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Educating trainees about common mental health problems in primary care: a (not so) modest proposal.

At least 25% of all outpatients have mental health problems, more than hypertension and diabetes combined. We treat most of these individuals in primary care (PC), which has become our “de facto mental health services system.”1 Fewer than one in four receive any mental health care, and fewer still receive recommended care. Presidential commissions and the public have long complained about substandard care but have not always sought, or appreciated, its causes. I propose that we as educators share some of the blame because—simply put—we do not adequately train our students and residents to manage common diagnoses like depression, anxiety, medically unexplained symptoms, eating disorders, and substance misuse.