Dr. Tinsley is Director of Psychiatric Residency Training and Associate Professor of Psychiatry at the University of Connecticut, Farmington, Connecticut. Address correspondence to Dr. Tinsley, University of Connecticut Health Center, 263 Farmington, CT 06030-1935; tinsley{at}psychiatry.uchc.edu (E-mail). History For 30 years, from 1959 to 1989, child psychiatry was the only psychiatric subspecialty recognized by the American Board of Psychiatry and Neurology (ABPN). One compelling reason for this is that specialization within psychiatry paralleled specialization in other medical fields. Physician interest in specializing heightened after World War II, as prestige and income became associated with specialty credentials. During this period, psychoanalysts explored the possibility of ABPN certification (1), and representatives of child psychiatry proposed subspecialty status (1). The ABPN recognized the subspecialty of Child Psychiatry in 1959; however, psychoanalytic representatives and ABPN officials were unable to agree on the specifics of board certification. During the last century, medical practice maintained momentum toward a specialist model. Its course was not linear, however. In a 2000 Journal of the American Medical Association (JAMA) article, Donini-Lenhoff and Hedrick (3) reviewed the history of specialization in medical education. Donini-Lenhoff and Hedrick (3) reported that 14 medical specialties existed in 1927. In 2000, the Accreditation
What's Special About Psychiatric Subspecialties?
Abstract
Dr. Tinsley is Director of Psychiatric Residency Training and Associate Professor of Psychiatry at the University of Connecticut, Farmington, Connecticut. Address correspondence to Dr. Tinsley, University of Connecticut Health Center, 263 Farmington, CT 06030-1935; tinsley{at}psychiatry.uchc.edu (E-mail). History For 30 years, from 1959 to 1989, child psychiatry was the only psychiatric subspecialty recognized by the American Board of Psychiatry and Neurology (ABPN). One compelling reason for this is that specialization within psychiatry paralleled specialization in other medical fields. Physician interest in specializing heightened after World War II, as prestige and income became associated with specialty credentials. During this period, psychoanalysts explored the possibility of ABPN certification (1), and representatives of child psychiatry proposed subspecialty status (1). The ABPN recognized the subspecialty of Child Psychiatry in 1959; however, psychoanalytic representatives and ABPN officials were unable to agree on the specifics of board certification. During the last century, medical practice maintained momentum toward a specialist model. Its course was not linear, however. In a 2000 Journal of the American Medical Association (JAMA) article, Donini-Lenhoff and Hedrick (3) reviewed the history of specialization in medical education. Donini-Lenhoff and Hedrick (3) reported that 14 medical specialties existed in 1927. In 2000, the Accreditation
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What's Special About Psychiatric Subspecialties?
Tinsley, Joyce A.
Follow Academic Psychiatry
, Volume 28 (1): 1
American Psychiatric Publishing, Inc (Journal) – Mar 1, 2004
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