Toward defining the scope of psychosomatic medicine practice

Psychosomatic medicine in an outpatient, tertiary-care practice setting

James R. Rundell, Kierin Amundsen, Teresa L. Rummans, Gayla Tennen

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Because psychosomatic medicine (PM) is increasingly practiced in outpatient settings, the scope of practice needs to be delineated from community psychiatry and inpatient psychiatry work. Objective: The authors sought to address the question of whether outpatient activities are a definably part the scope of practice of PM. Method: Three clinical groups were compared: 200 PM outpatients, 200 consultation-liaison (CL) inpatients, and 200 community-psychiatry (CP) outpatients. Results: The groups differed significantly in 49 of 112 demographic and clinical comparisons (43.8%). Analysis of individual measures validated the concept that PM outpatient practice requires traditional PM/CL expertise with medical-psychiatric differential diagnosis, unexplained physical symptoms, pain, and psychopharmacological management in medically ill and geriatric patients. Conclusion: Outpatient PM experiences may also enhance training opportunities, given an expanded case-mix.

Original languageEnglish (US)
Pages (from-to)487-493
Number of pages7
JournalPsychosomatics
Volume49
Issue number6
DOIs
StatePublished - Nov 2008

Fingerprint

Psychosomatic Medicine
Tertiary Healthcare
Ambulatory Care
Outpatients
Community Psychiatry
Inpatients
Referral and Consultation
Diagnosis-Related Groups
Traditional Medicine
Pain Management
Mental Disorders
Geriatrics
Psychiatry
Medicine
Differential Diagnosis
Demography

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Applied Psychology

Cite this

Toward defining the scope of psychosomatic medicine practice : Psychosomatic medicine in an outpatient, tertiary-care practice setting. / Rundell, James R.; Amundsen, Kierin; Rummans, Teresa L.; Tennen, Gayla.

In: Psychosomatics, Vol. 49, No. 6, 11.2008, p. 487-493.

Research output: Contribution to journalArticle

Rundell, James R. ; Amundsen, Kierin ; Rummans, Teresa L. ; Tennen, Gayla. / Toward defining the scope of psychosomatic medicine practice : Psychosomatic medicine in an outpatient, tertiary-care practice setting. In: Psychosomatics. 2008 ; Vol. 49, No. 6. pp. 487-493.
@article{7a791e47621345caac12d341ba33cfc3,
title = "Toward defining the scope of psychosomatic medicine practice: Psychosomatic medicine in an outpatient, tertiary-care practice setting",
abstract = "Background: Because psychosomatic medicine (PM) is increasingly practiced in outpatient settings, the scope of practice needs to be delineated from community psychiatry and inpatient psychiatry work. Objective: The authors sought to address the question of whether outpatient activities are a definably part the scope of practice of PM. Method: Three clinical groups were compared: 200 PM outpatients, 200 consultation-liaison (CL) inpatients, and 200 community-psychiatry (CP) outpatients. Results: The groups differed significantly in 49 of 112 demographic and clinical comparisons (43.8{\%}). Analysis of individual measures validated the concept that PM outpatient practice requires traditional PM/CL expertise with medical-psychiatric differential diagnosis, unexplained physical symptoms, pain, and psychopharmacological management in medically ill and geriatric patients. Conclusion: Outpatient PM experiences may also enhance training opportunities, given an expanded case-mix.",
author = "Rundell, {James R.} and Kierin Amundsen and Rummans, {Teresa L.} and Gayla Tennen",
year = "2008",
month = "11",
doi = "10.1176/appi.psy.49.6.487",
language = "English (US)",
volume = "49",
pages = "487--493",
journal = "Psychosomatics",
issn = "0033-3182",
publisher = "American Psychiatric Publishing Inc.",
number = "6",

}

TY - JOUR

T1 - Toward defining the scope of psychosomatic medicine practice

T2 - Psychosomatic medicine in an outpatient, tertiary-care practice setting

AU - Rundell, James R.

AU - Amundsen, Kierin

AU - Rummans, Teresa L.

AU - Tennen, Gayla

PY - 2008/11

Y1 - 2008/11

N2 - Background: Because psychosomatic medicine (PM) is increasingly practiced in outpatient settings, the scope of practice needs to be delineated from community psychiatry and inpatient psychiatry work. Objective: The authors sought to address the question of whether outpatient activities are a definably part the scope of practice of PM. Method: Three clinical groups were compared: 200 PM outpatients, 200 consultation-liaison (CL) inpatients, and 200 community-psychiatry (CP) outpatients. Results: The groups differed significantly in 49 of 112 demographic and clinical comparisons (43.8%). Analysis of individual measures validated the concept that PM outpatient practice requires traditional PM/CL expertise with medical-psychiatric differential diagnosis, unexplained physical symptoms, pain, and psychopharmacological management in medically ill and geriatric patients. Conclusion: Outpatient PM experiences may also enhance training opportunities, given an expanded case-mix.

AB - Background: Because psychosomatic medicine (PM) is increasingly practiced in outpatient settings, the scope of practice needs to be delineated from community psychiatry and inpatient psychiatry work. Objective: The authors sought to address the question of whether outpatient activities are a definably part the scope of practice of PM. Method: Three clinical groups were compared: 200 PM outpatients, 200 consultation-liaison (CL) inpatients, and 200 community-psychiatry (CP) outpatients. Results: The groups differed significantly in 49 of 112 demographic and clinical comparisons (43.8%). Analysis of individual measures validated the concept that PM outpatient practice requires traditional PM/CL expertise with medical-psychiatric differential diagnosis, unexplained physical symptoms, pain, and psychopharmacological management in medically ill and geriatric patients. Conclusion: Outpatient PM experiences may also enhance training opportunities, given an expanded case-mix.

UR - http://www.scopus.com/inward/record.url?scp=61849087325&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=61849087325&partnerID=8YFLogxK

U2 - 10.1176/appi.psy.49.6.487

DO - 10.1176/appi.psy.49.6.487

M3 - Article

VL - 49

SP - 487

EP - 493

JO - Psychosomatics

JF - Psychosomatics

SN - 0033-3182

IS - 6

ER -