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Academic Psychiatry, VOL. 16, No. 3

Special Article | September 01, 1992

The Big Chill The Transition From Residency to Managed Care Nightmare

Glen O. Gabbard

Academic Psychiatry 1992;16:119-126.

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The Menninger Clinic; C.F. Menninger Memorial Hospital; University of Kansas School of Medicine, Topeka, Kansas

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Abstract

Even though concerns about managed care are a source of extraordinary distress among psychiatrists today, many residents are not being provided with adequate preparation and training to deal with those concerns. When young psychiatrists leave their training Programs and enter practice, they are experiencing profound demoralization. Much of their dysphoria appears to be a result of the impact of specific aspects of the managed care system on the preexisting psychological characteristics of psychiatrists. Preventive strategies to minimize this impact are discussed.

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