During the coming decades, psychiatrists will be asked to participate
to a greater extent in the physical evaluation and treatment of patien
ts with behavioral or emotional problems. Despite the high frequency w
ith which psychiatric symptoms are caused or exacerbated by organic di
sease, psychiatrists have been reluctant, and in some ways, ever disco
uraged to include physical assessments. Psychoanalysis and concerns ab
out boundary issues have influenced psychiatrists to cede physical ass
essment and physical illness to other physicians. To help overcome the
se barriers to improved care of psychiatric patients, a curriculum is
proposed for psychiatry residents. It will allow them to better use th
eir medical backgrounds while increasing their contributions as mental
health specialists. (C) 1997 Elsevier Science Inc.