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Biomedical subjects

D G Langsley

Publications and source records attributed to D G Langsley.

At least 19 recordsLinked to original sources
PubMed1991

Recredentialing.

Explore the source record for details and available documents.

Canada↗
PubMed1990

Medical specialty credentialing in the United States.

Specialty boards serve the function of defining qualifications and issuing credentials to assure the public of the specialist's preparation and skill. Over the past 72 years, 23 such boards have been approved and now issue 31 different types of general specialty certificates and 57 types of subspecialty credentials. For 50 years, the American Board of Medical Specialties has encouraged a system of recertification to demonstrate that the certified specialist has maintained skill and has incorporated the new knowledge associated with advancing medical science. Presently, 17 of the 23 boards are committed to time-limited certificates requiring recertification every seven to ten years, and others are currently planning such a process. New methods of performance assessment are being used for recertification processes. In addition to recertification, the other major change in specialty credentialing is the number of subspecialty certificates sought and authorized. The numbers have increased dramatically during the past 20 years and reflect the advances in science as well as new styles of practice. As a consequence, some specialties are moving toward accreditation without certification to improve training, even if there is no authorized type of certification. Another consequence of subspecialty proliferation is concern about fragmentation of medical care and its effect on the costs of health care.

Certification↗
PubMed1988

The definition of a psychiatrist: eight years later.

In 1980, psychiatric practitioners and educators were surveyed to determine their concepts of the knowledge and skills that define a specialist in psychiatry. The authors repeated this survey, expanding the list of skill and knowledge items and asking respondents to comment on whether particular skills or knowledge were important to a psychiatric subspecialty. Less importance was ascribed in the current survey than in the earlier survey to certain long-term and social psychotherapies, and more importance was ascribed to descriptive or biological psychiatry; brief or supportive therapies; psychopharmacological agents; consultation-liaison psychiatry; evaluation of children, the aged, and alcoholics; and certain desirable personal characteristics of the psychiatrist.

Administrative Personnel↗
PubMed1987

The evolving subspecialization of psychiatry: implications for the profession.

Psychiatry is likely to evolve into a number of subspecialty areas, paralleling developments in other medical specialties. These changes are impelled both from within psychiatry, where the rapid increase in knowledge and skills makes mastery of the entire field by any one practitioner less possible, and from without, related to new expectations for psychiatric services from referral sources and patients, increasing competition by other physicians and nonphysician mental health care providers, and shifting reimbursement patterns. The authors discuss the advantages and disadvantages of subspecialization as well as implications for psychiatric practitioners and training programs.

Humans↗
PubMed1979

Psychiatric manpower: an overview.

There are approximately 25,000 to 30,000 psychiatrists in the United States, some 17,000 of whom are in actual clinical practice. As part of an overview of psychiatric manpower, the authors show the distribution of psychiatrists by state and present population-per-psychiatrist ratios. In discussing the distribution of psychiatrists in various work settings, they note that the decreasing percentages of psychiatrists in community mental health centers may be related to such factors as the large number of non-hospital-based centers, growing antimedical attitudes in centers, and psychiatrists' inclination to work in a setting similar to their training site. They believe that federal and state support should be increased for university-affiliated psychiatric training programs based in settings where psychiatrists are needed: state hospitals, VA hospitals, community mental health centers, and similar facilities. Such an approach would result in the recruitment and retention of greater numbers of psychiatrists in public service settings.

Aged↗
PubMed1978

Comparing clinic and private practice of psychiatry.

The author compared data on 2,020 cases treated by private psychiatrists with those on 2,052 cases treated by clinic psychiatrists in California. He also compared data on private treatment in California with those from a national survey of private psychiatrists. Private psychiatrists in California treated as many psychotic patients and used relatively brief psychotherapy about as often as clinic psychiatrists and were more likely to use hospitalization and to see patients individually. In comparison with the national sample, private psychiatrists in California treated more children and patients with situational disturbances and were more likely to receive payment from government sources.

California↗
PubMed1978

Does patient satisfaction correlate with succes?

The authors studied the relationship between patient satisfaction and success of treatment in a group of out-patients consecutively admitted to two community mental health centers in California in 1975. The study is based on patient ratings of the satisfaction with treatment and the success of treatment at the second visit, the last visit, and follow-up, as well as on therapists' ratings of treatment success at the second visit and the last visit. At both time points the therapists' mean ratings of treatment success were significantly lower than the patients'. Significant but low correlations between satisfaction and success indicate that satisfaction ratings cannot replace success ratings or other outcome indicators in assessments of quality of care.

Adult↗
PubMed1978

Do community mental health centers underserve psychotic individuals?

An analysis of treatment statistics from three community mental health centers in California indicates that the centers provide treatment to a substantial proportion of the psychotic individuals in the community. Psychotic patients have a significantly higher number of inpatient, day treatment, and outpatient admissions than neurotics. Psychotic patients also receive significantly more treatment in all major service modalities than neurotics. The authors conclude that severely impaired individuals in the treatment population are neither ignored by the centers nor routinely transferred to a state hospital.

California↗
PubMed1978

Three models of family therapy: prevention, crisis treatment or rehabilitation.

Models of intervention at a family level are described as preventive, crisis intervention or rehabilitative. The preventive intervention model suggests that certain stresses produce family disorganization and individual family members may regress to symptoms of disease. Family dysfunction could be avoided through identification of high risk groups and intervention at developmental milestones. The data on early intervention with children has produced the most promising results. Crisis intervention, the second model, suggests that early identification and prompt intervention may avoid the development of more serious disorganization. The rehabilitation model is focused on changing long term patterns of maladaptive behavior. It includes the homeostatsis model, the conflict resolution model and other approaches to long term family therapy.

Adolescent↗
PubMed1977

Medical student education in psychiatry.

The authors interpret data obtained from 99 medical schools which submitted grant applications for support of either undergraduate psychiatric education programs or human behavior programs. They tentatively conclude that high-quality programs for teaching medical students psychiatry are characterized by a well-rounded faculty, a psychodynamic orientation, a greater commitment to medical student education than to resident training, varied teaching methods, enthusiastic student response, and systematic evaluation that produces change in subsequent years.

Attitude of Health Personnel↗
PubMed1975

Medical education in the People's Republic of China.

Medical education in the People's Republic of China is described as it was seen on a 10-week trip in 1973. The information was collected from five medical schools which were visited personally as well as from practitioners and citizens. An overview of the health care system indicates the relationships between education and practice. The three-year medical curricula from the five medical schools are reasonably similar; and in the state-controlled system of health care they are integrated with postgraduate training and continuing education. Goals of the educational programs, entrance procedures, and the medical school experience are discussed. The literature on medical education and practice in China is reviewed and compared with the data available during this recent visit. The lessons which might be learned are the methods of offering health care to massive populations and the organization of health professionals and paraprofessionals for such programs.

Allied Health Personnel↗
PubMed1975

Psychiatric training and practice in the People's Republic of China.

Improved political relations between the United States and the People's Republic of China have led to closer contact in many areas. The authors trace the development of psychiatric training and practice in China with emphasis on the years after 1949. Since then, China has expanded psychiatric services to meet the needs of a vast population and has developed a theoretical approach to psychiatry that emphasizes sociopolitical factors. Additional information given to the authors in 1973 by psychiatrists in Nanking and Shanghai is presented and correlated with reports by other recent visitors to the People's Republic of China.

Ambulatory Care↗