Psychotherapy Tracks in US General Psychiatry Residency Programs: A Proxy for Trends in Psychotherapy Education?

Objective The authors studied the goals and design of psychotherapy tracks in the US general psychiatry residency programs and the perceived barriers to psychotherapy tracks in programs without them. Methods The authors emailed 226 US general psychiatry residency program directors, asking them to complete an anonymous, online, Qualtrics survey about psychotherapy training and tracks in their program. Results Seventy-nine programs (35%) participated. Of these, 22% ( n = 17) reported having a psychotherapy track, 4% ( n = 3) reported currently developing a psychotherapy track, and 74% ( n = 56) reported not having a psychotherapy track. Of those without a psychotherapy track, 81% ( n = 44) reported not wanting one. Time, personnel, resident interest, and funding were the most common reasons for not having a track, but programs with tracks generally reported additional personnel and funding were not needed. Most programs with a track reported being satisfied with it. A sizeable minority of reporting programs (overrepresented by those without psychotherapy tracks) did not require supervision or didactics for all three Accreditation Council for Graduate Medical Education required psychotherapy modalities. Conclusions Commonly perceived barriers to having a psychotherapy track may not be as limiting as they seem, and the diverse types of psychotherapy tracks may offer flexibility for programs seeking to design one. The finding that not all programs offer a full complement of supervision and didactics in core psychotherapy modalities is concerning for the future of psychotherapy training in residency programs. The presence of a psychotherapy track may be a proxy for the value a program places on psychotherapy education.