstract

This paper draws attention to the problem of attrition in a psychiatric residency program by reviewing the outcome of training of all physicians accepted for psychiatric residencies at the University of Toronto over a six-year period. Of the 142 physicians no longer in training, 71 have become certified psychiatrists. Factors associated with success in training are examined. Those residents who are highly unlikely to become certified psychiatrists could be identified in each of the first three years of training. In view of these findings recommendations are made for improved screening of candidates and for dealing with residents who experience difficulties in training.