Table 3.

Program characteristics: SWOT-B analysis.

Theme	Construct definition	Representative quote(s)
Strengths	Internal positives and advantages; inherent to the program	I picked this program because it reminded me of the flexibility we had during medical school, where they really wanted you to pursue whatever you were interested in: “We'll give you the resources and support for you to make it happen” —that sort of “can do” vibe.
Weaknesses	Internal hindrances or vulnerabilities; inherent to the program	Spanning so many programs, we could get lost in the sauce. During intern year we didn't have many check-ins, when it was an important time to lay down the bricks for what you would be doing next. And if you needed more support, you didn't necessarily have time, energy, or courage to reach out for more support at that time because you're so involved in pediatrics and far from child psychiatry.
Opportunities	External positives; resources available for use or incorporation	Having opportunities to formally visit and spend time with, to connect with talented individuals at other institutions was one of the great and unique training opportunities of the program.
Threats	External hindrances or realities; impinging from outside sources	We had tough financial problems, which is totally understandable. Running these programs is a nightmare. Getting these things funded is a disaster. Nobody hands you a bag of money to do this stuff, so it makes sense that there were financial problems.
Balance	The ability to incorporate competing demands toward a point of programmatic equipoise	When I was getting ready to leave residency and look for jobs, coming from the program was a big stamp of approval: they recognized we are as clinically strong as we are research strong and they really hustled to try to find a position for me and make something work. Which was really, really nice.