Comments on: Psychiatrists and informed consent http://www.kevinmd.com/blog/2007/05/psychiatrists-and-informed-consent.html medical blog Sun, 22 Nov 2009 22:50:49 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2007/05/psychiatrists-and-informed-consent.html/comment-page-1#comment-75493 Anonymous Sun, 27 May 2007 02:28:00 +0000 http://clients.emmense.com/kevinmd/2007/05/psychiatrists-and-informed-consent.html#comment-75493 If you learn on actors pretending to be patients, instead of real patients, you get these results.<br/><br/>Patients have different goals than actors who are trying to test the doctor. It's a completely different sort of encounter.<br/><br/>Faith Fitgerald (from UC Davis) said it best:<br/><br/>"When I was a med student, the rule was "if it looks like a duck, quacks like a duck and waddles like a duck, it was duck. Now we teach our students it's actually a parrot" If you learn on actors pretending to be patients, instead of real patients, you get these results.

Patients have different goals than actors who are trying to test the doctor. It’s a completely different sort of encounter.

Faith Fitgerald (from UC Davis) said it best:

“When I was a med student, the rule was “if it looks like a duck, quacks like a duck and waddles like a duck, it was duck. Now we teach our students it’s actually a parrot”

]]> By: OB Doctor http://www.kevinmd.com/blog/2007/05/psychiatrists-and-informed-consent.html/comment-page-1#comment-75492 OB Doctor Sat, 26 May 2007 23:01:00 +0000 http://clients.emmense.com/kevinmd/2007/05/psychiatrists-and-informed-consent.html#comment-75492 In my opinion, this study sheds light why patients are losing trust in physicians. In my opinion, this study sheds light why patients are losing trust in physicians.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/05/psychiatrists-and-informed-consent.html/comment-page-1#comment-75477 Anonymous Sat, 26 May 2007 15:34:00 +0000 http://clients.emmense.com/kevinmd/2007/05/psychiatrists-and-informed-consent.html#comment-75477 What criteria?<br/><br/>Ivory tower ideal criteria formulated by guys in offices who grace a ward once a month for a case conference?<br/><br/>Criteria writen by lawyers who don't have to treat sick people?<br/><br/>Or criteria based on the standard of care meaning what the bulk of real practioners treating real patients find is practical and workable while respecting patients rights, as well as the fact that the organ with which they make decisions and process information is the one that is broken.<br/><br/>Informed consent in psychiatry is an art which in application is crafted to each clinical situation. I can believe that residents don't do it well and need training--that is why they are residents. I just find it hard to imagine how one might formulate "criteria" that can measure that well. What criteria?

Ivory tower ideal criteria formulated by guys in offices who grace a ward once a month for a case conference?

Criteria writen by lawyers who don’t have to treat sick people?

Or criteria based on the standard of care meaning what the bulk of real practioners treating real patients find is practical and workable while respecting patients rights, as well as the fact that the organ with which they make decisions and process information is the one that is broken.

Informed consent in psychiatry is an art which in application is crafted to each clinical situation. I can believe that residents don’t do it well and need training–that is why they are residents. I just find it hard to imagine how one might formulate “criteria” that can measure that well.

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