Am I being difficult?

[RxPsych]

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During my first external practicum at a TBI rehab facility, I reviewed a neuropsych eval from an external provider so we could compare the pt current scores to their premorbid. The report was about 45 pages long, it was quite fascinating. The provider included everything under the sun, including the exact printouts from the PAI and MCMI-IV (oof). They included two full journal articles, an MRI of a typical brain and broadly explained the functioning of various cortical and subcortical regions, and wrote about how their experience living in the Congo made them qualified to assess this individual. It felt like they were compensating for something...

 

[R. Matey]

Yeesh...and I thought 8-10 pages was Russian novel-level.

 

[WisNeuro]

During my first external practicum at a TBI rehab facility, I reviewed a neuropsych eval from an external provider so we could compare the pt current scores to their premorbid. The report was about 45 pages long, it was quite fascinating. The provider included everything under the sun, including the exact printouts from the PAI and MCMI-IV (oof). They included two full journal articles, an MRI of a typical brain and broadly explained the functioning of various cortical and subcortical regions, and wrote about how their experience living in the Congo made them qualified to assess this individual. It felt like they were compensating for something...

I think I may know who this person is. Sounds like a well known clown prince in the forensic world.

 

[MCParent]

During my first external practicum at a TBI rehab facility, I reviewed a neuropsych eval from an external provider so we could compare the pt current scores to their premorbid. The report was about 45 pages long, it was quite fascinating. The provider included everything under the sun, including the exact printouts from the PAI and MCMI-IV (oof). They included two full journal articles, an MRI of a typical brain and broadly explained the functioning of various cortical and subcortical regions, and wrote about how their experience living in the Congo made them qualified to assess this individual. It felt like they were compensating for something...

Ugh I thought my dyslexia-diagnosed-from-a-Rorschach was the best assessment story around 🙁

 

[RxPsych]

I think I may know who this person is. Sounds like a well known clown prince in the forensic world.

Unfortunately I have come across this type of report on two separate occasions, with the second being eerily similar to the one mentioned above. The one I previously mentioned does not do forensic work, but I'm pretty sure I know who you are talking about in the forensic world. I initially thought they trained together or had worked together but didn't find any evidence of that.

 

[BrainStormer]

What medical provider is actually reading a 30 page report… that is insane

 

[psych.meout]

What medical provider is actually reading a 30 page report… that is insane

Zen Koan: How many pages can one read when rolling their eyes?

 

[smalltownpsych]

When I did my neuropsychology rotation at a large academic medical facility, I was told to keep the reports to two pages because the other doctors who were referring to us didn’t have time to read through all our extraneous details. Just the relevant facts. Kind of like the bullet point presentations that medical residents learn to make during their rounds. These days, I don’t get paid for my writing ability so I try to keep it as minimal as possible and have farmed out all assessments to a postdoc. Even though it might seem a bit unreasonable or unattainable for the op at this point, he or she will probably be grateful for the experience down the road,

 

[MCParent]

When I did my neuropsychology rotation at a large academic medical facility, I was told to keep the reports to two pages because the other doctors who were referring to us didn’t have time to read through all our extraneous details. Just the relevant facts. Kind of like the bullet point presentations that medical residents learn to make during their rounds. These days, I don’t get paid for my writing ability so I try to keep it as minimal as possible and have farmed out all assessments to a postdoc. Even though it might seem a bit unreasonable or unattainable for the op at this point, he or she will probably be grateful for the experience down the road,

I’d always do both. One page summary at the start with everything the referral source needs, then the report at whatever length it needs to be. Nothing worse than a 20 page report where the dx is hidden in the middle of a paragraph on page 16.

 

[WisNeuro]

I’d always do both. One page summary at the start with everything the referral source needs, then the report at whatever length it needs to be. Nothing worse than a 20 page report where the dx is hidden in the middle of a paragraph on page 16.

At least around here, the norm has changed to have that summary and recs right up front. There are still some old school holdouts, but they are now the exception as opposed to the rule.

 

[Sanman]

What medical provider is actually reading a 30 page report… that is insane

I think most of them would out of sheer curiosity the first time. Who is this person and why did they send me this book?