title: [How much general medical competency does a psychiatrist need?].
abstract: Due to manifold interactions between physical and mental health, there exist close interactions between psychiatric care and that from other medical fields. In this regard, points of general medical practice are discussed as they relate to psychiatric care. The frequency of somatic comorbidities in patients with mental disorders and a rising proportion of elderly patients are strong arguments for inclusion of general medical elements in psychiatric and psychotherapeutic training.
authors.affiliation: Abteilung Gerontopsychiatrie und -psychotherapie, Vinzenz von Paul Hospital, Rottweil. w.hewer@VvPH.de
authors.forename: W
authors.initials: W
authors.lastname: Hewer
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D005858:Germany; D008007:Licensure, Medical / Q000592:standards*; D001523:Mental Disorders / Q000175:diagnosis* / Q000628:therapy*; D011570:Psychiatry / Q000193:education* / Q000592:standards*
references.citation: Acta Psychiatr Scand. 2000 May;101(5):382-8
references.pmid: 10823298
references.citation: Arch Gen Psychiatry. 2001 Jun;58(6):573-8
references.pmid: 11386986
references.citation: Am J Psychiatry. 2005 Jan;162(1):162-7
references.pmid: 15625215
references.citation: Nervenarzt. 2003 Nov;74(11):1033-52; quiz 1053-4
references.pmid: 14694886
references.citation: Acta Psychiatr Scand. 1990 Dec;82(6):458-62
references.pmid: 2291415
references.citation: Psychiatr Serv. 2000 Jun;51(6):766-73
references.pmid: 10828108
references.citation: Bipolar Disord. 2005 Feb;7(1):77-81
references.pmid: 15654935
references.citation: Clin Pharmacol Ther. 2004 Mar;75(3):234-41
references.pmid: 15001975
references.citation: Bipolar Disord. 2004 Oct;6(5):368-73
references.pmid: 15383128
references.citation: Am J Emerg Med. 2000 Jul;18(4):390-3
references.pmid: 10919525
references.citation: Arch Gen Psychiatry. 2001 Dec;58(12):1168-71
references.pmid: 11735846
references.citation: J Nerv Ment Dis. 2004 Jan;192(1):19-27
references.pmid: 14718772
references.citation: Fortschr Neurol Psychiatr. 1993 Sep;61(9):313-8
references.pmid: 8225152
references.citation: Gen Hosp Psychiatry. 1998 Jan;20(1):52-61
references.pmid: 9506255
references.citation: Arch Gen Psychiatry. 1979 Apr;36(4):414-9
references.pmid: 426608
references.citation: Psychiatr Prax. 1991 Jul;18(4):133-9
references.pmid: 1924601
references.citation: Am J Psychiatry. 2004 Aug;161(8):1334-49
references.pmid: 15285957
references.citation: Psychiatr Serv. 2002 Nov;53(11):1456-60
references.pmid: 12407275
references.citation: Pharmacopsychiatry. 2004 Sep;37(5):211-6
references.pmid: 15470799
references.citation: J Clin Psychiatry. 1999;60 Suppl 21:10-5
references.pmid: 10548136
references.citation: Psychother Psychosom. 1992;58(3-4):155-60
references.pmid: 1488499
references.citation: Soc Psychiatry Psychiatr Epidemiol. 1998 Sep;33(9):430-7
references.pmid: 9766169
references.citation: Schweiz Arch Neurol Psychiatr (1985). 1991;142(1):55-76
references.pmid: 1709299
references.citation: Fortschr Neurol Psychiatr. 1997 Apr;65(4):171-81
references.pmid: 9235309
references.citation: Eur Neuropsychopharmacol. 1995 Dec;5(4):437-40
references.pmid: 8998394
references.citation: Nervenarzt. 2002 Jan;73(1):96-7; author reply 98-9
references.pmid: 11975072
references.citation: Nervenarzt. 2002 Mar;73(3):205-17; quiz 218
references.pmid: 11963256
references.citation: Arch Intern Med. 2004 Jun 28;164(12):1293-7
references.pmid: 15226162
references.citation: Br J Psychiatry. 2003 Jan;182:31-6
references.pmid: 12509315
references.citation: Emerg Med Clin North Am. 2000 May;18(2):185-98, vii
references.pmid: 10767877
references.citation: Psychiatr Serv. 1996 Dec;47(12):1356-63
references.pmid: 9117475
references.citation: J Nerv Ment Dis. 2004 Jun;192(6):421-7
references.pmid: 15167405
references.citation: Psychiatr Prax. 2004 Nov;31(8):404-8
references.pmid: 15546055
references.citation: Nervenarzt. 2000 Jul;71(7):513-7
references.pmid: 10989804
references.citation: Br J Psychiatry. 1997 Dec;171:502-8
references.pmid: 9519087
references.citation: Can J Psychiatry. 2001 Apr;46(3):273-81
references.pmid: 11320682
references.citation: J Affect Disord. 1987 Nov-Dec;13(3):287-92
references.pmid: 2960722
references.citation: Arch Gen Psychiatry. 2001 Sep;58(9):844-50
references.pmid: 11545667
references.citation: Int J Geriatr Psychiatry. 2000 Mar;15(3):248-53
references.pmid: 10713583
references.citation: Schizophr Bull. 1996;22(3):413-30
references.pmid: 8873293
references.citation: Can J Psychiatry. 1997 Jun;42(5):515-20
references.pmid: 9220116
references.citation: Br J Psychiatry. 1998 Apr;172:331-6
references.pmid: 9715336
references.citation: Br J Psychiatry. 1998 Jul;173:11-53
references.pmid: 9850203
references.citation: BMC Public Health. 2003 Sep 09;3:30
references.pmid: 12962551
references.citation: Arch Gen Psychiatry. 1998 Jul;55(7):580-92
references.pmid: 9672048
references.citation: Am J Med Sci. 2003 Oct;326(4):223-30
references.pmid: 14557739
references.citation: Acta Psychiatr Scand. 1990 Jan;81(1):83-6
references.pmid: 2330835
references.citation: Psychiatr Serv. 1999 Apr;50(4):559-61
references.pmid: 10211742
references.citation: Nervenarzt. 2000 Jul;71(7):518-24
references.pmid: 10989805
references.citation: Psychiatr Clin North Am. 1987 Mar;10(1):1-17
references.pmid: 3554179
references.citation: Am J Psychiatry. 1997 Oct;154(10):1376-83
references.pmid: 9326819
references.citation: Med Clin North Am. 2001 May;85(3):663-89
references.pmid: 11349479
references.citation: Psychiatr Serv. 2002 Dec;53(12):1623-5
references.pmid: 12461226
references.citation: Arch Gen Psychiatry. 2001 Jun;58(6):565-72
references.pmid: 11386985
references.citation: Med J Aust. 2003 May 5;178 Suppl:S67-70
references.pmid: 12720526
references.citation: Prim Care Companion J Clin Psychiatry. 2004;6(4):152-158
references.pmid: 15361918
references.citation: Psychiatr Clin North Am. 2004 Dec;27(4):709-25
references.pmid: 15550289
references.citation: Gen Hosp Psychiatry. 2004 Sep-Oct;26(5):405-10
references.pmid: 15474641
references.citation: Public Health. 1998 Jul;112(4):221-8
references.pmid: 9724944
references.citation: Br J Psychiatry. 2000 Jan;176:76-82
references.pmid: 10789332
references.citation: Arch Gen Psychiatry. 1999 Sep;56(9):848-53
references.pmid: 12884891
references.citation: Biol Psychiatry. 2004 Jan 1;55(1):1-9
references.pmid: 14706419
references.citation: Arch Gen Psychiatry. 2001 Dec;58(12):1161-7
references.pmid: 11735845
references.citation: Br J Psychiatry. 1993 Aug;163:183-9
references.pmid: 8075909
references.citation: J Clin Psychiatry. 2001 Jan;62(1):8-11
references.pmid: 11235938
references.citation: Am J Psychiatry. 1999 Sep;156(9):1417-20
references.pmid: 10484954
references.citation: Acta Psychiatr Scand Suppl. 2000;(407):96-9
references.pmid: 11261651
references.citation: Acta Psychiatr Scand. 1990 Apr;81(4):372-7
references.pmid: 2188483
references.citation: Schizophr Res. 2000 Sep 29;45(1-2):21-8
references.pmid: 10978869
references.citation: Schizophr Bull. 2000;26(4):903-12
references.pmid: 11087022
references.citation: Arch Gen Psychiatry. 2001 Sep;58(9):861-8
references.pmid: 11545670
references.citation: Psychosomatics. 2001 Sep-Oct;42(5):377-81
references.pmid: 11739903
references.citation: Br J Psychiatry. 2002 Jun;180:515-22
references.pmid: 12042230
references.citation: Arch Gen Psychiatry. 1989 Aug;46(8):733-40
references.pmid: 2787623
references.citation: J Am Geriatr Soc. 2004 Dec;52(12 Suppl):S249-57
references.pmid: 15541165
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2003 Jun;38(6):297-304
references.pmid: 12799779
references.citation: Psychosomatics. 2004 Sep-Oct;45(5):371-7
references.pmid: 15345781
references.citation: Bipolar Disord. 2004 Aug;6(4):314-8
references.pmid: 15225149