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What is the Future of Psychiatry?
In the July MPS News, we introduced the idea that a subcommittee will be working over the next several months to develop ideas and a plan for the future of the MPS. Our immediate focus will be thinking about the fiscal sustainability of the MPS over the next several years. The MPS’ future is intrinsically interdependent on the future of our profession. With this writing I want to think a little more specifically about the future of the practice of psychiatry.
Ask a research psychiatrist, and the answers focus on a wide range of potential diagnostic and treatment tools that might evolve from current lines of research. In the July 2010 edition of Current Psychiatry, Henry Nasrallah projects the impact that several important current lines of research could have on our field.
“Everything we know today was a research project a few years ago.” He predicts meaningful advances in the near future in: diagnostic lab test (biomarkers); pharmacokinetics (enabling better match between patient and medication side effects); brave new formulations (long acting antipsychotics, intrathecal antipsychotic administration, etc.); neuroimaging-guided psychotherapy (following clinical response with fMRI); brain repair (neurogenesis associated with certain medications); and deep brain stimulation. These ideas reflect potential clinical tools for future psychiatric practice.
What is the future setting for psychiatric care delivery? According to the Medical Group Management Association report, Physician Placement Starting Salary Survey: 2010 Report Based on 2009 Data (http://www.mgma.com/press/default.aspx?id=33777). “[m]ore than half (65 percent) of established physicians were placed in hospital-owned practices and almost half (49 percent) of physicians hired out of residency or fellowship were placed within hospital-owned practices.” Will psychiatrists, as is increasingly the case for other physicians, orient more toward employment and possibly (hopefully) leadership in organized systems of care?
These elements, as well as the impact of federal parity and health care reform, will be on our minds as we think about the current and potential role of professional organizations like the MPS in facilitating our capacity to practice the wonderful profession of psychiatry. Stay tuned! (I guess that is a radio term from the past, what would a future term be? Keep your battery charged? Keep your wi-fi hot-spot hot? Stay connected?)
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