Abstract
To the Editor: Since 1981 the Parkland Health and Hospital System and the University of Texas Southwestern Medical Center (UTSWMC) departments of psychiatry have employed medical students as moonlighters in the psychiatry emergency department (PED). Though we all arrived after 1986, we assumed that other departments of psychiatry offered similar opportunities. However, a literature search and e-mailed inquiries to psychiatry training directors and medical educators revealed that this program may be unique. This letter describes the history and functioning of a longstanding program for medical students that has served them and the two institutions well. For students it is an opportunity to earn money through clinical work and to gain experience as clinicians. For the hospital, it is an economical way to run a busy service. For the department, it keeps students involved during their senior year. In 1980, external forces led to the creation of one of the first freestanding PEDs in the country. Legislative mandates required community mental health authorities to offer emergency services. Parkland Health and Hospital System was struggling to provide services to a growing population, and the department of psychiatry, under new leadership, was expanding and developing. The three institutions joined to poolIf you're having problem loading pages
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