I’m not a legal expert, but my understanding of what “standard of care” means is that I need to do what any ordinary, prudent psychiatrist would do in my community under similar circumstances. I guess what I’ve been thinking about is the term “prudent.” I’m sure that most psychiatrists in my area aren’t using video [...]
Tagged face-to-face, standard of careI noticed that moviedoc has a recent post on his blog that mirrors some of my own thoughts on how telepsychiatry might change the economics of renting office space for psychiatrists. Moviedoc is thinking about two of the same things that I am: Could I do more telepsychiatry at home and think about making part [...]
Tagged office space, part-time, webcalendarAs I mentioned in my last post, Baltimore recently had a rare blizzard that shut the city down for several days while everyone dug out. I actually saw patients almost all of one of the days of the blizzard, did a lot of Skype video calls, and a lot of telephone calls, too. I really [...]
Tagged age effects, blizzard, telephoneI think this blog makes it pretty clear that I’m enthusiastic about telepsychiatry. I’ve tried to keep my enthusiasm for it low key with my patients, primarily because I want to accommodate their needs, and not have them feel pressured about whether to use telepsychiatry or not as I work out the best way to [...]
Tagged blizzard, emergencies, ER, snow, telephoneThere were nice posts this weekend on Steve Daviss’s blog and ShrinkRap regarding the new regulations in Maryland for doing telepsychiatry with patients in the public mental health system. (The state calls this “Telemental Health,” which seems like an odd word to use given that I think “Telepsychiatry” is used by most other people.) We’ve [...]
Tagged individuals, institutions, regulations, skype, weatherOver the past few months, I’ve been doing more and more rating scales with patients. When people first come in, they download and fill out an initial form which asks the usual demographic information like addresses and phone numbers but also includes a patient health questionnaire (PHQ) . The PHQ screens for somatization disorder, panic [...]
Tagged ASRS, BPRS, disadvantages, HAMA, HAMD, MMSE, PHQ, skype, SPMSQ, YBOCS, YMRSI had an interesting phone call and email conversation the other day. It came to nothing–I didn’t feel that I could help the patient with her problem whether face to face or via telepsychiatry, but it made me think about how much telepsychiatry changes the way medicine is going to look in the future. The [...]
Tagged international, licensingIn general, the weather in Baltimore tends to be fairly temperate, but we occasionally have snow. Because we don’t have that much snow, the highway department is generally not prepared, especially right after it starts snowing, so the usual pattern is for travel during the beginning of a snowstorm to be pretty hazardous, especially when [...]
Tagged emergencies, weather
advantages AES AFAT American Telemedicine Association atoms bits blizzard Clayton Christensen consent form countertransference digital records disadvantages disruptive innnovation dokuwiki EBM emergencies EMR encryption ER evidence based medicine face-to-face google wave HIPAA HIPPA informed consent Maryland Board of Physicians medical records office space password PHI podcast prescriptions privacy recording security shoji screen skype standard of care technophobia telephone teletransference transference ubuntu weather webcam
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