Integrating clinical and research psychiatry.
Residents involved in clinical research are frequently unprepared for the problems which may arise in relation to the dual roles of clinician-investigator and patient-subject. Common problems for the clinician-investigator will be outlined including: 1. enlisting patients; 2. using treatment one does not necessarily consider first choice; 3. being blind to treatment prescribed; 4. adhering to a fixed treatment protocol; and 5. deciding when to terminate a trial. Possible solutions will also be offered. In addition, the altered role of the patient as subject will also be considered as it affects patient care within trials.
de Groot
J M
JM
University of Toronto, Ontario, Canada.
Kennedy
S H
SH
D002986:Clinical Trials as Topic; D004992:Ethics, Medical; D006801:Humans; D007396:Internship and Residency; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D010819:Physician's Role; D010817:Physician-Patient Relations; D011570:Psychiatry / Q000193:education*; D012106:Research / Q000193:education*; D016896:Treatment Outcome