Frierson Richard L, Campbell Nioaka N
Department of Neuropsychiatry and Behavioral Science, University of South Carolina School of Medicine, Columbia, SC 29202, USA.
J Am Acad Psychiatry Law. 2009;37(2):165-7.
The treatment of patients who, due to their clinical presentation, pose potential liability risks to the psychiatrist is one of the more stressful aspects of modern psychiatric practice. The need to educate psychiatric residents about the principles of risk management that guide the safe provision of good patient care in such patients is paramount in the current malpractice environment. In this commentary, we discuss the teaching of therapeutic risk management, as described by authors Simon and Shuman, in general psychiatry residency, particularly as it can be integrated within the existing core competencies established by the Accreditation Council on Graduate Medical Education (ACGME). A model outline of this integration for suicide risk management within each of the existing core competencies is presented.
对于那些因其临床表现而给精神科医生带来潜在责任风险的患者进行治疗，是现代精神科实践中压力较大的方面之一。在当前的医疗事故环境下，至关重要的是要让精神科住院医师了解风险管理原则，这些原则指导着对此类患者安全地提供优质的患者护理。在本评论中，我们讨论了作者西蒙和舒曼所描述的治疗风险管理教学在普通精神科住院医师培训中的情况，特别是它如何能够融入毕业后医学教育认证委员会（ACGME）制定的现有核心能力之中。文中给出了在每个现有核心能力范围内进行自杀风险管理整合的模型大纲。
