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oh, well, i'm sorry to say in that case i have no idea.questionable... in that sometimes family suspects an overdose or something is a suicide attempt when it's really not.
Psycho Doctor said:Do applicants have to report or can adcoms find out about psychiatric treatments/hospital stays, for depression, questionable suicide attempts or anything similar? 😱
superdevil said:well, it depends...
depression?? no. its too common to screen against. mult. personalities?? i sure HOPE they screen against that.
by the way, what do you define as a "questionable suicide attempt"? is ok to have a "reasonable" suicide attempt?? 😀
Psycho Doctor said:Do applicants have to report or can adcoms find out about psychiatric treatments/hospital stays, for depression, questionable suicide attempts or anything similar? 😱
Psycho Doctor said:yea but I thought HIPPA could be overlooked in certain situations (safety) and I thought this could be contrived to be one of those.
Psycho Doctor said:yea but I thought HIPPA could be overlooked in certain situations (safety) and I thought this could be contrived to be one of those.
Eyecon82 said:How do they screen this stuff before admission? I did not find a single secondary that asked about any mental health issues
Psycho Doctor said:But what if your psychiatrist (or one of them) is writing your rec because you also do volunteer work for him and shadow him?
gaf said:The Health Insurance Portability and Accountability Act of 1996 (Public Law 104- 191) is abbreviated "HIPAA" (not HIPPA).
Eyecon82 said:Unless they make you sign a consent...there is this other form medical schools make you adhere too...technical qualifications or something....when you sign that...maybe that disqualifies the hippa for a med applicant..not sure though...
Psycho Doctor said:But what if your psychiatrist (or one of them) is writing your rec because you also do volunteer work for him and shadow him?
stinkycheese said:That's extremely unethical, first of all, on your psychiatrist's part.
Secondly, he should be writing this as your supervisor, which is a role separate from your shrink.
stinkycheese said:Thirdly, he really shouldn't be writing a letter at all since it is a conflict of interest, but this guy sounds like a big quack anyway. People like him do a disservice to the fine profession of psychiatry.
Eyecon82 said:UNCALLED FOR
stinkycheese said:Why? Do you not believe in MEDICAL ETHICS? This psychiatrist should not have any sort of supervisory/personal relationship with his patient. To do so is to distort the therapeutic relationship and the power differential.
It is just plain wrong. And saying so is not UNCALLED FOR
Eyecon82 said:He is not concurrently his patient and worker/volunteer. He was an ex-patient of his.
There's nothing about medical ethics that says a Dr. can't have an ex-patient volunteer for them....i shadowed my family physician..and im sure half the people on this board that shadowed...shadowed their family physician
stinkycheese said:The rules of the game are significantly different for psychiatry than family medicine. It's inappropriate to have any sort of personal relationship with a patient or ex-patient because it distorts the therapeutic boundaries that are in place as a necessary guideline. Stepping over this line messes up the balance of authority in the relationship. The therapist necessarily has some "authority" over a patient because of the skewed nature of the psychiatrist-patient relationship: it is not a two-way street. But going beyond this perceived authority to a position of actual authority (ie, becoming your patient's supervisor) is so incredibly inappropriate that I do believe anyone who would behave in this way is a quack!
Tell me something: if someone falls in love with their GP and after terminating their doctor-patient relationship with him, they pursue a marraige, would you feel squicked out?
Now tell me, if someone falls in love with their shrink, terminates the relationship and marries them, would you feel squicked out?
Exactly.
Go to the psychiatry forum and ask them what they think of having an ex-patient shadow them. Then come back here and argue with me some more.
Eyecon82 said:Maybe you're right and sorry for questioning you on that matter...but it was uncalled for by saying he's a quack and so forth...you shouldn't have said that...leave those opinions to yourself...because you are indirectly insulting the OP
Indebt4Life said:I know for a fact that ....if lets say you were admitted to a hospital and it is affiliated with a medical school that you are applying to...all personnel can view your hospital history like when you have been admitted over dosing and such. Also, since everything is via computer most personnel have access this HIPPA my butt. I am boggled sometimes with the stuff that I am able to obtain on a person at the click of a mouse. Now, the question is whether they will care to look and the chances of that happening are slim to none. Before you enter med school you have to get a health evaluation, so you may or may not be asked whether you have psychological issues which by the way are very common and you should not feel embarrassed or ashamed.
yea, i read the OP's post in lab a little too fast. come to think of it, my reply didn't make much sense either.....How do they screen this stuff before admission? I did not find a single secondary that asked about any mental health issues
stinkycheese said:This information is loged at all times as per HIPAA regulations. Computer administrators can see who accessed what information when. For anyone on a med school Ad Com to access this without a legitimate medical need to do so, and to share information with the Ad Com and ultmately use it against someone in the admissions process, would be a fine way for someone to lose their appt at the hospital and also their license. How would they justify invading your medical records? Doctors have more sense than this-- unless they are quacks and immoral-- so don't worry. It's against the law, the moral code of physicians, and all hospital policy.
Psycho Doctor said:What? Why is it unethical? He would be writing it as a supervisor. And how is it a conflict of interest. I started working for him *before* i was a patient. I explained this in greater detail below.

Psycho Doctor said:After that the dean made me go talk to the psychiatrist every day for the rest of the semester just to maintain that ri was ok. will that be a problem?![]()
gaf said:I think the only ethical question is whether a psychiatrist should treat his/her employees. So did your friend/supervisor/doc do anything unethical? Debatable (apparently...there's 3 screens of it 😉 ).
Did you do anything unethical? No.
Is it unethical for your friend/doctor/supervisor to write a letter for you? No -- but it's probably good for him to be careful about what he's writing (i.e. about you his friend, you his pt, or you his employee). Maybe the two of you should discuss it to be sure that you are comfortable with that, too.
TwoLegacies said:so then where do you draw the line? is a psychiatrist not allowed to talk to someone about their feelings if they have a professional relationship? what about someone who isn't a psychiatrist talking to an employee about their feelings? simply because this psychiatrist has expertise means he can't counsel a friend? that seems odd to me. i think without knowing the whole situation and exactly what kind of counseling went on, you shouldn't be judging this doctor's actions as unethical.
stinkycheese said:My father is one of the best surgeons in his specialty in the country. He has been recognized in this field by both his peer group and also by independent rankings in magazines that rank this sort of stuff. For this reason, when my grandfather (his father-in-law) needed surgery requiring the expertise of my father's field, my dad was the one to perform it. Since it was not his father and the surgery was not seriously life-threatening (but was also not elective), my father felt comfortable doing the surgery. I don't think he even thought twice about putting his father-in-law in anyone else's hands, although his partner did assist, and is equally as good of a physician/surgeon as my dad. Dad is a very professional person and was able to detach enough to make objective decisions. All turned out very well. If it had been his own biological father, I doubt he would have done it, though, and my parents never treated us themselves, they always took us to the pediatricians. Interestingly, though, neither of my parents have GP's, which I think is stupid and irresponsible.
Psycho Doctor said:But what if your psychiatrist (or one of them) is writing your rec because you also do volunteer work for him and shadow him?
Eyecon82 said:What specialty is your dad in, if you dont mind me asking? I think it was right of him to treat his father-in-law. When it is blood, you have crossed the line when it comes to surger.
stinkycheese said:I'm not sure what you're trying to say, but it wasn't a blood relative, so... anyway. For some surgeons it woudn't have been appropriate, but for my father, it was, and his judgment is sound. He is a vascular surgeon.
That's cool that your dad is so well respected in his field. Has that influenced what specialty you're interested in?
stinkycheese said:Yes! It has made me vow never, ever, ever, ever, ever, ever, ever to be a surgeon!!!!! 😉
stinkycheese said:Yes! It has made me vow never, ever, ever, ever, ever, ever, ever to be a surgeon!!!!! My father lives and breathes surgery. It's his passion and he's a happy person when he's doing it, but he doesn't have a life. Lucky for me and my siblings, he has always been able to provide for us and give us a comfortable lifestyle (although not indulgent by any means, esp for the amount of work the poor man does). But I see how much of one's life much be purely devoted to one's profession when you're dealing with such a highly specialized field as vascular surgery. The dude is in his mid-fifties and still gets called out of bed regularly to go fix AAA's and stuff... not exactly a relaxing or fun lifestyle, but he seems to love it. He leaves the house at 5:30am every day without fail (except Sundays) and is home by 7:00pm on a good day. He's like a permanent resident w/regards hours... and an 80-hour work week is a good week. It's a life that I don't want for myself. Interestingly, my brother is becoming a surgeon and is applying to residencies right now. I will be probably an internist or pediatrician. 😉