The Texas Society of Psychiatric Physicians (TSPP) had over several decades published Guidelines for psychiatrists which outlined the expectations of the psychiatrist when involved with inpatient treatment, partial hospital programs , consultation services, and other modalities of treatment. In 2016, The Professional Practice Management Committee recommended that these Guidelines be retired as the information contained in the Guidelines might be found in diverse sources such as hospital bylaws, utilization review documents, managed care organization policies, and American Psychiatric Association (APA) publications.
The Professional Practice Management Committee decided that rather than continue with specific Guidelines, broad principles should be put forth that promote excellence in the practice of psychiatry . These principles reflect Professionalism which has been briefly defined as “……a commitment to carrying out professional responsibilities, adherence to ethical principles and sensitivity to diverse patient populations.” (see JAMA reference below).
Four principles are put forth which we believe a psychiatrist should aspire to. These are not presented as “duties” or “obligations”, but more as virtues. Of course, the psychiatrist has a duty to his/her patient. This means that the doctor – patient relationship is based on trust and in confidence that the doctor will act in the best interests of the patient. This relationship takes priority over reimbursement considerations.. Acting in the best interest of the patient takes priority over the relationship that the physician might have by virtue of contract or employment with a hospital, accountable care organization, managed care organization, or any other entity.
STATEMENT OF PRINCIPLES ON PROVISION OF PSYCHIATRIC SERVICES TO PATIENTS
COMPETENCY
ADVOCACY
LEADERSHIP
COLLABORATION
Additional Resources:
American Psychiatric Association.2001. The Principles of Medical Ethics: with Annotations Especially applicable to Psychiatry. Washington, DC: American Psychiatric Association.
Radden J & Sadler J. The Virtuous Psychiatrist: Character Ethics in Psychiatric Practice. Oxford University Press, 2010.
Livingston EH, Ginsberg S, Levinson W. Introducing JAMA Professionalism. Introducing JAMA Professionalism. JAMA August 16, 2016 volume 316, Number 7 pp 720-721.
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Approved by TSPP Executive Council 11/2016