What a patient can expect from a consultant psychiatrist

Shooter, Michael

doi:10.1192/apt.3.2.119

Cited by 4 publications

(2 citation statements)

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“…There is growing concern that the wealth of guidelines impinges on creativity, fails to solve the problems of poor care and may in some circumstances even be harmful (McDonald, 2003). Traditional measures of service use such as hospital readmission rates and length of stay often reflect service policy and provision in a self-fulfilling manner rather than giving true information about the impact of treatment on patients (Shooter, 1997). Psychiatrists also encounter difficulties in making sense of experimental evidence to inform clinical decision-making because of the small scale and short-term nature of most psychiatric trials (Wykes & Marshall, 2004).…”

Section: Relationship To Clinical Governancementioning

confidence: 99%

Benchmarking in mental health: an introduction for psychiatrists

Bayney¹

2005

Adv. psychiatr. treat

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Benchmarking has been advocated by the Department of Health as a tool of clinical governance. The essence of benchmarking is learning from the best practice of others. Its ability to compare services and outcomes of care can facilitate change, ensuring quality control and continuous service improvement. The concept is in its infancy in the National Health Service despite its exceptionally rapid growth in business organisations over the past 25 years. Many of the characteristics that make the process so valuable in business are equally relevant in healthcare. This article reviews the history of benchmarking and describes its application in mental health services for improving patient care. It includes an analysis of the centrality of the benchmarking doctrine to the core principles of clinical governance and reflects on the assets health services possess to facilitate benchmarking. It concentrates on the principles of setting up a team and uses a case example to highlight the organisational and clinical effect that a benchmarking project could have.

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Section: Relationship To Clinical Governancementioning

confidence: 99%

Benchmarking in mental health: an introduction for psychiatrists

Bayney¹

2005

Adv. psychiatr. treat

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“…I used this quote from the specialist adviser to one of our national charities a decade ago, in an exploration of what a patient could expect from a consultant psychiatrist (Shooter, 1997). I was reminded of it again, reading the account by Kelly & Feeney (2006, this issue) of the seven gifts Hutchison bestowed on the medical students of the 1930s.…”

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confidence: 99%

Dare to be wise

Shooter¹

2006

Adv. psychiatr. treat

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It is remarkable that any of the advice given to medical students 70 years ago should still be relevant today. But none of it now makes sense without reference to the two-way relationship we share with our patients. We should be asking not what the doctor should be blessed with by the world, but what the patient should require of the doctor. This would include humanity, humility, honesty and especially wisdom.

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The Ethics of Withholding and Withdrawing Therapy in Infants and Young Children

Shooter¹

1998

CAPD/CCPD in Children

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What a patient can expect from a consultant psychiatrist

Abstract: A psychiatrist needs youthfulness, sanctity, a welljudged sense of humour... and the wisdom of the ages would be helpful, but I don't want to seem greedy.

Cited by 4 publications

References 6 publications

Benchmarking in mental health: an introduction for psychiatrists

Benchmarking in mental health: an introduction for psychiatrists

Dare to be wise

The Ethics of Withholding and Withdrawing Therapy in Infants and Young Children

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