Psychosomatics 40:126-129, April 1999
© 1999 The Academy of Psychosomatic Medine
Should We Train Psychiatrists as Primary Care Providers?
Edward K. Silberman, M.D.
Received July 22, 1998; revised September 18, 1998; accepted October 7, 1998. From the Department of Psychiatry and Human Behavior, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA. Address reprint requests to Dr. Silberman, Department of Psychiatry, Jefferson Medical College, Thomas Jefferson University, 1020 Sansom St., Suite 1652G, Thompson Building, Philadelphia, PA 19107-5004.
ABSTRACT
The author discusses the proposition that psychiatrists would be appropriate primary physicians for specific types of patients. The author reviews the arguments for and against psychiatrists as primary care providers, proposes questions that must be addressed in training for such a role, and describes current models of primary care education and practice for psychiatrists. The author believes that primary care may be an appropriate career track within psychiatry and suggests that the development of family medicine may provide useful guidance in incorporating primary care functions into psychiatry.
Key Words: Primary Care • Perspective
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