(his other truly shameful act was to so actively ignore HIV, but that's another issue entirely)
Many in the medical field look down on mental health
There's a reason that in med schools psychiatry is known as the specialty for average students who couldn't get into better residencies.
There's a reason that in med schools psychiatry is known as the specialty for average students who couldn't get into better residencies.
OTOH you have dermatologists, whose residency programs are extremely competitive and hard to get a spot in without top grades. Probably because they make a sh*tload of money once they're in practice. ;-)
Unfortunate. Mental health is quite important, and frequently under-diagnosed in the general population. Persistent, elevated stress leads to all kinds of physical ailments. Sound mind, sound body. But, the way our healthcare system is set up, we’ll stay the little b-tch stepchild we are, probably for my career.
OTOH you have dermatologists, whose residency programs are extremely competitive and hard to get a spot in without top grades. Probably because they make a sh*tload of money once they're in practice. ;-)
If it?s wet, keep it dry. If it?s dry keep it wet.
If it?s wet, keep it dry. If it?s dry keep it wet.
Advice from the guy who couldn’t figure out what kind of kitty to get his wife!
this whole string of comments cracked me up.and if it's red you roid it
The pressure on Behavioural health Providers is ridiculous. They are underpaid, overbooked and many times work with time constraints- X visits and then not covered or unbelievable barriers trying to get reimbursement to work. Many of the larger practices treat them like sh1t- poor pay, overbooking. Can't begin to count the number of times I have seen Providers make lateral moves between practices. Unfortunately that leaves a gap in care- the pt needs to start with a new provider because most of the time insurances are not compatible b/w practices. That means they are wait listed to see a new provider and causes all sorts of disruption and trust issues.I don't have a long history in healthcare but I've been steeped in it from the IT/operational side for the last 4+ years, and I totally agree with regards to mental health. It is improving, at least here in MA, but not quickly. Most of the slowness is related to the healthcare staff itself - we have a miserable time hiring and keeping behavioral health folks (docs, therapists, social workers, etc.).
One of the requirements put on my new big company (not Partners/MGB, but the other big eastern-mass healthcare company) when we formed was a CoCM (Continuity of Care Model) program that is a big, big step in identifying patients with mental health problems and getting them the help they may need. It's been incredibly successful, even during the pandemic, but like I said the staffing has been a major, major problem.
There are many dermatologic emergencies.
Les-you knew I would read what you write. There are many dermatologic emergencies. But they really are medical emergencies that may have a dermatologic component and thus are often managed by a general medical physician or an ER doc. if they wait for a dermatologist to arrive sometimes the emergency just gets better before the consultant gets there! (which really is perhaps the most desired outcome)