While advancing a more multidisciplinary approach to treatment, the use of non-psychiatrist consultants restricts the ability to recommend medications or to comfortably diagnose conditions such as delirium. Situations may also arise in which such consultants are seen as lesser authorities by emergency medicine physicians, and may thus have difficulty challenging the physician’s decisions. This can even happen with the common practice of using psychiatry residents to do emergency department psychiatric consults, as the physicians-in-training may be justifiably anxious about countermanding an emergency department attending’s opinion.
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