TY - JOUR
AU - J. Sareen
AU - C. Isaak
AU - E. Perera
AU - D. A. Ross
AU - V. Agyapong
AU - A. G. Ahmed
AU - K. J. Neufeld
AU - G. Turecki
AU - J. Haggarty
AU - J. Roy-Desruisseaux
AU - S. Noble
AU - L. N. Yatham
AU - P. Hall
AU - S. Hatcher
AU - V. Taylor
AU - P. Gagnon
AU - Z. Samaan
AU - F. Lesperance
AU - B. Mulsant
A1 - 
AB - BackgroundIn 2023/2024, there were 15 psychiatrists/100,000 Canadians with inequitable distribution across Canada and unprecedented demand for mental health and addiction services. Psychiatry human resource planning in Canada has not occurred for more than a decade. The objectives of this study were to understand the current state and future directions related to Psychiatry Human Resources in the Canadian mental health care system.MethodsUsing Delphi methods, we surveyed the 17 chairs of the academic departments of psychiatry in Canada and held focus groups. The Royal College and subspecialty programs were also engaged. Themes were extracted, summarized and refined. The refined themes were distributed via an online survey to all 17 chairs for final review and input, ensuring alignment and consensus across institutions.ResultsCommon themes focused on: the role of psychiatrists working in teams to provide care for complex mental disorders and addictions; need for innovative models of care including use of physician extenders, technology to reach the larger population of patients with mild to moderate disorders, working closely with primary care in collaborative care models. Due to the large proportion of Canadian psychiatrists being 35 years or more in practice (26%) and close to retirement, the chairs supported the need to expand the number of residency positions for psychiatry and continue strong recruitment efforts for international medical graduates. Although the majority of chairs supported shortening the general psychiatry residency program from 5 to 4 years, the Association of Chairs of Psychiatry of Canada (ACPC) could not reach a consensus on this issue. Pan-Canadian licensing for psychiatrists should be considered due to inequitable distribution of psychiatrists in Canada and advances in virtual care post-COVID-19 pandemic.ConclusionsThis study will contribute to the dialogue on psychiatry human resources planning in Canada.; Psychiatrist Human Resource Planning in Canada according to Chairs of 17 Canadian Psychiatry Departments.; eng
AD - Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.; Department of Psychiatry, University of Alberta, Edmonton, Alberta T6G 2H5, Canada.; Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia B3H 4R2, Canada.; Department of Psychiatry, University of Saskatchewan, Saskatoon, Saskatchewan S7N 5E5, Canada.; Department of Psychiatry, McMaster University, Hamilton, Ontario L8P 1H6, Canada.; Department of Psychiatry, McGill University, Montreal, Quebec H3G 1A4, Canada.; Department of Psychiatry, Northern Ontario School of Medicine University, Sudbury, Ontario P3E 2C6, Canada.; Department of Psychiatry, Universite de Sherbrooke, Sherbrooke, Quebec J1H 5N4, Canada.; Department of Psychiatry, Memorial University, St. John's, Newfoundland and Labrador A1B 3V6, Canada.; Department of Psychiatry, University of British Columbia, Vancouver, British Columbia V6T 2A1, Canada.; Department of Psychiatry, Western University, London, Ontario N6A 5W9, Canada.; Department of Psychiatry, University of Ottawa, Ottawa, Ontario K1H 8M5, Canada.; Department of Psychiatry, University of Calgary, Calgary, Alberta T2N 4Z6, Canada.; Department of Psychiatry, Universite Laval, Québec, Quebec G1V 4G2, Canada.; Department of Psychiatry, Queen's University, Kingston, Ontario K7L 3N6, Canada.; Department of Psychiatry, University of Montréal, Montréal, Quebec H3T 1J4, Canada.; Department of Psychiatry, University of Toronto, Toronto, Ontario M5T 1P5, Canada.
AN - 41544125
BT - Can J Psychiatry
C5 - Education & Workforce
CP - 3
DA - Mar
DO - 10.1177/07067437251408174
DP - NLM
ET - 20260116
IS - 3
JF - Can J Psychiatry
LA - eng
N2 - BackgroundIn 2023/2024, there were 15 psychiatrists/100,000 Canadians with inequitable distribution across Canada and unprecedented demand for mental health and addiction services. Psychiatry human resource planning in Canada has not occurred for more than a decade. The objectives of this study were to understand the current state and future directions related to Psychiatry Human Resources in the Canadian mental health care system.MethodsUsing Delphi methods, we surveyed the 17 chairs of the academic departments of psychiatry in Canada and held focus groups. The Royal College and subspecialty programs were also engaged. Themes were extracted, summarized and refined. The refined themes were distributed via an online survey to all 17 chairs for final review and input, ensuring alignment and consensus across institutions.ResultsCommon themes focused on: the role of psychiatrists working in teams to provide care for complex mental disorders and addictions; need for innovative models of care including use of physician extenders, technology to reach the larger population of patients with mild to moderate disorders, working closely with primary care in collaborative care models. Due to the large proportion of Canadian psychiatrists being 35 years or more in practice (26%) and close to retirement, the chairs supported the need to expand the number of residency positions for psychiatry and continue strong recruitment efforts for international medical graduates. Although the majority of chairs supported shortening the general psychiatry residency program from 5 to 4 years, the Association of Chairs of Psychiatry of Canada (ACPC) could not reach a consensus on this issue. Pan-Canadian licensing for psychiatrists should be considered due to inequitable distribution of psychiatrists in Canada and advances in virtual care post-COVID-19 pandemic.ConclusionsThis study will contribute to the dialogue on psychiatry human resources planning in Canada.; Psychiatrist Human Resource Planning in Canada according to Chairs of 17 Canadian Psychiatry Departments.; eng
PY - 2026
SN - 0706-7437 (Print); 0706-7437
SP - 174
EP - 184+
ST - Canadian Psychiatry Human Resource Planning: Delphi-Method Study of Academic Chairs of Psychiatry of Canada
T1 - Canadian Psychiatry Human Resource Planning: Delphi-Method Study of Academic Chairs of Psychiatry of Canada
T2 - Can J Psychiatry
TI - Canadian Psychiatry Human Resource Planning: Delphi-Method Study of Academic Chairs of Psychiatry of Canada
U1 - Education & Workforce
U3 - 10.1177/07067437251408174
VL - 71
VO - 0706-7437 (Print); 0706-7437
Y1 - 2026
ER -