A 3-DECADE PERSPECTIVE ON COMMUNITY AND PUBLIC PSYCHIATRY TRAINING INOREGON

The public psychiatry training program at Oregon Health Sciences Unive rsity, established in 1973, educates psychiatric residents to work in community mental health centers and state hospitals. The authors prese nt a brief history of this program, which spans three decades, and des cribe recent developments in its operation, with special attention to financing, administrative structure, and educational elements. Several program graduates have chosen careers in public-sector work. The prog ram is founded on the principle that just as dollars should follow pat ients in health care systems, so should residents in training follow p atients. Administrative and fiscal arrangements must be flexible to su pport this mobility.