When you're a noob and something seems off.

[NontradCA]

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I understand that we're all human beings and that first year medical students don't know anything, but I can't help but notice some forms of practice that rub me the wrong way. For instance, I watched a physician prescribe and manage psych med after psych med on patients and even forewarned me of the youths state of mind prior to entering the rooms. The reasoning for the meds did not make any sense to me (and I guess right or wrong it still may not make sense to me at this level).

What bothered me was not the seemingly overprescribed nature of this, but the fact that this person told me they did not trust Psychiatrists to manage these meds. They bashed the field in some unfairly harsh criticisms, and I couldn't help but be taken aback.

Obviously you don't say anything in these situations, and those who may be "off" still have a wealth of knowledge and experience above you. Is there any room to question the validity of diagnoses, management and care of those above you in medicine without putting a target on your back?

 

[NurWollen]

I understand that we're all human beings and that first year medical students don't know anything, but I can't help but notice some forms of practice that rub me the wrong way. For instance, I watched a physician prescribe and manage psych med after psych med on patients and even forewarned me of the youths state of mind prior to entering the rooms. The reasoning for the meds did not make any sense to me (and I guess right or wrong it still may not make sense to me at this level).

What bothered me was not the seemingly overprescribed nature of this, but the fact that this person told me they did not trust Psychiatrists to manage these meds. They bashed the field in some unfairly harsh criticisms, and I couldn't help but be taken aback.

Obviously you don't say anything in these situations, and those who may be "off" still have a wealth of knowledge and experience above you. Is there any room to question the validity of diagnoses, management and care of those above you in medicine without putting a target on your back?

Was this doctor a scientologist?

 

[SLC]

I understand that we're all human beings and that first year medical students don't know anything, but I can't help but notice some forms of practice that rub me the wrong way. For instance, I watched a physician prescribe and manage psych med after psych med on patients and even forewarned me of the youths state of mind prior to entering the rooms. The reasoning for the meds did not make any sense to me (and I guess right or wrong it still may not make sense to me at this level).

What bothered me was not the seemingly overprescribed nature of this, but the fact that this person told me they did not trust Psychiatrists to manage these meds. They bashed the field in some unfairly harsh criticisms, and I couldn't help but be taken aback.

Obviously you don't say anything in these situations, and those who may be "off" still have a wealth of knowledge and experience above you. Is there any room to question the validity of diagnoses, management and care of those above you in medicine without putting a target on your back?

People either love, or hate psychiatrists. The good ones are indispensable, the "less good" ones are probably as good/slightly better than most Primary care guys when it comes to managing meds, and the "bad" ones are downright scary.

That being said, there are plenty of Primary Care guys who routinely get in way over their heads with Psych Management. So my criticisms are just as harsh of them.

Time and experience will allow you to see who you're dealing with. But one thing's for sure, there seems to be an unspoken code among physicians that it's poor form to question another doc's management from the sidelines.

 

[DocWinter]

. But one thing's for sure, there seems to be an unspoken code among physicians that it's poor form to question another doc's management from the sidelines.

This.
It wouldn't go over well coming from another doc...not shrink that down to a premed, and you can see the bloody mess it would make to appear to question....

 

[Goro]

You could probe deeper to ask the doc why he feels this way towards psychiatrists.

Obviously you don't say anything in these situations, and those who may be "off" still have a wealth of knowledge and experience above you. Is there any room to question the validity of diagnoses, management and care of those above you in medicine without putting a target on your back?[/QUOTE]