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Patient-Physician Relationship Critical Even During Brief "Medication Checks"
Lynne Lamberg
JAMA. 2000;284:29-31.
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Chicago—A psychiatry resident whose patient had committed suicide was asked to present the case to the faculty. He began by listing the medications he had prescribed. A faculty member interrupted him, saying, "Tell us about your patient." The resident replied, "I don't know much about the patient's life or his family. A social worker was the psychotherapist. I was the psychopharmacologist."
The patient, it turned out, had stopped taking his medications and also had stopped seeing the social worker. The resident, scheduled to see the patient only once every 4 months to review medications, did not know these facts.
Michelle Riba, MD, of the University of Michigan Health System in Ann Arbor, used this vignette to introduce a symposium she chaired at the annual meeting of the American Psychiatric Association (APA) here in May. Riba and others asserted that even brief physician-patient encounters, such as the 15-minute . . . [Full Text of this Article]
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