Abstract
General Topics in Psychiatry Primary Care This issue of Academic Psychiatry contains a section consisting of three papers on the topic of psychiatric education and primary care. Although this does not seem to be as "hot" an issue as it was 2 years ago, there have been and remain significant issues for academic psychiatrists to address. Some 20-plus years ago, as family practice was still evolving as a medical specialty, but not yet fully flowered, efforts were made, primarily by consultationliaison psychiatrists, to establish effective relationships and collaborations. These, on the whole, despite some isolated successes, were ineffective. Many have theorized about this but, in truth, little is known. Most Family Practice programs turned to psychologists and social workers to provide their required teaching and clinical consultation in their clinics. Consultationliaison psychiatrists moved on to other collaborations, of which there was no dearth. There, matters lay until 1993. Managed care, with its emphasis on primary care physicians as gatekeepers, and the Clinton administration's healthcare proposal, forced academic psychiatrists to look again at their previously missed opportunity. The Association for Academic Psychiatry devoted its 1998 annual meeting to "Psychiatry and Primary Care," and the American Association of DirectorsPreview Only. This article cannot be rented because we do not currently have permission from the publisher.
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