Academic Psychiatry

, Volume 39, Issue 4, pp 461–465 | Cite as

Integrated Medicine and Psychiatry Curriculum for Psychiatry Residency Training: a Model Designed to Meet Growing Mental Health Workforce Needs

  • Robert M. McCarron
  • James A. Bourgeois
  • Lydia A. Chwastiak
  • David Folsom
  • Robert E. Hales
  • Jaesu Han
  • Jeffrey Rado
  • Sarah Rivelli
  • Lorin Scher
  • Angie Yu
Column: Educational Case Report

Patients with chronic mental illness have significantly higher rates of medical comorbidity and resultant lower life expectancies when compared to the general population [1, 2, 3]. This survival discrepancy is not fully accounted for by the higher rate of suicide completion in these patients but, rather, is often attributable to mortality from cardiovascular, metabolic, and other systemic illness. Many such individuals are seen in community mental health settings and have poor access to primary health care. In some cases, the psychiatrist may become the “de facto primary care physician,” while providing some preventive health screening and treatment of general medical conditions. For those patients who are cared for by a primary care provider, the psychiatrist may support preventive medical recommendations with psychopharmacological interventions and the use of psychotherapies such as cognitive behavioral therapy, problem solving therapy, supportive psychotherapy, and motivational...



The authors acknowledge Mehrbanoo Lashai.


Dr. Robert McCarron is an editor for the American Psychiatric Publishing textbook Preventive Medical Care in Psychiatry: a Clinical Guide for Health Care Providers, which is cited in the references.


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Copyright information

© Academic Psychiatry 2015

Authors and Affiliations

  • Robert M. McCarron
    • 1
  • James A. Bourgeois
    • 2
  • Lydia A. Chwastiak
    • 3
  • David Folsom
    • 4
  • Robert E. Hales
    • 1
  • Jaesu Han
    • 1
  • Jeffrey Rado
    • 5
  • Sarah Rivelli
    • 6
  • Lorin Scher
    • 1
  • Angie Yu
    • 1
  1. 1.University of California, Davis School of MedicineSacramentoUSA
  2. 2.University of California, San FranciscoSan FranciscoUSA
  3. 3.University of WashingtonSeattleUSA
  4. 4.University of California, San DiegoSan DiegoUSA
  5. 5.Rush UniversityChicagoUSA
  6. 6.Duke UniversityDurhamUSA

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