The Best of Both Worlds: Psychiatry Training at Combined Civilian-Military Programs

• Published in: Academic psychiatry 2015-08, Vol.39 (4), p.360-364
• Main Authors: Welton, Randon S., Hamaoka, Derrick A., Broderick, Pamela J., Schillerstrom, Jason E.
• Format: Article
• Language: English
• Subjects: Academic Standards; Accreditation; Accreditation (Institutions); Child & adolescent psychiatry; Clinical Experience; Cooperative Behavior; Departments; Didacticism; Education, Medical, Graduate - methods; Educational Opportunities; Emergency medical care; Graduate Medical Education; Health Sciences; Humans; In Depth Article: Commentary; Internship and Residency - methods; Medical Education; Medical Services; Medicine; Medicine & Public Health; Mental health; Mental Health Programs; Military law; Military Psychiatry - education; Military Training; Modeling (Psychology); Posttraumatic Stress Disorder; Psychiatric Services; Psychiatrists; Psychiatry; Psychiatry - education; Psychotherapy; Resistance (Psychology); State Schools; State Universities; Training
• ISSN: 1042-9670; 1545-7230
• DOI: 10.1007/s40596-015-0300-6

Air Force psychiatry faces the task of training competent military psychiatrists in an era of continuing reductions. Beginning in the 1980s, the Air Force started collaborating with University partners to create hybrid training programs, civilian-military psychiatry residencies. These mergers provide stability for Air Force psychiatry training in the face of increased operational missions and uncertain military recruiting. As a result of these combined programs, Air Force psychiatry residents gain access to a broader range of civilian clinical experience and expertise while maintaining a focus on distinctive military requirements. The combining of programs opens up options for academic activities which may not have otherwise existed. Both military and civilian residents benefit from the occupational psychiatry experiences available within military clinical sites. These programs give civilian residents a chance to assist active duty members and their families and provide insight into the military “lifecycle.” These collaborations benefit the universities by providing access to a larger pool of residents and faculty. The synthesis of the military and civilian programs raises some ongoing obstacles such as civilian residents’ ability to gain access to military resources. The programs must also accommodate separate mechanisms for selecting residents (the National Residency Matching Program versus the Joint Selection Board for Graduate Medical Education). Military residents must also comply with military standards and requirements while maintaining the universities’ standards of conduct and professionalism. Merging military training programs into university programs creates a vibrant opportunity to create exceptional military and civilian psychiatrists.