Developing, Losing, and Regaining Trust in the Doctor-Patient Relationship

Area of Science:

• Psychiatry
• Internal Medicine
• Hospital-based Care

Background:

• Medical and surgical inpatients frequently present with comorbid psychiatric symptoms.
• Managing these complex cases requires interdisciplinary collaboration.

Purpose of the Study:

• To summarize key diagnostic and management strategies discussed during psychiatric consultation rounds.
• To provide a resource for clinicians managing patients at the medicine-psychiatry interface.

Main Methods:

• Review of twice-weekly rounds discussions from the Psychiatric Consultation Service.
• Compilation of case examples and management approaches.

Main Results:

• Identification of common psychiatric presentations in medically ill patients.
• Discussion of tailored treatment strategies for diverse patient populations.

Conclusions:

• Psychiatric consultation services play a vital role in optimizing care for complex inpatients.
• Rounds reports can effectively disseminate clinical knowledge to a broader audience.