Several months ago, I read the widely reported case of the French psychiatrist who received a suspended one-year prison sentence after one of her patients had committed murder. In the popular press, few details beyond that were included. Since we focus on psychiatry in the US, I didn’t make a point to follow up on the case. I do remember thinking, however, that despite the Tar ...
PRMS Blog
Burned out?
It always pays to be skeptical of anything you read with a publication date of April 1. Most newspapers, and even a few scholarly journals, try to slip an April Fool’s article past their readers. Thus, I was leery of a Medscape Medical News article, datelined April 1, 2013, entitled “Psychiatrist Burnout Less Than Most Other Physicians’.” My skepticism, however, was misplaced – ...
Psychiatrists Are Unique
You probably already knew that, but now there’s new confirmation. I’m referring to the Medscape 2013 Ethics Report, Ethics in Medicine – What Makes Psychiatrists Unique? (free site registration required), published March 13, 2013. Of the 24,000 physicians who participated in the survey, 1600 were psychiatrists. The report notes that the psychiatrists’ answers to eight questions ...
If you’re going to San Francisco …
Why am I writing about Scott McKenzie’s 1967 popular music hit? I’m not. I’m writing about the APA Annual Meeting, and I’m hoping you’ll be attending so that you can come see us. We are finalizing details at this point, and we’ll be publicizing our activities in San Francisco over the next few weeks. At the moment, the following are definite: · We are presenting a ½ day ...
Are you ready for the toughest questions a patient can ask a doctor?
The Wall Street Journal and The New York Times reported on an article in today’s issue of The Lancet entitled “Identification of risk loci with shared effects on five psychiatric disorders: a genome-wide analysis” (free, but registration required). The article suggests that there is an apparent genetic relationship involving calcium-channel activity genes among the five major ...
“Welcome” “Ninja” “Mustang”
While you’re trying to figure out the meaning of the title of this post, I want to talk about passwords on your electronic devices and digital accounts. First, please tell me you have protected all of your devices – your desktop computer, your laptop, your smartphone, your tablet, even your old-fashioned “dumb” cell phone – with passwords. An unprotected device in the hands of ...
Are You a “Meaningful User”?
We came across data on the rate that psychiatrists are using EHRs (electronic health records). The data was published by Medscape.com for a study of the percentage of various specialists who are making “meaningful use” of EHRs. You can find the survey here (registration required). The pertinent slides are #24, 25, and 26. The key point is that 7% of psychiatrists responding to ...
Adventures in Vicarious Liability
Most physicians understand the basics of US civil law: (1) physicians owe a duty of care to their patients – and perhaps to others who may be harmed by a patient; (2) the yardstick by which their performance is measured is called “the standard of care”; (3) if they fail to practice consistent with the standard of care, they can be held responsible for damages suffered by those ...
Hard Cases
You’ve probably noticed, with some sense of “We told you so,” that the various governmental bodies in the US are beginning to question whether they’ve cut too deeply into what was an already tattered safety net for the mentally ill. They are also questioning whether the pendulum has swung too far towards protecting the confidentiality of the mentally ill at the expense of the p ...
Gun Control and Mental Health in the News
There has been a flurry of news affecting psychiatrists recently, including, but not limited to: – President Obama’s list “Gun Violence Reduction Executive Actions” which includes, among 21 others, these actions: – “Clarify that the Affordable Care Act does not prohibit doctors from asking their patients about guns in their homes.” – “Release a letter to health care providers c ...
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