Shemo J P, Ballenger J C, Yazel J J, Spradlin W W
Am J Psychiatry. 1982 Nov;139(11):1437-42. doi: 10.1176/ajp.139.11.1437.
At a time when psychiatry's repertoire of successful treatment strategies is burgeoning and the public is seeking primary medical care with greater emphasis on humanistic issues, psychiatry has been paradoxically losing status and trainees, partly because it has failed to make its expertise integratable by nonpsychiatric physicians. In response to the educational and patient care deficiencies that result, two universities developed a teaching and clinical program that leads to partial integration of their departments of psychiatry and internal medicine. This collaborative approach includes a conjoint internal medicine-behavioral medicine inpatient unit and a residency program leading to Board eligibility in both specialties.
在精神病学成功治疗策略不断涌现且公众寻求更注重人文问题的初级医疗护理之际,矛盾的是,精神病学的地位和受训人员却在流失,部分原因是它未能使非精神科医生能够整合其专业知识。针对由此产生的教育和患者护理缺陷,两所大学制定了一项教学和临床计划,以实现其精神病学系和内科的部分整合。这种协作方法包括一个内科 - 行为医学联合住院部以及一个可使学员获得两个专业委员会资格的住院医师培训项目。