psych and anesthesia have pain medicine in common.
I liked both surgery and psych. I don't see why psych couldn't pick up a few procedures and learn to do them ourselves. For god's sake we could at least be doing our own LPs.
Why though? Is there an abnormally high number of LP consults at your inpatient sites? Most of the pts who need LPs are probably going to:
1) get them in the ED before any consult
2) be admitted to medicine or neuro since their is a compelling reason(fever, cn deficits, weakness, etc) for the LP and medicine or neuro will do it on their service
As a student I did 3.5 inpatient months. Census at any given time of about 40. Probably 400-500 total patients going through the units in some way during that time. Granted I missed a few days and can't account for every patient obviously, but never once did medicine or neuro need to come by and do an LP. Neuro came by for other stuff several times on consult obviously, but an LP wasn't going to be in the cards either way.
Besides, if the pt is altered with a + LP, they are going to be managed/transferred to a medicine or neuro floor anyways. To me it makes no sense for a non-procedural specialty to do their own LPs when:
1) I don't think the number will be high enough to justify it or provide us with as good of training in LP's as neuro or medicine. Yeah I realize it's not an insanely difficult to master procedure, but doing 70 is going to make one better prepared than doing 4
2) the problems with consulting neuro or medicine now to do LP's aren't/shouldn't be that big of a deal. On the list of complaints/issues em, neuro, and medicine have with psych, having to be consulted to do our LP's would be pretty far down the list.
3) more importantly, with MOST positive findings we LOSE those patients anyways. If the pt is found to have HSV encephalitis and the ED paged psych instead of neuro for whatever reason for the initial eval, they're going to neuro anyways. It's not like you're going to see IV acyclovir drips on a psych floor and the pt being managed by psych.