Barry W S, Kharabi F, Nyman G, Schmidt C W
JAMA. 1979 Sep 28;242(13):1394-5.
Senior medical residents were used to extend psychiatric coverage in a busy hospital emergency room. Their service was supported by the backup consultation of senior psychiatric physicians. The medical residents worked in conjunction with psychiatric residents to provide 24-hour daily emergency psychiatric service to more than 350 patients during a 12-month period. There were no significant differences in the demographic composition of the patient population seen or in the disposition of individual patients made between the medical and psychiatric residents. The hospital was able to expand its psychiatric service in the emergency room without major increases in cost. The medical residents benefited by experiencing a more diversified patient care training program, and they earned a modest supplement to their houser officer salary.
资深医学住院医师被安排在一家繁忙的医院急诊室提供精神科服务。他们的工作得到了资深精神科医生的后备会诊支持。医学住院医师与精神科住院医师协同工作，在12个月的时间里，每天为超过350名患者提供24小时的急诊精神科服务。医学住院医师和精神科住院医师所接待的患者人群的人口统计学构成以及对个体患者的处置方式均无显著差异。医院得以在不大幅增加成本的情况下扩大其急诊室精神科服务。医学住院医师受益于参与了一个更多样化的患者护理培训项目，并且他们的住院医师薪资也得到了适度补充。
