I was a guest on a podcast done by my friends at the Shrink Rap blog a couple of weeks ago, and the podcast is now online.
I had a great time and the folks at Shrink Rap asked some great questions.
(I told them we should have done a vodcast rather than a podcast!)
During the recent blizzard, I did more telepsychiatry in one day than I’ve done before, so I thought I would share some comments about doing a lot of it in one day, rather than a few scattered visits per day.
I really didn’t notice much difference between staying at home and doing several hours worth of [...]
Psychiatric Times has a recent article on using the Internet to connect with patients.
The authors bring up a whole group of points that I agree with:
Email is already verging on obsolescence for people under 30
The patients under 30 don’t understand why anyone providing a service wouldn’t answer text messages
Psychiatrists tend to be late-adopters of technology
Email [...]
One of the key enabling technologies to make something like telepsychiatry work is E-Prescribing. If people have to come in to pick up prescriptions or wait for the postal service, that’s a problem.
I use National eRx for most of my prescribing, and although I like it, the user interface is really clumsy to use and [...]
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 Skype with [...]
I 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 time arrangements [...]
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 noticed the [...]
I 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 [...]
Over 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, YMRS
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