Video

University of California-San Diego med-peds hospitalist Weijen Chang, MD, SFHM, and Shawn Ralson, MD, vice chair of clinical affairs, Children's Hospital at Dartmouth-Hitchcock in Lebanon, N.H., discuss the factors that went into their hospital medicine career choices, and why they find hospitalist careers so fascinating.

University of California-San Diego med-peds hospitalist Weijen Chang, MD, SFHM, and Shawn Ralson, MD, vice chair of clinical affairs, Children's Hospital at Dartmouth-Hitchcock in Lebanon, N.H., discuss the factors that went into their hospital medicine career choices, and why they find hospitalist careers so fascinating.

University of California-San Diego med-peds hospitalist Weijen Chang, MD, SFHM, and Shawn Ralson, MD, vice chair of clinical affairs, Children's Hospital at Dartmouth-Hitchcock in Lebanon, N.H., discuss the factors that went into their hospital medicine career choices, and why they find hospitalist careers so fascinating.

Dr. Lillian M. Beard discusses the challenges of getting reimbursed for providing mental and behavioral health care within her pediatric practice. Addressing her patients’ mental health needs can take three of her regular appointment times. “I am never adequately reimbursed for the time that it really takes,” she says. Having a mental health specialist on site might be one possibility, but is this model feasible? In this video, Dr. Beard, Dr. April Barbour, and Dr. Lorenzo Norris explore ways primary care and psychiatry can work together to provide patients with the best possible care.

Dr. Lillian M. Beard discusses the challenges of getting reimbursed for providing mental and behavioral health care within her pediatric practice. Addressing her patients’ mental health needs can take three of her regular appointment times. “I am never adequately reimbursed for the time that it really takes,” she says. Having a mental health specialist on site might be one possibility, but is this model feasible? In this video, Dr. Beard, Dr. April Barbour, and Dr. Lorenzo Norris explore ways primary care and psychiatry can work together to provide patients with the best possible care.

Dr. Lillian M. Beard discusses the challenges of getting reimbursed for providing mental and behavioral health care within her pediatric practice. Addressing her patients’ mental health needs can take three of her regular appointment times. “I am never adequately reimbursed for the time that it really takes,” she says. Having a mental health specialist on site might be one possibility, but is this model feasible? In this video, Dr. Beard, Dr. April Barbour, and Dr. Lorenzo Norris explore ways primary care and psychiatry can work together to provide patients with the best possible care.

The role of primary care physicians in recognizing patients with behavioral and mental health problems is critical, psychiatrist Dr. David Pickar says. “That is what you do for a living. You find out these things. I want to make sure that the primary care physician [who] may be watching this understands he or she is not just the first line, but he or she has good skills at observing what is going on with the patient.” The primary care physician also has a relationship with the patient, psychiatrist Dr. Lorenzo Norris says. “The patient is more inclined to listen to [the primary care physician] than to just some random specialist.” In this video, Dr. Pickar and Dr. Norris discuss the importance of communicating about shared patients – not through electronic medical records, but through true dialogue.

The role of primary care physicians in recognizing patients with behavioral and mental health problems is critical, psychiatrist Dr. David Pickar says. “That is what you do for a living. You find out these things. I want to make sure that the primary care physician [who] may be watching this understands he or she is not just the first line, but he or she has good skills at observing what is going on with the patient.” The primary care physician also has a relationship with the patient, psychiatrist Dr. Lorenzo Norris says. “The patient is more inclined to listen to [the primary care physician] than to just some random specialist.” In this video, Dr. Pickar and Dr. Norris discuss the importance of communicating about shared patients – not through electronic medical records, but through true dialogue.

The role of primary care physicians in recognizing patients with behavioral and mental health problems is critical, psychiatrist Dr. David Pickar says. “That is what you do for a living. You find out these things. I want to make sure that the primary care physician [who] may be watching this understands he or she is not just the first line, but he or she has good skills at observing what is going on with the patient.” The primary care physician also has a relationship with the patient, psychiatrist Dr. Lorenzo Norris says. “The patient is more inclined to listen to [the primary care physician] than to just some random specialist.” In this video, Dr. Pickar and Dr. Norris discuss the importance of communicating about shared patients – not through electronic medical records, but through true dialogue.

Primary care physicians have the potential to detect “distress” diagnoses and mental or behavioral disorders in most patients who come to the office, noted Dr. Lawrence “Bopper” Deyton, senior associate dean for clinical public health and professor of medicine and health policy at George Washington University.

If one embraces the Acceptable Care Act’s priorities of improving quality of care, reducing cost, and improving patient satisfaction, “Aren’t we at the cusp of a reimbursement system that should reward for that?” he asks.

Kennedy Forum policy director Lauren Alfred says there’s only so much that can be done. “Then at some point, we have to talk about collaborative care ... and where we’re going to bring specialists into the equation.”

In this video, Dr. Deyton and Ms. Alfred discuss how much mental health care primary care physicians should be asked to shoulder – and when such care should be more collaborative.

Primary care physicians have the potential to detect “distress” diagnoses and mental or behavioral disorders in most patients who come to the office, noted Dr. Lawrence “Bopper” Deyton, senior associate dean for clinical public health and professor of medicine and health policy at George Washington University.

If one embraces the Acceptable Care Act’s priorities of improving quality of care, reducing cost, and improving patient satisfaction, “Aren’t we at the cusp of a reimbursement system that should reward for that?” he asks.

Kennedy Forum policy director Lauren Alfred says there’s only so much that can be done. “Then at some point, we have to talk about collaborative care ... and where we’re going to bring specialists into the equation.”

In this video, Dr. Deyton and Ms. Alfred discuss how much mental health care primary care physicians should be asked to shoulder – and when such care should be more collaborative.

Primary care physicians have the potential to detect “distress” diagnoses and mental or behavioral disorders in most patients who come to the office, noted Dr. Lawrence “Bopper” Deyton, senior associate dean for clinical public health and professor of medicine and health policy at George Washington University.

If one embraces the Acceptable Care Act’s priorities of improving quality of care, reducing cost, and improving patient satisfaction, “Aren’t we at the cusp of a reimbursement system that should reward for that?” he asks.

Kennedy Forum policy director Lauren Alfred says there’s only so much that can be done. “Then at some point, we have to talk about collaborative care ... and where we’re going to bring specialists into the equation.”

In this video, Dr. Deyton and Ms. Alfred discuss how much mental health care primary care physicians should be asked to shoulder – and when such care should be more collaborative.

Primary care physicians want a collaborative approach to mental and behavioral health care, according to Dr. April Barbour, director of general internal medicine and the primary care residency program at George Washington University, Washington. “That’s a lot of what we teach and train our residents ... and this allows us to truly treat the whole patient.”

Training models are out there, but the question of whether funding is available to keep these models viable is an issue.

“Every professional is going to look to be compensated for his or her time and input,” explains Dr. Lillian M. Beard, physician director of Children’s Pediatricians and Associates, Silver Spring, Md. “We have to look at mind, body, spirit. It’s the whole thing.”

In this video, Dr. Barbour, Dr. Beard, and psychiatrists Dr. Lorenzo Norris and Dr. David Pickar discuss how to make primary care practices responsive to patients in ways that are both holistic and cost effective.

Primary care physicians want a collaborative approach to mental and behavioral health care, according to Dr. April Barbour, director of general internal medicine and the primary care residency program at George Washington University, Washington. “That’s a lot of what we teach and train our residents ... and this allows us to truly treat the whole patient.”

Training models are out there, but the question of whether funding is available to keep these models viable is an issue.

“Every professional is going to look to be compensated for his or her time and input,” explains Dr. Lillian M. Beard, physician director of Children’s Pediatricians and Associates, Silver Spring, Md. “We have to look at mind, body, spirit. It’s the whole thing.”

In this video, Dr. Barbour, Dr. Beard, and psychiatrists Dr. Lorenzo Norris and Dr. David Pickar discuss how to make primary care practices responsive to patients in ways that are both holistic and cost effective.

Primary care physicians want a collaborative approach to mental and behavioral health care, according to Dr. April Barbour, director of general internal medicine and the primary care residency program at George Washington University, Washington. “That’s a lot of what we teach and train our residents ... and this allows us to truly treat the whole patient.”

Training models are out there, but the question of whether funding is available to keep these models viable is an issue.

“Every professional is going to look to be compensated for his or her time and input,” explains Dr. Lillian M. Beard, physician director of Children’s Pediatricians and Associates, Silver Spring, Md. “We have to look at mind, body, spirit. It’s the whole thing.”

In this video, Dr. Barbour, Dr. Beard, and psychiatrists Dr. Lorenzo Norris and Dr. David Pickar discuss how to make primary care practices responsive to patients in ways that are both holistic and cost effective.