Dr. Atkisson found that telemedicine addressed one of the most pressing issues facing her profession: a dire shortage of psychiatrists that predates the pandemic.
Pushback from patients on medical advice and course of treatment is nothing new. But physicians say the degree of it - a lack of trust in science, medicine, and expertise - has never been as pronounced as it is now, in the era of the highly contagious delta variant, widespread availability of COVID-19 vaccines, and millions of people who simply refuse to avail themselves of them. And it's piling onto the already-existing assaults on physician mental well-being - now increasingly framed as physician "moral injury."
Uncertainty over the waiver's future has thrown confusion into many of the state's biggest behavioral health efforts.
In addition to the devastating COVID-19 surge fueled by the delta variant, pediatricians like Valerie Smith, MD, and other specialists caring for children point to a shadow pandemic among young patients. The proportion of mental health-related visits for children is on the rise.
There are few issues in medicine and health care that are the subject of more controversy than the semantics of what wounds physicians. Are we suffering from "moral injury" or "burnout" or "compassion fatigue" or "vicarious trauma" or "depression?"
IN THE 19 MONTHS since the Texas Child Psychiatry Access Network (CPAN) has been up and running, it's kept any number of minor problems from becoming major ones.
PHYSICIAN WELL-BEING, which was at a crisis point heading into the COVID-19 pandemic, has only deteriorated since early 2020. But the Texas Medical Association and county medical societies are on the front lines, working together to support physicians as they contend with burnout, financial stress, and administrative burdens exacerbated by the public health emergency.
U.S. lawmakers may be ready to boost federal funding for residencies.
COVID-19 prompted a partnership among North Texas medical societies to serve their communities.
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