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Workloads in Clinical Psychiatry: Another Way
Hunter L McQuistion1, Rachel Zinns1
1New York University School of Medicine and the NYC Health + Hospitals/Gouverneur, New York (McQuistion). NYC Health + Hospitals/Correctional Health Services, New York (Zinns). Jules M. Ranz, M.D., Susan M. Deakins, M.D., and Stephanie Le Melle, M.D., are editors of this column.
Abstract:
Caseload and daily volume requirements present clinical and administrative challenges in organized settings primarily serving the public sector. These challenges are examined through lenses of systems-level fiscal viability, population health, and patient experience. Framed by previous efforts in caseload methodology, illustrative data collected from members of the American Association of Community Psychiatrists are discussed, with consideration of issues of professional effort and burnout. A systematic effort is needed to develop guidelines for caseload and volume expectations that support recovery outcomes, account for practitioner skills, and promote high-quality clinical encounters.
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