I used to work in an outpatient neuro department that had a large paediatric patient population. One of the paediatric neurologists there had done her training at a famous children's hospital in London (GOSH) and said that it was a fantastic place to train in, but terrible for the outcome of the children.
Where we were in Melbourne, we had four paediatric neurologists for a catchment area of about 400k give or take. GOSH had six neurologists for a catchment area of 2 million. "By the time the kids in London got to see us, the symptoms were so florid and easy to see. Great for training, not so great for outcomes".
She did her training in the 90s, so it may have since changed. It's also a story about neurologists, not psychiatrists, but I imagine it wouldn't be that much different.
Where we were in Melbourne, we had four paediatric neurologists for a catchment area of about 400k give or take. GOSH had six neurologists for a catchment area of 2 million. "By the time the kids in London got to see us, the symptoms were so florid and easy to see. Great for training, not so great for outcomes".
She did her training in the 90s, so it may have since changed. It's also a story about neurologists, not psychiatrists, but I imagine it wouldn't be that much different.