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- W117039715 abstract "Back to table of contents Previous article Next article No AccessEmergency room medical clearance: an educational problemPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.136.6.787AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractThe term medically clear has a greater capacity to mislead than to inform correctly. The overuse of this term, especially in emergency room settings, may indicate difficulties in medical education and in the consultation/referral process between psychiatry and other specialties; further, it results in poor patient care. Nonpsychiatric physicians may prematurely refer patients as medically clear because of their unfamiliarity or discomfort with clinical psychiatry. Psychiatrists often ask for medical clearance of patients to hide their discomfort with or antipathy toward clinical medicine. The use of emergency room settings for interspecialty collaboration and training helps minimize the underlying difficulties that lead to the use of this term by fostering psychiatric skills in nonpsychiatrists and a sense of medical identity in psychiatrists. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited by„Medical Screening“ von Notfallpatienten mit psychiatrischen Symptomen10 January 2023 | Notaufnahme up2date, Vol. 05, No. 01Contemporary Practices for Medical Evaluation of the Psychiatric Patient in the Emergency DepartmentMichael P. Wilson, M.D., Ph.D., Edward Hamrick, M.D., Victor Stiebel, M.D., Kimberly Nordstrom, M.D., J.D.16 January 2023 | FOCUS, Vol. 21, No. 1Do All Adult Psychiatric Patients Need Routine Laboratory Evaluation and an Electrocardiogram?The Journal of Emergency Medicine, Vol. 63, No. 5Utility of Investigations, History, and Physical Examination in “Medical Clearance” of Psychiatric Patients: A Meta-AnalysisAnil Srivastava, M.D., M.Sc., and Rajesh Nair, M.D.23 June 2022 | Psychiatric Services, Vol. 73, No. 10Coordination of Care with Psychiatry5 January 2021Is ‘medical clearance’ for acute general adult psychiatric presentations always necessary?23 April 2020 | Irish Journal of Psychological Medicine, Vol. 136Psychiatric Clinics of North America, Vol. 40, No. 3Current Emergency and Hospital Medicine Reports, Vol. 3, No. 4Emergency Medicine Clinics of North America, Vol. 33, No. 4‘The patient is medically cleared’British Journal of Hospital Medicine, Vol. 74, No. 9Administration of psychiatric careThe Journal of Emergency Medicine, Vol. 43, No. 5What Does “Medical Clearance” for Psychiatry Really Mean?Journal of Psychosocial Nursing and Mental Health Services, Vol. 48, No. 8Emergency Medicine Clinics of North America, Vol. 27, No. 4The Journal of Emergency Medicine, Vol. 35, No. 4The Journal of Emergency Medicine, Vol. 28, No. 1New England Journal of Medicine, Vol. 352, No. 7The American Journal of Emergency Medicine, Vol. 22, No. 3MEDICAL CLEARANCE OF PSYCHIATRIC PATIENTSEmergency Medicine Clinics of North America, Vol. 18, No. 2Medical Update for Psychiatrists, Vol. 2, No. 1Psychiatric Issues and Emergencies in HIV InfectionEmergency Medicine Clinics of North America, Vol. 13, No. 1The Journal of Emergency Medicine, Vol. 13, No. 4Annals of Emergency Medicine, Vol. 24, No. 4AnxietyEmergency Medicine Clinics of North America, Vol. 9, No. 1Psychiatric Quarterly, Vol. 62, No. 4The American Journal of Emergency Medicine, Vol. 7, No. 6Academic Psychiatry, Vol. 12, No. 2The American Journal of Emergency Medicine, Vol. 6, No. 2Psychiatric presentation of medical illnessThe Journal of Emergency Medicine, Vol. 5, No. 5Medical Complications in Psychiatric Patients as Demonstrated in a Patient with AIDSQRB - Quality Review Bulletin, Vol. 13, No. 4Training for Emergency Psychiatry: An analysis of Five Years’ Experience1 December 1985 | Journal of Psychiatric Education, Vol. 9, No. 4Academic Psychiatry, Vol. 9, No. 1General Hospital Psychiatry, Vol. 7, No. 1The Journal of Emergency Medicine, Vol. 1, No. 5Journal of the American Geriatrics Society, Vol. 32, No. 5General Hospital Psychiatry, Vol. 5, No. 3Psychiatric Clinics of North America, Vol. 6, No. 2Psychiatric Clinics of North America, Vol. 6, No. 2Residency training in the psychiatric emergency room1 April 2006 | American Journal of Psychiatry, Vol. 139, No. 2Filling the Need for Emergency Psychiatrists: Is Better Education the Answer?Rivian Weinerman, Pierre P. Leichner, and Dan W. Harper1 April 2006 | Psychiatric Services, Vol. 33, No. 1Annals of Emergency Medicine, Vol. 10, No. 10 Volume 136Issue 6 June 1979Pages 787-790 Metrics PDF download History Published online 1 April 2006 Published in print 1 June 1979" @default.
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