TY - JOUR
KW - Brain/drug effects/physiopathology
KW - Cooperative Behavior
KW - Curriculum
KW - Delivery of Health Care, Integrated/organization & administration
KW - Drug Therapy, Combination
KW - Evidence-Based Medicine/education/organization & administration
KW - Forecasting
KW - Health Services Needs and Demand/trends
KW - Humans
KW - Interdisciplinary Communication
KW - Mental Disorders/diagnosis/physiopathology/therapy
KW - Neurosciences/education/organization & administration
KW - Patient Care Team/organization & administration
KW - Primary Health Care/organization & administration
KW - Psychiatry/education/organization & administration
KW - Psychotropic Drugs/administration & dosage/adverse effects
KW - Referral and Consultation/organization & administration
KW - Translational Medical Research/education/organization & administration
KW - United States
AU - E. H. Rubin
AU - C. F. Zorumski
A1 - 
AB - Psychiatry is facing a crisis fueled by a fragmented and inefficient system of care delivery and a disconnection between the state of research and the state of psychiatry education and practice. Many factors contribute to the current state of psychiatric care. Psychiatry is a shortage specialty, and this will become worse in the near future. In addition, financial pressures have led to decreases in psychiatric inpatient and outpatient services and to shorter lengths of hospitalization for even the sickest patients. This has resulted in fragmented care and an overreliance on polypharmacy. To reach the large number of patients needing psychiatric services, health care systems must change and take advantage of collaborative and integrative care models and new technologies. Psychiatrists must learn to partner more effectively with primary care providers to extend their expertise to the greatest number of patients. Currently, psychiatric diagnosis is based on a criteria-based system that was developed in the 1970s. Advances in systems and molecular neuroscience are beginning to elucidate specific brain systems that are dysfunctional in psychiatric illness. This has the potential to revolutionize psychiatric diagnosis and treatment in the future. However, psychiatry has not yet been successful in incorporating the language of this research into clinically meaningful terminology. If neuroscientific progress is to be translated into clinical advances, this must change. Residency programs must better prepare their graduates to keep up with a psychiatry literature that will increasingly use the language of neural circuits to describe psychiatric symptomatology and treatments.
BT - Academic medicine : journal of the Association of American Medical Colleges
C5 - Education & Workforce
CP - 3
CY - United States
DO - 10.1097/ACM.0b013e3182441697
IS - 3
JF - Academic medicine : journal of the Association of American Medical Colleges
N2 - Psychiatry is facing a crisis fueled by a fragmented and inefficient system of care delivery and a disconnection between the state of research and the state of psychiatry education and practice. Many factors contribute to the current state of psychiatric care. Psychiatry is a shortage specialty, and this will become worse in the near future. In addition, financial pressures have led to decreases in psychiatric inpatient and outpatient services and to shorter lengths of hospitalization for even the sickest patients. This has resulted in fragmented care and an overreliance on polypharmacy. To reach the large number of patients needing psychiatric services, health care systems must change and take advantage of collaborative and integrative care models and new technologies. Psychiatrists must learn to partner more effectively with primary care providers to extend their expertise to the greatest number of patients. Currently, psychiatric diagnosis is based on a criteria-based system that was developed in the 1970s. Advances in systems and molecular neuroscience are beginning to elucidate specific brain systems that are dysfunctional in psychiatric illness. This has the potential to revolutionize psychiatric diagnosis and treatment in the future. However, psychiatry has not yet been successful in incorporating the language of this research into clinically meaningful terminology. If neuroscientific progress is to be translated into clinical advances, this must change. Residency programs must better prepare their graduates to keep up with a psychiatry literature that will increasingly use the language of neural circuits to describe psychiatric symptomatology and treatments.
PP - United States
PY - 2012
SN - 1938-808X; 1040-2446
SP - 261
EP - 265
EP - 
T1 - Perspective: Upcoming paradigm shifts for psychiatry in clinical care, research, and education
T2 - Academic medicine : journal of the Association of American Medical Colleges
TI - Perspective: Upcoming paradigm shifts for psychiatry in clinical care, research, and education
U1 - Education & Workforce
U2 - 22373615
U3 - 10.1097/ACM.0b013e3182441697
VL - 87
VO - 1938-808X; 1040-2446
Y1 - 2012
ER -