Academic Psychiatry

, Volume 43, Issue 5, pp 553–554 | Cite as

Re-examining Psychiatry Residents’ Perspectives of Primary Care

  • Bianca T. NguyenEmail author
  • Melissa R. Arbuckle
  • Claudine Jones-Bourne
Letter to the Editor

To the Editor:

In 1980, Robert Hales, a psychiatry resident at that time, recommended that psychiatry residents have “long-term contact and responsibility for medical patients … a review of medical skills immediately before completion of residency training, and direct reinforcement of the biopsychosocial conceptualization of illness” [1]. By rotating through primary care–oriented psychiatry residency programs, he believed medical students would be more attracted to psychiatry as a specialty choice. Nearly 40 years later, applications to psychiatry are on the rise. However, a call for more integrated and longitudinal primary care experience throughout psychiatry residency training remains just as critical, given a more pressing and urgent need: improving the physical health of psychiatric patients.

Disparities in physical health outcomes of psychiatric patients have been well established: patients with severe mental illness have significantly higher rates of medical comorbidity and...


Compliance with Ethical Standards

The study was reviewed and approved by the Institutional Review Board of the New York State Psychiatric Institute.


On behalf of all authors, the corresponding author states that there is no conflict of interest.


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Copyright information

© Academic Psychiatry 2019

Authors and Affiliations

  1. 1.Columbia University Medical Center and the New York State Psychiatric InstituteNew YorkUSA

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