December 16, 2010 2 Comments
Blog Post by Michael Casher, MD, Director, Psychiatry Adult Inpatient Program, Clinical Assistant Professor, Department of Psychiatry, University of Michigan Medical School
Inpatient psychiatry may yet join consultation psychiatry (psychosomatic medicine) as a subspecialty within American psychiatry in the future. There is a growing movement within many branches of medicine for “hospitalists”, physicians who spend the majority of their time taking care of hospitalized patients. This is especially common now in the U.S. in the fields of internal medicine, pediatrics, and neurology, but there are now beginning to be a number of psychiatric hospitalists as well, including many in academic centers. Inpatient psychiatry encompasses treatment of virtually all of the serious/severe mental disorders. In our experience on a university-based psychiatric unit, we see quite a few patients with mood disorders and psychotic disorders, as well as borderline PD patients in crisis. We also frequently take care of geropsychiatric patients with depression or dementia-related agitation.
Dr Bess and I are among this group of academic hospitalists and our book Manual of Inpatient Psychiatry represents our accumulated viewpoint on the best current practice of inpatient psychiatry. Inpatient psychiatry is an exciting area of our field and as pointed out in our previous blog posting, is a great place to teach psychiatry to medical students and more advanced trainees. We are already aware of several residency programs that have adopted our book for their trainees. Our own residents and students find its format comfortable, especially because it fits into their labcoat pockets (a feature that was very important to us when we first proposed the manual to Cambridge.
I must point out that while it was difficult work to complete our book, it was very gratifying to work collaboratively with my co-author and to mesh our points of view to come up with a common “voice” for our book, which I believe is one of its strengths.
Michael Casher is a co- author of Manual of Inpatient Psychiatry, published by Cambridge University Press