[What the internist expects from the psychiatrist].
If internists could establish a list of wishes to the psychiatrists, it would, among others, contain the following ones: 1. The psychiatrist should take an active part in the diagnosis of problem patients: the arguments of the psychiatrists for or against a psychiatric illness can be incorporated in the differential diagnosis using methods of decision analysis. 2. The psychiatrists should express themselves in a comprehensible way: they should keep up with their reputation of communication specialists. 3. The psychiatrists should be ready to supervise the internists if they so wish: internists have to treat a great number of patients with psychiatric problems, since these often refuse a psychiatric consultation. The internists should therefore also have the possibility to discuss problematic cases with the psychiatrists, on an individual basis and outside the Balint groups. 4. The internist also expects a certain humility from the psychiatrist: like all diagnosis, the psychiatrists' ones are not infallible. They can stick to the patients' record and harm him. They often depend external circumstances and may change. The author would be happy if our colleagues psychiatrists could also send a list of wishes to the internists...
Stalder
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D003933:Diagnosis; D006801:Humans; D007388:Internal Medicine; D010344:Patient Advocacy; D010348:Patient Care Team; D010819:Physician's Role; D011570:Psychiatry; D012017:Referral and Consultation
Was der Internist vom Psychiater erwartet.