Recent Trends in American Board of Psychiatry and Neurology Psychiatric Subspecialties

Faulkner, Larry R.; Juul, Dorthea; Andrade, Naleen N.; Brooks, Beth A.; Colenda, Christopher C.; Guynn, Robert W.; Mrazek, David A.; Reus, Victor I.; Schneidman, Barbara S.; Shaw, Kailie

doi:10.1176/appi.ap.35.1.35

Cited by 32 publications

(17 citation statements)

References 8 publications

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“…recently reported a 14% decline in the number of graduates from psychiatry training programs over an eight year period from 2000 to 2008. 17 These declines coupled with an aging workforce (55% of psychiatrists are age 55 or older) may mean that the supply of psychiatrists cannot meet the demand for their care. 18 As a result, many psychiatrists may have so much demand for their services that they do not need to accept insurance.…”

Section: Discussionmentioning

confidence: 99%

Acceptance of Insurance by Psychiatrists and the Implications for Access to Mental Health Care

et al. 2014

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he Centers for Disease Control and Prevention 1 estimates that a quarter of adults in the United States report having a mental illness at any given time and about half will experience mental illness during their lifetime. In the wake of the Connecticut school shooting and other recent mass shootings, policy makers and the public have called for increased access to mental health services. 2 For example, President Obama's "Now Is the Time" proposal, released in January 2013, called for better mental health services, including programs to identify diagnosable mental health problems early so that patients can be referred for treatment, and increased training of mental health professionals. 2 Psychiatrists play an important role in the diagnosis and treatment of patients with mental illnesses particularly because of their training and ability to prescribe medications. 3 One issue that advocates for increased mental health access have neglected to explore is limited access owing to psychiatrists' refusal to accept insurance. 4 In previous studies, we and others have shown that overall physician acceptance rates for private noncapitated insurance was high but declining modestly in recent years. [5][6][7] Little is known about specialty differences in insurance acceptance rates, but prior reports suggest that nonacceptance of insurance may be particularly high for psychiatrists.IMPORTANCE There have been recent calls for increased access to mental health services, but access may be limited owing to psychiatrist refusal to accept insurance.OBJECTIVE To describe recent trends in acceptance of insurance by psychiatrists compared with physicians in other specialties. DESIGN, SETTING, AND PARTICIPANTSWe used data from a national survey of office-based physicians in the United States to calculate rates of acceptance of private noncapitated insurance, Medicare, and Medicaid by psychiatrists vs physicians in other specialties and to compare characteristics of psychiatrists who accepted insurance and those who did not. MAIN OUTCOMES AND MEASURESOur main outcome variables were physician acceptance of new patients with private noncapitated insurance, Medicare, or Medicaid. Our main independent variables were physician specialty and year groupings

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Section: Discussionmentioning

confidence: 99%

Acceptance of Insurance by Psychiatrists and the Implications for Access to Mental Health Care

et al. 2014

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“…In one study, for example, 96% of students in school-based mental health care followed up with treatment services versus only 13% of students in a traditional community mental health center (Catron et al1998). Shortage of specialty mental health providers, particularly child and adolescent psychiatrists, further supports the case for bringing behavioral healthcare to children's natural settings, including schools (Faulkner et al 2011;Comer and Barlow 2014). Several national associations, including the American Psychological Association, the American Federation of Teachers, and Mental Health America, as well as numerous researchers and practitioners, have publicly stated support for increasing access to high quality mental health services in schools (Astor et al 2012).…”

Section: Mental Health In Schoolsmentioning

confidence: 99%

Telemental Health in Schools

Stephan

Lever

Bernstein

et al. 2016

Journal of Child and Adolescent Psychopharmacology

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“…However, this group's rate of participation in CAP certification (75%) was similar to that found in a previous study in which it was estimated that about 67% of CAP graduates sought ABPN certification in CAP. 22 Because becoming certified in a subspecialty is contingent on first achieving primary certification, there may be a restriction in range in the study sample. Those who experienced difficulty in achieving specialty certification or who delayed certification may be less able candidates, and if they were included, the correlations might have increased because of the increase in sample variability.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Performance on Child and Adolescent Psychiatry In-Training and Certification Examinations

Juul¹,

Sexson²,

Brooks³

et al. 2013

Journal of Graduate Medical Education

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Background Studies across a range of specialties have consistently yielded positive associations between performance on in-training examinations and board certification examinations, supporting the use of the in-training examination as a valuable formative feedback tool for residents and residency programs. That association to date, however, has not been tested in child and adolescent psychiatry residents. Objective This is the first study to explore the relationship between performance on the American College of Psychiatrists' Child Psychiatry Resident In-Training Examination (CHILD PRITE) and subsequent performance on the American Board of Psychiatry and Neurology's (ABPN) subspecialty multiple-choice examination (Part I) in child and adolescent psychiatry (CAP). Methods Pearson correlation coefficients were used to examine the relationship between performance on the CHILD PRITE and the CAP Part I examination for 342 fellows. Results Second-year CAP fellows performed significantly better on the CHILD PRITE than did the first-year fellows. The correlation between the CHILD PRITE total score and the CAP Part I examination total score was .41 (P = .01) for first-year CAP fellows; it was .52 (P = .01) for second-year CAP fellows. Conclusions The significant correlations between scores on the 2 tests show they assess the same achievement domain. This supports the use of the CHILD PRITE as a valid measure of medical knowledge and formative feedback tool in child and adolescent psychiatry.

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Recent Trends in American Board of Psychiatry and Neurology Psychiatric Subspecialties

Abstract: the initial interest in training and certification in some of the ABPN subspecialties appears to have slowed, and the long-term viability of those subspecialties may well depend on the answers to a number of complicated social, economic, and political questions in the new health care era.

Cited by 32 publications

References 8 publications

Acceptance of Insurance by Psychiatrists and the Implications for Access to Mental Health Care

Acceptance of Insurance by Psychiatrists and the Implications for Access to Mental Health Care

Telemental Health in Schools

Relationship Between Performance on Child and Adolescent Psychiatry In-Training and Certification Examinations

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