A survey of psychiatrists’ attitudes towards the physical examination

Murray, Jonathan; Baillon, Sarah; Bruce, Janet; Velayudhan, Latha

doi:10.3109/09638237.2015.1057320

Cited by 9 publications

(10 citation statements)

References 21 publications

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“…This national survey, which obtained views from psychiatrists in all the main sub-specialities, clarifies considerably the factors contributing to the standard of PEs performed on psychiatric patients. The results show, as did an earlier regional survey, that most psychiatrists view the PE as important, think that skills in this domain should be part of their core competencies which should be maintained throughout their career, and do not believe that it has a negative effect on the patient (Murray, et al, 2015). The survey responses also indicate that most psychiatrists rate their PE competencies as good or mediocre and that they are in favour of using structured forms to document the PE findings, a practice which has been shown to increase the amount of information recorded (Murray & Baillon, 2013).…”

Section: Discussionsupporting

confidence: 63%

“…The questionnaire obtained basic information about the respondent and then included questions with categorical and Likert scale responses. Questions were based on a range of issues included in a previous survey (Murray, et al, 2015) and included items on physical examinations in their current (or if retired, most recent) job and on their views about physical examinations in psychiatry. Respondents were asked about their physical examination skills and supervision of junior trainees in this domain.…”

Section: Methodsmentioning

confidence: 99%

“…A survey of psychiatrists working in Leicestershire in the UK in 2012 indicated that likely reasons for poor performance of the PE include a shortage of time and equipment, challenges associated with agitated or uncooperative patients and possibly a degree of skill atrophy, especially in senior psychiatrists (Murray, Baillon, Bruce, & Velayudhan, 2015). However, this survey was limited to a single NHS Trust and the authors considered that a larger national survey would provide more information on which to base efforts to improve standards.…”

Section: Introductionmentioning

confidence: 99%

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A national survey of psychiatrists’ attitudes towards the physical examination*

Baillon

Murray

2019

Journal of Mental Health

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Background Studies have shown that most psychiatric patients do not receive a thorough physical examination (PE). Aims To explore factors contributing to the underperformance of the PE on psychiatric patients. Method All psychiatrists in the UK who were registered or affiliated to the Royal College of Psychiatrists were invited to complete an online survey regarding their attitudes towards PEs in psychiatry. Results Responses from 15% of the psychiatrists showed that most (89%) believe that the PE is important. The majority (61%) indicated that their PE skills had diminished since working in psychiatry and this was reported more by senior psychiatrists than junior trainees (64% vs 49%). Most respondents considered that the PE should not be done by another type of health professional (45% vs 28%). Conclusions Likely reasons for poor performance of PEs include shortage of time and equipment, challenges associated with agitated and uncooperative patients, the perceived incongruence of the PE with the patient's presenting symptoms and a degree of skill atrophy, especially in senior psychiatrists which is leading to lack of supervision of junior trainees in this area. Further research is needed to investigate if strategies addressing these factors would improve the standard of PEs on psychiatric patients. Declaration of interest: This survey received no specific funding and all authors have no conflict of interest to report.

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Section: Discussionsupporting

confidence: 63%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A national survey of psychiatrists’ attitudes towards the physical examination*

Baillon

Murray

2019

Journal of Mental Health

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“…Of particular relevance is a survey completed by Murray et al 14 which examined factors contributing to underperformance of physical examinations in psychiatric patients. The study's authors concluded that completing a physical examination should be part of psychiatrists' core competencies, but senior psychiatrists reported their skills had diminished.…”

Section: Specific Systems Examination and Managementmentioning

confidence: 99%

“…Other barriers included time difficulties, lack of equipment and difficulties with uncooperative and agitated patients limiting the ability to complete a detailed examination. The study also made reference to trainees having inadequate supervision, which may further compound the problem 14,15 Another barrier to psychiatrists taking the lead on physical health care may relate to availability of resources. Alam et al 16 explored what resources were available for consultant psychiatrists working in North West England, looking at ECG monitoring of patients on high-dose antipsychotic treatment, as well as availability of resources for measuring blood pressure.…”

Section: Specific Systems Examination and Managementmentioning

confidence: 99%

Psychiatrists' views on their role in monitoring patient physical health

Burlingham¹,

Greenstone²

2019

Prog Neurol Psychiatry

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Despite the growing focus on the responsibilities of and role for psychiatrists in managing their patients' physical health, there is a paucity of literature on the subject. Here, the authors explore relevant concepts and uncover barriers to physical health care provision for those with mental illness, in terms of patient factors, limited resources and psychiatrists' skills. The vital role of the multidisciplinary team in optimal health care is also discussed.

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Cancer and severe mental illness in low‐ and middle‐income countries: The challenges and outlook for the future

et al. 2021

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Objective: Patients with severe mental illness (SMI) face health inequalities that lead to under treatment of diseases such as cancer and result in increased mortality.There is literature addressing this issue for SMI patients in high-income countries but few for those in low-and middle-income countries. This review aims to draw attention to the health inequalities and the compounding factors faced by SMI patients in low-and middle-income countries. The relevance of integration of psycho-oncology in the care of SMI patients with cancer is integral to reduce disparities and address varied contributory factors. Methods:The literature review was conducted by searching through two databases which includes PubMed and Google Scholar. We searched for articles using keyword search terms: severe mental illness, SMI, schizophrenia, bipolar disorder, cancer, low-middle-income countries, low-and middle-income countries, psychooncology, HPV vaccine, cancer incidence, cancer mortality, cancer control, cancer screening, cancer treatment and palliative care.Results: A total of 80 research articles were included in our literature review. We found that there was an increased requirement for adapting to the changing disease landscape in low-and middle-income countries. An improvement on aspects such as vaccination, screening and prevention is necessary, and also efforts to change social stance towards SMI is crucial. Conclusion:There is an increase incidence of cancer in low-and middle-income countries, and the number of patients with SMI in low-and middle-income countries is also rising. This is due to social, psychological, economical and healthcare factors. Lowand middle-income countries must consider improving these aspects in order to adapt to the changing landscape.

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A survey of psychiatrists’ attitudes towards the physical examination

Abstract: Background: Studies have shown that most psychiatric patients do not receive a thorough physical

Cited by 9 publications

References 21 publications

A national survey of psychiatrists’ attitudes towards the physical examination*

A national survey of psychiatrists’ attitudes towards the physical examination*

Psychiatrists' views on their role in monitoring patient physical health

Cancer and severe mental illness in low‐ and middle‐income countries: The challenges and outlook for the future

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