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20+ Year Member
- Mar 18, 2003
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Poety said:PH: No I'm not aware of any studies that you asked about, my thoughts and ideas are founded in experience alone, but I also think that sometimes experience goes a lot further than some of these bunked out studies do. (my n=1 is also additive of 13+ years in healthcare) The things I've seen aren't controlled and they're backed by observations I've made in healthcare in a multitude of different settings.
And yes I think that managed care would approve of this to cut costs - I think managed care providers would do ANYTHING to cut costs. I'm not too sure what you're asking me here - do I know its probably inevitable? Yes. Do I accept it none-the-less? No. I am fundamentally against prescribing meds without the proper training - the reason here again is patient safety and to reiterate, these are NOT going to be the patients with multiple options or that have the best healthcare to begin with (or even the best capacity to make medical decisions in general). These are going to be the VA patients, or the patients that are so mentally ill that they won't know the difference anyway.
Ask any patient with decent medical insurance or plenty of money in their pocket if they would let a psychologist prescribe drugs and I'd bet a dollar the answer would be an unequivocable no.
Why? because we seem to think its ok for the poor to get crappy health care while the upperclass or wealthier are the only ones to reap the benefits of good health care. AGain, this is from experience and 13 years of it can go head to head with any study you show me.
If you're thinking of psychiatry as a specialty - you need to be able to think about these things objectively and make your own decisions about them which is exactly what you're doing now. You'll definitely develop your own ideas about healthcare as time goes by. Some people think that secondary adn tertiary prescribers are great, I just don't happen to be one of them. I think you taking all this into consideration at this point is a great idea -whether you're an MD or a psychologist in training, these are things one should seriously ponder especially since you'll be running into a whole slew of it when out in practice. (which at that point will be yet another new learning experience for me)
By the way, how far along are you in your training?