Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
History
Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
Medicine, Military; Military hospitals; World War, 1914-1918 -- Veterans -- Medical care -- United States
There has been another plea. Dr. Treadway spoke of the shortage of
personnel. It is acute everywhere in every department. Then on top of
that comes the plea from the general hospital men, from the t.b.
hospital men, for neuro-psychiatrists to be assigned to his staff. That
is a physical impossibility. There are not enough n.p. men to go around
and I have a solution of that which I have put up to numerous men and
that is just this. Along with what General Sawyer said today about every
one’s being a well-rounded out man, every man who has charge of a
hospital, every man who is on the staff of a hospital taking care of
ex-service men ought to go down and buy a copy of White’s Outlines and
study it for the next six months. If you will do that you don’t need
specialists on your staff. You can make a near enough diagnosis so you
will be reasonably certain in 95% of your cases as to whether they ought
to be sent to an n.p. hospital or not.
DR. FULLER: I an particularly interested in the question of personnel. The
shortage of neuro-psychiatric trained personnel and physicians is a real
and very acute problem. We have any number of vacancies for such men in
the Public Health Service at the present time. I dare say the same
conditions exist in the Army and Navy. I believe that the only way of
solving the problem that Dr. McLake spoke of is for the Commending
Officers of those hospitals who have one psychiatrist on their
staff,—and practically all the large hospitals have one on their
staff,—to insist that these psychiatrists interest other members of the
staff. The fact that Dr. Treadway brought out, that most young men are
not interested in psychiatry is due to the fact they do not know
anything about it. I was one of the men who visited the schools last
year. I was suddenly confronted by statements made by the deans or their
assistants: “Oh, neuro-psychiatry, I don’t expect you will get much
enthusiasm from any of the schools on that subject, because that is a
post-graduate subject and we don’t make any attempt to teach it during
the under-graduate years.” Any number of young men who will state a
preference for general medicine can be interested in this subject about
which they know nothing. The solution, therefore, depends upon the
commanding officers of these hospitals and upon the psychiatrists on
their staffs; depends upon their willingness to detail one or more young
men to the psychiatrists, who are interested in the subject. I don’t
believe that the problem is going to be solved in any other way because
there are not enough men outside who are willing to come into the
Government service, who are interested.
DR. MILLER: We have a specialist at Oteen who lectures to our entire medical
staff Tuesday and Friday of each week. They are very much interested in
it and we think it is a very great benefit to the institution and the
patients.
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