Changes in the focus and organization of psychiatric teaching hospitals during recent years now provide opportunities for broader training in mental health which did not formerly exist. During the past 15 years a series of psychiatric residents chose to spend the final year or two of their training on the medical service of a general hospital as psychiatric consultants. Kaufman6 has reported that between 1945 and 1955 over 550 general hospitals instituted psychiatric units of varying patterns. This unit from the time of its inception has functioned as an integral part of the medical service rather than as a separate enterprise. Supervision of the residents in training has made it possible to observe certain aspects of their professional development in such a setting.
Applicants for psychiatric training at a general hospital (the Peter Bent Brigham) known primarily for its research and teaching