To the Editor: I read the entire issue of Academic Psychiatry (Volume 32, Issue 1, 2008) devoted to the care of our "peers" (i.e., medical students, residents, and colleagues) with great interest. In the issue, Kavan et al. (1) argue against the Liaison Committee on Medical Education (LCME) provision MS-27A ("The health professionals who provide psychiatric/psychological counseling or other sensitive health services to medical students must have no involvement in the academic evaluation or promotion of the students receiving those services"). They (1) suggest that medical students may not get optimal medical care due to this provision. Being frequently involved in the dual relationship of treating and evaluating medical students and some nonpsychiatry residents, I agree with their argument. It is always easy to take the high road approach and suggest all possible conflicts of interest. I am not saying that these conflicts do not exist and/or are not important. I am questioning their relative value in many situations. As argued on the principle of nonmaleficence (1), it may be better to treat someone in a situation with a potential conflict of interest (treating versus evaluating) than to leave her or him without help. Kavan et al. (1)
Treating and Evaluating Trainees
Abstract
To the Editor: I read the entire issue of Academic Psychiatry (Volume 32, Issue 1, 2008) devoted to the care of our "peers" (i.e., medical students, residents, and colleagues) with great interest. In the issue, Kavan et al. (1) argue against the Liaison Committee on Medical Education (LCME) provision MS-27A ("The health professionals who provide psychiatric/psychological counseling or other sensitive health services to medical students must have no involvement in the academic evaluation or promotion of the students receiving those services"). They (1) suggest that medical students may not get optimal medical care due to this provision. Being frequently involved in the dual relationship of treating and evaluating medical students and some nonpsychiatry residents, I agree with their argument. It is always easy to take the high road approach and suggest all possible conflicts of interest. I am not saying that these conflicts do not exist and/or are not important. I am questioning their relative value in many situations. As argued on the principle of nonmaleficence (1), it may be better to treat someone in a situation with a potential conflict of interest (treating versus evaluating) than to leave her or him without help. Kavan et al. (1)Preview Only. This article cannot be rented because we do not currently have permission from the publisher.
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Treating and Evaluating Trainees
Balon, Richard
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, Volume 32 (5): 446
American Psychiatric Publishing, Inc (Journal) – Sep 1, 2008
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