The Management Experiences, Priorities, and Challenges of Medical Directors in the Subspecialty of Consultation-Liaison Psychiatry: Results of a Needs Assessment.

Abstract:

BACKGROUND:Medical directors need management skills; yet, few studies describe the specific tasks that directors consider most important, their confidence for these tasks, and how their confidence develops. We studied these questions among directors in the subspecialty of Consultation-Liaison Psychiatry. METHODS:A needs survey was sent to 48 registrants of a new forum for Consultation-Liaison Psychiatry directors. The survey asked about 6 professional experiences, the relative importance of 14 management tasks, and the directors' confidence in managing these tasks, using 7-point Likert scales. Correlations between experiences, task importance, and task confidence were performed. RESULTS:Twenty-seven directors responded (56% response). The experiences that correlated most with management confidence were years in practice and health care leadership training; yet, approximately half of responders were directors for ≤5 years and had received minimal training. Management tasks with the highest importance included demonstrating value of their service and roles for nonphysician clinical staff on their teams. Significant associations were identified between years in practice and confidence for leading faculty scholarship, trainee staffing ratios and roles, fee coding, measurement of faculty clinical productivity, and faculty recruitment. Leadership training correlated with confidence in demonstrating service value, measuring faculty clinical productivity, novel models of care, and growing a new service. CONCLUSION:Consultation-Liaison directors with fewer years of experience and minimal health care management training need time and support to grow into their roles. They should be pointed toward training opportunities to improve their confidence to lead the wide range of management tasks that are important to their roles.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Bronson B,Perlman G

doi

10.1016/j.psym.2020.09.006

subject

Has Abstract

pub_date

2020-09-22 00:00:00

eissn

0033-3182

issn

1545-7206

pii

S0033-3182(20)30251-6

pub_type

杂志文章
  • Depressive disorders in the medically ill. An overview.

    abstract::Depressive disorders are far more serious than most people realize, and depressive disorders are disabling affected persons progressively earlier in life. Heavy utilization of medical services, extensive disability and morbidity, and high suicide risk exact a staggering economic toll in the United States annually. Dep...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(95)71698-X

    authors: Cassem EH

    更新日期:1995-03-01 00:00:00

  • Psychiatric evaluation of death-hastening requests. Lessons from dialysis discontinuation.

    abstract::The authors aim to facilitate the psychiatric evaluation of death-hastening decisions, such as cessation of life-support treatment or physician-assisted suicide, by deriving principles for evaluating patients from a literature review and a recently completed prospective study on dialysis discontinuation conducted by c...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.41.3.195

    authors: Cohen LM,Steinberg MD,Hails KC,Dobscha SK,Fischel SV

    更新日期:2000-05-01 00:00:00

  • Shared or discordant grief in couples 2-6 years after the death of their premature baby: effects on suffering and posttraumatic growth.

    abstract:BACKGROUND:The loss of a baby causes severe short- and long-term distress to parents and their marital relationship, but little is known about how this distress is shared between spouses. The authors hypothesized that the grief-related concordance within a couple 2 to 6 years after the loss of a premature baby could be...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.50.2.123

    authors: Büchi S,Mörgeli H,Schnyder U,Jenewein J,Glaser A,Fauchère JC,Ulrich Bucher H,Sensky T

    更新日期:2009-03-01 00:00:00

  • The Neuroanatomy of Somatoform Disorders: A Magnetic Resonance Imaging Study.

    abstract:BACKGROUND:Somatoform disorders (SDs) are a heterogeneous group of psychiatric syndromes characterized by common symptoms, which may mimic a physical condition but they are not explained by a medical condition. Although the biologic nature of this disorder has been widely accepted, the neuroanatomical correlates charac...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2018.07.005

    authors: Delvecchio G,Rossetti MG,Caletti E,Arighi A,Galimberti D,Basilico P,Mercurio M,Paoli R,Cinnante C,Triulzi F,Altamura AC,Scarpini E,Brambilla P

    更新日期:2019-01-01 00:00:00

  • Symptoms of posttraumatic stress disorder in patients who have had a myocardial infarction.

    abstract::Symptoms of posttraumatic stress disorder (PTSD) and risk factors for recurrent ischemia were evaluated in 65 survivors of a myocardial infarction (MI) at baseline and 6 months afterward. PTSD patients had more uncontrolled cardiovascular risk factors at baseline. Patients with PTSD (N=14) were offered trauma-focused ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.47.3.231

    authors: Shemesh E,Koren-Michowitz M,Yehuda R,Milo-Cotter O,Murdock E,Vered Z,Shneider BL,Gorman JM,Cotter G

    更新日期:2006-05-01 00:00:00

  • Consultation-liaison psychiatry and clinical ethics. Historical parallels and diversions.

    abstract::As clinical ethicists increasingly populate hospital settings, a definition of their roles and responsibilities vis à vis those of consultation-liaison (C-L) psychiatrists remains a matter of both interest and uncertainty. Both fields share certain evolutionary and ideological features, yet until very recently, psychi...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(97)71437-3

    authors: Youngner SJ

    更新日期:1997-07-01 00:00:00

  • Untreated trichotillomania and trichophagia: surgical emergency in a teenage girl.

    abstract::Trichophagia secondary to trichotillomania can be a potentially life-threatening condition if left untreated. This report documents the unique case of a 16-year-old girl whose untreated trichotillomania led to a trichobezoar requiring surgical intervention and follow-up psychiatric treatment. Challenges in the identif...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.46.4.362

    authors: Salaam K,Carr J,Grewal H,Sholevar E,Baron D

    更新日期:2005-07-01 00:00:00

  • Medical Student Experiences on Consultation-Liaison Psychiatry Rotations: A Nationwide Survey.

    abstract:BACKGROUND:Consultation-liaison (C-L) psychiatry clerkship rotations may improve medical students' understanding of psychiatric principles relevant to the settings in which they will ultimately practice. This study aimed to characterize students' experiences on C-L rotations. METHODS:This cross-sectional survey study,...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2017.07.011

    authors: Meyer F,Abbasi O,Kasick D,Lee K,Pelic C,Zinser J,Harris T,Funk M,Academy of Psychosomatic Medicine’s Medical Student Education Subcommittee.

    更新日期:2018-01-01 00:00:00

  • Fatigue in psychiatric HIV patients: a pilot study of psychological correlates.

    abstract:BACKGROUND:Even though viral management of HIV infection is now more effective, clinical observations suggest that fatigue remains a problem for a substantial proportion of patients. OBJECTIVE:The authors delineated prevalence and severity of fatigue in HIV patients with psychiatric comorbidities and examined psycholo...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.50.5.455

    authors: Paddison J,Fricchione G,Gandhi RT,Freudenreich O

    更新日期:2009-09-01 00:00:00

  • Psychosocial assessment of organ transplant candidates. Current status of methodological and philosophical issues.

    abstract::Psychosocial assessments of candidates for organ transplant surgery are conducted to ascertain that potential patients are likely to benefit from the surgery through adequate coping, good compliance, and commitment to rehabilitation. Such assessments must be based on a realistic analysis of the behavioral demands of t...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/s0033-3182(95)71662-0

    authors: Olbrisch ME,Levenson JL

    更新日期:1995-05-01 00:00:00

  • Increasing HIV Testing in Inpatient Psychiatry.

    abstract:BACKGROUND:People with serious mental illness (SMI) are at elevated risk of HIV infection, but do not receive HIV tests regularly. Inpatient psychiatric admissions provide opportunities for HIV testing. OBJECTIVE:This study retrospectively examined the impact of three sequential interventions designed to increase HIV ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2017.10.007

    authors: Shumway M,Mangurian C,Carraher N,Momenzadeh A,Leary M,Lee EK,Dilley JW

    更新日期:2018-01-01 00:00:00

  • Cognitive Dysfunction in Patients With Late-Life Somatic Symptom Disorder: A Comparison According to Disease Severity.

    abstract:BACKGROUND:Late-life somatic symptom disorder (SSD) is characterized by various aging-associated factors, such as a functional decline, psychosocial problems, and cognitive dysfunction. However, the details of the cognitive dysfunction that occur in late-life SSD are still unknown. OBJECTIVE:The aims of this study wer...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2014.10.004

    authors: Inamura K,Shinagawa S,Nagata T,Tagai K,Nukariya K,Nakayama K

    更新日期:2015-09-01 00:00:00

  • Cognitive and social correlates of the Toronto Alexithymia Scale.

    abstract::The authors examine the relationship of the Toronto Alexithymia Scale (TAS) to sociodemographic characteristics, medical history, symptomatology, and illness cognition in a sample of 244 family medicine patients. The TAS had moderate internal reliability. In multiple regression analysis, the TAS was related to age, ed...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(93)71926-X

    authors: Kirmayer LJ,Robbins JM

    更新日期:1993-01-01 00:00:00

  • Neuropsychiatric scurvy.

    abstract:BACKGROUND:Scurvy is a disease with well-known peripheral symptoms, such as bleeding and pain. METHODS:The clinical and historical evidence for a distinct form of scurvy affecting the central nervous system, called neuropsychiatric scurvy, is reviewed. Pathophysiologic factors are described, as well as its diagnosis a...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.psym.2014.05.010

    authors: Brown TM

    更新日期:2015-01-01 00:00:00

  • Psychosocial effects on immune function: neuroendocrine pathways.

    abstract::Psychoneuroimmunology represents the newest interdisciplinary endeavor relevant to psychosomatic medicine. Work in this area is particularly exciting because it promises to reveal a more unified view of the individual and the complex interactions between social, psychological, neural, endocrinological, immunological, ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(90)72211-6

    authors: Daruna JH,Morgan JE

    更新日期:1990-01-01 00:00:00

  • White Matter Lesions, Carotid and Coronary Atherosclerosis in Late-Onset Depression and Healthy Controls.

    abstract:BACKGROUND:Cerebral white matter lesions (WMLs) are more common in individuals with late-onset or late-life depression. It has been proposed that carotid atherosclerosis may predispose to WMLs by inducing cerebral hypoperfusion. This hemodynamic effect of carotid atherosclerosis could be important for the formation of ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2016.02.005

    authors: Devantier TA,Nørgaard BL,Poulsen MK,Garde E,Øvrehus KA,Marwan M,Achenbach S,Dey D,Sørensen LH,Videbech P

    更新日期:2016-07-01 00:00:00

  • Vertigo "in the pink": The impact of female gender on psychiatric-psychosomatic comorbidity in benign paroxysmal positional vertigo patients.

    abstract:BACKGROUND:Comorbidity between vestibular and psychiatric disorders in predisposed individuals is underestimated, untreated, and may result in chronicization and poor quality of life. There are few studies concerning the type and the prevalence of psychiatric-psychosomatic distress in patients with benign paroxysmal po...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2013.02.005

    authors: Ferrari S,Monzani D,Baraldi S,Simoni E,Prati G,Forghieri M,Rigatelli M,Genovese E,Pingani L

    更新日期:2014-05-01 00:00:00

  • COMPRI--an instrument to detect patients with complex care needs: results from a European study.

    abstract::The authors developed a screening instrument to detect patients in need of complex care coordination at admission to a general hospital. On the basis of a series of risk factors for care complexity, the authors constructed a short, care complexity prediction instrument (COMPRI) and assessed its qualities. The COMPRI i...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.42.3.222

    authors: Huyse FJ,de Jonge P,Slaets JP,Herzog T,Lobo A,Lyons JS,Opmeer BC,Stein B,Arolt V,Balogh N,Cardoso G,Fink P,Rigatelli M

    更新日期:2001-05-01 00:00:00

  • Consultation-liaison psychiatry and the practice of medicine. The Thomas P. Hackett Award lecture given at the 42nd annual meeting of the Academy of Psychosomatic Medicine, 1995.

    abstract::The contributions of consultation-liaison psychiatrists have significantly influenced the practice of medicine. The author reviews the pertinent literature that substantiates this observation as well as suggests areas that hold promise for such contributions in the future. ...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/S0033-3182(96)71562-1

    authors: Kornfeld DS

    更新日期:1996-05-01 00:00:00

  • Association of Midlife Status With Response to a Positive Psychology Intervention in Patients With Acute Coronary Syndrome.

    abstract:BACKGROUND:Physical activity is strongly associated with lower risk of recurrent cardiac events in patients who experience an acute coronary syndrome (ACS), yet most patients do not meet recommended levels of physical activity. Psychological well-being is associated with higher levels of physical activity, but midlife ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2020.06.002

    authors: Feig EH,Celano CM,Massey CN,Chung WJ,Romero P,Harnedy LE,Huffman JC

    更新日期:2020-06-12 00:00:00

  • Concurrent validity of two observer-rated alexithymia measures.

    abstract::The purposes of the present study were to evaluate 1) the correspondence between two observer-rated alexithymia measures, the Observer Alexithymia Scale and the modified Beth Israel Hospital Psychosomatic Questionnaire (BIQ) and 2) the psychometric properties of both instruments. Clinical and counseling psychologists ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.43.6.472

    authors: Haviland MG,Warren WL,Riggs ML,Nitch SR

    更新日期:2002-11-01 00:00:00

  • Ready, set, relax: biofeedback-assisted relaxation training (BART) in a pediatric psychiatry consultation service.

    abstract:BACKGROUND:Biofeedback-assisted relaxation training (BART) can treat several common pediatric presentations, including chronic pain and anxiety. Its effectiveness, applicability to a variety of conditions, and equipment portability make it an ideal treatment approach for use in an inpatient pediatric consultation-liais...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2014.06.003

    authors: McKenna K,Gallagher KA,Forbes PW,Ibeziako P

    更新日期:2015-07-01 00:00:00

  • Relationship of self-perceptions of memory and worry to objective measures of memory and cognition in the general population.

    abstract::This investigation compared how perceived memory ability or level of worry about memory related to performance on objective tests of memory and cognition. Data from 1,488 participants from the Baltimore cohort of the Epidemiologic Catchment Area study were analyzed. Significant associations were found between self-rat...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.44.6.461

    authors: Podewils LJ,McLay RN,Rebok GW,Lyketsos CG

    更新日期:2003-11-01 00:00:00

  • Cardiovascular disease and metabolic risk factors in male patients with schizophrenia, schizoaffective disorder, and bipolar disorder.

    abstract::The authors determined whether diagnoses of cardiovascular disease (CVD) and CVD-related conditions differed by psychiatric diagnosis among male Veterans Administration patients from the mid-Atlantic region. Among 7,529 patients (mean age: 54.5 years), the prevalence of diagnoses ranged from 3.6% (stroke) to 35.4% (hy...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.48.5.412

    authors: Kilbourne AM,Brar JS,Drayer RA,Xu X,Post EP

    更新日期:2007-09-01 00:00:00

  • Somatoform disorder and the DSM-V Workgroup's interim proposals: two central issues.

    abstract::This paper discusses the published interim report of the DSM-V Workgroup onSomatic Symptom Disorders (SSDs). "SSD" is the term proposed by the Workgroup to replace "somatoform disorder." ...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2012.03.002

    authors: Sykes R

    更新日期:2012-07-01 00:00:00

  • Antipsychotic-induced hyperprolactinemia and delusion of pregnancy.

    abstract::The authors describe 12 patients with antipsychotic-induced hyperprolactinemia. Six patients had erroneous ideas of being pregnant (four delusional and two non-delusional) temporally associated with hyperprolactinemia and resolving as prolactin levels returned to normal. The remaining six patients did not develop such...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1176/appi.psy.49.2.163

    authors: Ahuja N,Moorhead S,Lloyd AJ,Cole AJ

    更新日期:2008-03-01 00:00:00

  • Fluoxetine and cyclosporine in organ transplantation. Failure to detect significant drug interactions or adverse clinical events in depressed organ recipients.

    abstract::Depression and anxiety disorders are common clinical problems in organ transplant recipients, but there is a paucity of clinical data to inform the selection of psychopharmacologic treatment. The authors retrospectively compared 13 depressed organ transplant recipients treated with fluoxetine with 13 nondepressed matc...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/S0033-3182(96)71594-3

    authors: Strouse TB,Fairbanks LA,Skotzko CE,Fawzy FI

    更新日期:1996-01-01 00:00:00

  • The role of psychiatrists and mental disorder in assisted dying practices around the world: a review of the legislation and official reports.

    abstract:OBJECTIVE:To establish the role of psychiatrists and mental disorder in assisted dying practices in countries and states where such practices are legal. METHODS:The authors reviewed the Assisted Dying Acts and official statistical reports from Belgium, The Netherlands, Luxembourg, and the states of Washington and Oreg...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1016/j.psym.2012.03.005

    authors: McCormack R,Fléchais R

    更新日期:2012-07-01 00:00:00

  • Factitious disorders in neurology: an analysis of reported cases.

    abstract:BACKGROUND:Factitious disorder (FD) is the deliberate production or simulation of symptoms in order to adopt the sick role. OBJECTIVE:The authors look at FD in the neurology setting. METHOD:The authors examined documented, published cases. RESULTS:FD cases in neurology are strikingly different from those in other sp...

    journal_title:Psychosomatics

    pub_type: 杂志文章,评审

    doi:10.1176/appi.psy.51.1.47

    authors: Kanaan RA,Wessely SC

    更新日期:2010-01-01 00:00:00

  • The Relationship Between Social Anxiety Disorder and Motor Symptoms of Parkinson Disease: A Pilot Study.

    abstract:BACKGROUND:In patients with Parkinson disease (PD), motor symptoms coexist with several nonmotor neuropsychiatric symptoms. Various anxiety subtypes (generalized anxiety disorder, panic disorder, and social anxiety disorder [SAD]) are more prevalent in patients with PD than in the general population. OBJECTIVE:We esti...

    journal_title:Psychosomatics

    pub_type: 杂志文章

    doi:10.1016/j.psym.2020.03.006

    authors: Moguel-Cobos G,Saldivar C,Goslar PW,Shill HA

    更新日期:2020-01-01 00:00:00