A questionnaire was mailed to 500 physicians in a five-state rural region in an effort to obtain their views, concerns, and attitudes about the utility of psychological consultations. The 500 physicians were randomly selected in equal numbers per state from national directories of internal medicine physicians and family practitioners. Of the 500 physicians surveyed, 139 (28%) responded by completing and returning the questionnaire. The results suggest that physicians generally view psychological consultations as helpful and necessary; however, they expressed concern about what training psychologists received as consultants. Physicians also expressed strong concern about the perceived lack of feedback from psychologists during and after consultations. The implications of the return rate and results are discussed. Recommendations to establish greater credibility and to improve interactions between physicians and psychologists are offered.

The number of psychologists practicing in medical settings has increased dramatically in the past decade. As a result, psychologists have been confronted more frequently with requests to evaluate or treat patients who are under medical care and who may be collaterally treated with medications. Although medications are clearly in the domain of the physician, psychologists need to become informed and to remain sensitive to the implications of the medications that their patients may be taking. Many of these medications present the potential for substantial iatrogenic effects. Physicians may not be aware of a specific patient's response or reaction to a prescription medication. Psychologists are frequently in the optimal professional position to observe the effects that may occur in the form of psychiatric symptoms. A list of many common medications and some possible side effects is provided to serve as a guide to consider one possible cause of the patient's clinical presentation. Recommendations for obtaining an accurate medication history are also provided.

The plan provides a guideline for fuel and energy efforts in the tactical environment from now to the 2016-2028 future force timeframe. The plan establishes timelines, identifies tasks, assigns responsibilities, and establishes metrics to measure progress in meeting the energy security goals prescribed in the Army Energy Security Implementation Strategy (AESIS). The plan will be executed under the direction and governance of the Army Senior Energy Executive, ensuring the synchronization of efforts aimed at meeting the Army?s overall energy security vision, mission, and goals.

Medical disorders among psychiatric patients have frequently been overlooked by all mental health disciplines. These medical conditions have, at times, been later identified as influencing some of the presenting psychological symptoms. Although the relationship between medical factors and psychological symptoms has been recognized and discussed in the literature for several decades, improvement has not been well documented regarding the frequency of recognizing medical factors with psychiatric patients. Little research was found that reviewed the effectiveness of psychologists in recognizing related medical concerns. This study examined the frequency with which a random sampling of psychologists reviewed specific medical factors with their patients during the initial psychological evaluation. The results reveal that many psychologistsare sensitive to the possible influence of medical factors, which is especially important given the increased focus of psychologists as primary care providers and the increasing collaborative practice efforts between medicine and psychology. A summary and discussion of these descriptive results are presented and recommendations are offered.

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