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Competency Evaluations on the Consultation-Liaison Service

Some Overt and Covert Aspects

Received April 28, 1998; revised July 6, 1998; accepted August 28, 1998. From the Consultation-Liaison Psychiatry Division, the Department of Psychiatry, theAllegheny University Hospitals—MCP Division, Philadelphia, Pennsylvania. Address reprint requests to Dr. Ramchandani, Consultation-Liaison Psychiatry Division, Department of Psychiatry/Allegheny University Hospital–MCP Division, 3300 Henry Avenue, Philadelphia, PA 19129.

Competency assessments are a growing function of the consultation-liaison (C-L) psychiatrist. Such consultation requests often mask a variety of psychosocial issues that are a source of frustration to the referring physician responding to the pressures of the changing health care delivery system in the acute care setting. This study identifies the issues and the outcome of psychiatric consultation in these patients. The implications of this burgeoning role for the C-L psychiatrist are also explored.

Key Words: Competency • Consultation-Liaison • Patient Rights

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