It is well established that Child and Adolescent Psychiatry (CAP) is the number one shortage specialty in all of psychiatry (1). Currently, there are approximately 7,000-8,000 practicing child and adolescent psychiatrists in the United States (2). In various reports the number of youth nationwide with significant psychopathology requiring evaluation and treatment varies from 12%–22% (3), with the best evidence reporting at least 12% showing serious disturbance (4, 5). This amounts to about 10 million youth. Clearly there are insufficient child and adolescent psychiatrists to provide care to this number of children and adolescents. To compound matters, the workforce is concentrated in urban areas, with large sections of rural and inner city youth and families highly underserved (6). Finally, while the numbers of residents going into child and adolescent psychiatry have increased about 10% over the past 10 years, the number of current CAP graduates in the United States is approximately 420 per year, far below the numbers needed to improve the workforce, particularly as the baby boomers prepare to retire.