Evidence map›Paper›PMID 42722800›Full record

ArticleAcademic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry2026

Reproductive Psychiatry Training in Psychiatry Residencies: A 10-Year National Update on Persistent Barriers and Emerging Interest.

Kristen Chalmers, Caitlin Somerville, Amanda Koire, Lindsay Lebin, Amritha Bhat, Zehra Aftab

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Article in Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kristen ChalmersUniversity of Washington, Seattle, WA, USA. chalmk@uw.edu.ORCID http://orcid.org/0000-0002-1570-9448
Caitlin SomervilleThe University of Chicago, Chicago, IL, USA.
Amanda KoireHarvard Medical School, Brigham and Women's Hospital, Boston, MA, USA.
Lindsay LebinUniversity of Colorado, Aurora, CO, USA.
Amritha BhatUniversity of Washington, Seattle, WA, USA.
Zehra AftabThe University of Chicago, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveReproductive transitions can substantially influence the onset and course of psychiatric illness. Despite growing demand for reproductive and perinatal mental health services, reproductive psychiatry lacks standardized residency training requirements. A 2018 national survey identified substantial gaps in reproductive psychiatry education within US psychiatry residencies. We conducted a follow-up national survey to evaluate reproductive psychiatry training and identify barriers for expansion.

methodsWe conducted a cross-sectional survey of 315 US general psychiatry residency program directors between January and March 2025 using the American Medical Association FREIDA database. The 30-item survey assessed program characteristics, didactic and clinical training opportunities, specialization pathways, anticipated changes, and perceived barriers to expanding reproductive psychiatry education. Descriptive statistics summarized responses.

resultsThirty-five programs responded (11% response rate). Most programs offered didactic education (88%) and clinical exposure (79%) in reproductive psychiatry, though the scope and structure varied widely. Didactics most commonly addressed perinatal mood, anxiety, and psychotic disorders, while menstrual-related disorders, perimenopause, reproductive loss, LGBTQ+ reproductive health, and sexual health were less consistently covered. Outpatient reproductive psychiatry clinics were the most common clinical setting. Twenty-six percent of programs reported a dedicated track, pathway, or certificate, and nearly half of programs without one expressed interest in developing such opportunities. Barriers included limited faculty expertise (30%), curricular time (30%), and lack of specialized clinical sites (26%).

conclusionsReproductive psychiatry training opportunities have expanded since 2018 but remain heterogeneous and largely elective. Greater standardization of foundational training may help prepare psychiatrists to address mental health needs across reproductive life stages.

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Graduate medical educationPerinatal mental healthPsychiatry residency educationReproductive psychiatry

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