Coping with the crisis in psychiatric training

Robert K. Schreter

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


No article on the future of psychiatry seems complete without mention of a sea change or a paradigm shift. The demands for cost containment and accountability have fueled a shift away from retrospective fee-for-service, solo practice to prospectively reimbursed care through giant health systems (Schreter 1993). These systems substitute less expensive, less well-trained and often less-experienced clinicians for psychiatrists whenever possible. Managed care gatekeeping utilizes psychiatrists mainly for medication management. Psychotherapy, a signature product of our profession, is being demedicalized. What will be the roles fot psychiatrists in the emerging health care delivery system?

Original languageEnglish (US)
Pages (from-to)51-59
Number of pages9
JournalPsychiatry (New York)
Issue number1
StatePublished - Mar 1997

ASJC Scopus subject areas

  • Psychiatry and Mental health


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