Robert C. Smith, MD Profile
Robert C. Smith, MD

@RobertCSmithMD

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HAS MEDICINE LOST ITS MIND? is due out March 2025 from Prometheus Books. See: for details.

East Lansing, MI
Joined January 2018
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@mgh_educacion invited us to publish the 2 textbooks below ( and ) and the American College of Physicians @ACPinternists and @ACHonline , respectively endorsed them. Used as a basic course texts for #students , #residents , and others.
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@RobertCSmithMD
Robert C. Smith, MD
5 months
Great man, thanks!
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@RobertCSmithMD
Robert C. Smith, MD
3 months
I had a delightful, informative lunch today with Dr. Aron Sousa, Dean of @MSUMD College of Human Medicine--. CHM is making dramatic research advances in public health, OB/Gyn, and clinical investigation. And CHM's national leadership in education continues
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@RobertCSmithMD
Robert C. Smith, MD
3 months
From @NAMIAdvocacy , urge Congress to improve 988 Suicide Lifeline via legislation now being considered:
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Congratulations to ⁦ @olomuade ⁩ for receipt of the Nickens award for enhancing cultural diversity in medicine
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@RobertCSmithMD
Robert C. Smith, MD
2 months
Is Psychiatry Waking Up to the Truth About Mental Illness? | Psychology Today My recent Psychology Today blog describes an important conceptual change in psychiatry.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@Happydog___ Dog probably doing him more good than the doctor!
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@RobertCSmithMD
Robert C. Smith, MD
4 months
How to Identify an Individual Patient’s Resilience | Psychology Today The #ResilienceScale from the #PalixFoundation , @AFWI_News , @HarvardCenter , and @FrameWorksInst identifies an individual patient’s social needs, a scientific and clinical advance.
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@RobertCSmithMD
Robert C. Smith, MD
1 month
Honored to present two workshops with @jphemming , @docshilpak , @ShahlaBaharlou , @doctorkarly , @docwithapurpose at annual meeting of @ACPIMPhysicians
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@RobertCSmithMD
Robert C. Smith, MD
2 years
Much of my work has succeeded because of a great affiliation with #nursepractitioner friends from @MSU and @MichStNursing . Well-deserved recognition in #NPWeek for those who will provide most #primarycare in the future. @NursPrac_online and @AANP_NEWS
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@RobertCSmithMD
Robert C. Smith, MD
5 months
. Good news for those on Medicare: mental health coverage for licensed marriage and family counselors and for licensed professional counselors, about 40% of Master's level counselors in the US.
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@RobertCSmithMD
Robert C. Smith, MD
2 years
From @Vedgossain is his riveting, poignant story of coming to America nearly penniless to achieve a successful academic career:
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@RobertCSmithMD
Robert C. Smith, MD
2 years
@Happydog___ My boy Paddy, the brown one, has one or maybe two cancers and is slowing down, but his baby (Daisy) watches after him
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Same old message: mental health crisis. Now from a survey of 117 US mayors: . Common refrain: shortage of skilled providers. Care is so bad that @thomasinselmd calls it a human rights issue. What to do? Train more of those who provide care! So simple.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@EM_RESUS In a 1953 Iowa high school game, one of my best friends died of acute epidural hemorrhage from a malicious, intentional out of bounds blow to his head. No level of #football is immune to devastating injuries. Another best friend recently died of #encephalopathy from football.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
If you haven’t seen it, you’ll really like this newsletter: Monthly Musings On American Healthcare by Dr. Robert Pearl (). From @RobertPearlMD , it always has new ideas on modern health care and where it’s heading. To boot, it’s free and ad-free!
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@RobertCSmithMD
Robert C. Smith, MD
2 years
@AliceDreger we could use a Zelenskyy or two in this country
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@RobertCSmithMD
Robert C. Smith, MD
10 days
Wonderful experience as part of a panel reviewing Michigan State's multiple contributions to making the #biopsychosocial model mainstream on the 60th Anniversary celebration of its founding as a medical school-- @MSUMD
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Paddy died several weeks ago. Daisy and the rest of us miss him but are doing ok
@RobertCSmithMD
Robert C. Smith, MD
2 years
@Happydog___ My boy Paddy, the brown one, has one or maybe two cancers and is slowing down, but his baby (Daisy) watches after him
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@RobertCSmithMD
Robert C. Smith, MD
2 years
@Happydog___ here's picture
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Wow, did this group shine in our depression workshop at SGIM. A pleasure to work with all of you: @jphemming , @doctorkarly , @ShahlaBaharlou , @docwithapurpose , and @docshilpak
@jphemming
Patrick Hemming
1 year
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@RobertCSmithMD
Robert C. Smith, MD
1 year
AddThis | Home I was honored to be asked to write this editorial for the upcoming May edition of @PECthejournal . It addresses a key question in #healthcarecommunication and #medicalinterviewing : how to define #evidencebased . Counter opinion: right arrow.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Crazy idea, it can't be done we're told. Albert Einstein’s words can shed some light: “If at first the idea is not absurd, then there is no hope for it.”
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@RobertCSmithMD
Robert C. Smith, MD
5 years
Presidential Candidate’s Plan to Improve Mental Health Care | Psychology Today
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@RobertCSmithMD
Robert C. Smith, MD
2 years
The Dangers of Medicine’s Pernicious Culture | Psychology Today My @PsychToday review of an insightful new book from @RobertPearlMD that explains why medicine’s #healthcare and #medicaleducation shortcomings are so refractory. #HasMedicineLostItsMind .
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@RobertCSmithMD
Robert C. Smith, MD
22 days
This is National Mental Health Awareness Month
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@RobertCSmithMD
Robert C. Smith, MD
1 year
May is #MentalHealthMonth and you can impact the future of mental health by advocating for an expanded mental health workforce! Please support @NAMIAdvocacy and @NAMICommunicate in their efforts to increase numbers of #mentalhealthprofessionals .
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@RobertCSmithMD
Robert C. Smith, MD
9 months
I don't think it's children. #cultureofmedicine discourages all psychiatry. Psychiatry interest falls from 49% to 4% in medical school. Goldacre MJ, et al. Choice and rejection of psychiatry as a career: surveys of UK medical graduates from 1974 to 2009. Br J Psychiatry 2012.
@CoyneoftheRealm
James C.Coyne
9 months
Why is child and adolescent psychiatry shunned? Last time I checked, the large upper peninsula of Michigan did not even have a child psychiatrist. I don't think that incentives for relocating is the solution.
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@RobertCSmithMD
Robert C. Smith, MD
8 months
Amen!
@KerryKennedyRFK
Kerry Kennedy
8 months
Bobby might share the same name as our father, but he does not share the same values, vision or judgment. Today's announcement is deeply saddening for us. We denounce his candidacy and believe it to be perilous for our country. @roryekennedy @joekennedy @KKT_Kennedy
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@RobertCSmithMD
Robert C. Smith, MD
1 year
A must-read () from @donberwick of @TheIHI of #greed in medicine in @JAMA_current . Resulting from concentration of power in #executives , he laments #profiteering as an existential threat to US medicine; e.g., one health plan CEO earned $568 million/year.
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@RobertCSmithMD
Robert C. Smith, MD
2 years
My review from @PsychologyToday of Healing: Our Path From Mental Illness to Mental Wellness by @thomasinselmd highlights the dire straits of #mentalhealthcare in the US stemming from the shortage of #mentalhealthprofessionals . #HasMedicineLostItsMind .
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@RobertCSmithMD
Robert C. Smith, MD
1 year
For #politicians who know better but do nothing. 1) "To know what is right and not to do it is the worst cowardice." (Confucius) 2) "An appeaser is one who feeds a crocodile--hoping it will eat him last." (Churchill)
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@RobertCSmithMD
Robert C. Smith, MD
27 days
Met energetic faculty, residents, and students at the new Carle Illinois College of Medicine ( @ILLINOISmed ). Presented grand rounds. Remarkably wide interests from #Psychiatry to integrating #Engineering principles into #medicine in a #patientcentered way. Thanks Dr. Lisan Smith.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Fed up with #Florida and others trying to select what #books schools should have? Margaret Mead said, "Children must be taught how to think, not what to think.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Encouraged to see @thomasinselmd presentation at @BrainHealth support a move away from the #biomedical model. This promotes the #biopsychosocial model as the guiding #theory for #medicine . That’s how we move from a focus on disease to a focus on being healthy.
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@RobertCSmithMD
Robert C. Smith, MD
8 months
This recognition from @NAMICommunicate points to the need for mental health care for a terribly underserved population, and it must be culturally appropriate.
@NAMICommunicate
NAMI
8 months
Today we are honoring and celebrating #IndigenousPeoplesDay ! Finding culturally appropriate care is vital in supporting one's mental heath. For more resources visit
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Paddy died several weeks ago. Daisy and the rest of us are better but we miss him.
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@RobertCSmithMD
Robert C. Smith, MD
7 months
I was honored recently to be invited to present the Sihler Endowed Lecture at the Case Western Reserve University Dept. of Psychiatry's Grand Rounds--and to talk with their residents afterward.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
This is a fantastic book, especially for introducing evolutionary concepts in psychiatry to those, like me, Not already familiar with it.
@GadSaad
Gad Saad
1 year
Latest book by @RandyNesse who will be my guest on The Saad Truth later this afternoon.
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@RobertCSmithMD
Robert C. Smith, MD
10 days
Delighted to meet @chaz_hong , Michigan State's new Medicine Chair, and to hear his ideas on and support of the #biopsychosocial model.
@chaz_hong
Chaz Hong MD PhD 🇺🇸
11 days
As we celebrate 60th Anniversary of @MSUMD 's founding, we had our illustrious alumni & faculty (e.g. @RobertCSmithMD ) discuss @MSU_Medicine 's signature contribution - rigorous scientific underpinning of #biopsychosocial medicine. Given #biopsychosocial medicine has been proven
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@RobertCSmithMD
Robert C. Smith, MD
2 years
November 22, 1963. #PresidentJohnFKennedy was #assassinated . Ignored in #newsmedia & #socialmedia yesterday. Even though @VP45 and @GovWhitmer were recently threatened with assassination. What are we failing to learn? #media can do better to achieve understanding. @JFKLibrary
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@jacobkmorrison of @PsychHub indicates, “Mental health is a #civilright …” I report () that this right can’t be met until #medicine trains its students, now devoting only 1-2% of training to mental health. They become the clinicians who provide 75% of care.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
May is #MentalHealthMonth and you can impact the future of mental health by advocating for increased research funding! please sign up to support mental health research
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@RobertCSmithMD
Robert C. Smith, MD
2 years
I'm excited after talking with @drloriporter_rd , new Executive Director of @ACHonline , about continuing the ACH focus on #medicalcommunication but considering some new directions to further enhance #diversity .
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@RobertCSmithMD
Robert C. Smith, MD
2 years
From @NEJM , @Srijan_SenMDPhD proposes physician #burnout is really #depression secondary to #workstress . The present focus on alleviating just work stress ignores individual treatment (medications, counseling), thus worsening #stigma around depression. #HasMedicineLostItsMind .
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@RobertCSmithMD
Robert C. Smith, MD
5 years
Does Donald Trump Mirror the Majority? | Psychology Today
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Beautiful, @RandyNesse , sounds more complicated than personalities!
@RandyNesse
Randy Nesse
1 year
Dame's rocket (Hesperis Matronalis) are in glorious full bloom here, but the difficulty explaining their color dimorphism makes me think that explaining human personality variation is out of reach. A fine recent article reviews possible explanations for flower color variation
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@PsychHub has a great new look and some exciting courses for practitioners and patients alike: . Nice complement to Mental Health Month!
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@ChristineJKoMD
Christine J. Ko, MD
1 year
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@RobertCSmithMD
Robert C. Smith, MD
11 months
Agree with recent @AAMCtoday criticisms about racism & sexism in the 1910 #Flexnerreport that determined structure of present #MedicalEducation . Equally egregious, don't forget its exclusion of #mentalhealth and other #psychosocial aspects of medicine to focus just on diseases.
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@RobertCSmithMD
Robert C. Smith, MD
2 years
@FacingOurRisk @marleahdeank would be useful for doctors to see and hear this powerful story
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@RobertCSmithMD
Robert C. Smith, MD
1 year
May is #MentalHealthMonth and you can impact the future of mental health by advocating for an expanded mental health workforce! If medicine would train its future practitioners (students and residents), this problem would vanish. Right now, they don't
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@RobertCSmithMD
Robert C. Smith, MD
2 years
Facts on National Rural Health Day ( #PowerofRural ): 2/3 of US counties lack psychiatrists and psychologists are rare. Only #primarycareclinicians provide mental health care—but they are not trained for this. @MentalHealthAm , @MentalHealthGov , @NAMIAdvocacy , @NAMICommunicate
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Congratulations to @nasw for National #SocialWorkMonth . And for anticipating the #biopsychosocial approach to health care long before the term was invented!
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@RobertCSmithMD
Robert C. Smith, MD
2 years
Great news from @VictorDzau on the @theNAMedicine plan for a meeting to revolutionize medicine, , especially in espousing greater involvement of the #behavioral and #social aspects of #patientcare .
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@RobertCSmithMD
Robert C. Smith, MD
2 years
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Voila! @nejmunofficial just published an article advocating a #biopsychosocial approach to replace one that doubted patients’ pain, labeling almost always Black patients as drug seeking (Treating Chronic Pain in Sickle Cell Disease — The Need for a Biopsychosocial Model | NEJM).
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@RobertCSmithMD
Robert C. Smith, MD
6 years
Great idea. Best way to reduce burnout at both levels: train residents to care for mental health patients. No training now but up to half a practitioner's practice
@JournalofGME
JGME
6 years
Training programs should look for ways to train residents to reduce burnout throughout their entire career #meded #GME #ToTheEditor
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@RobertCSmithMD
Robert C. Smith, MD
2 years
If you want to #change your own #healthcare system, the insights of Dr. Krista Hirschmann ( @KristaH_PhD ) can provide sound direction and a positive, encouraging approach via Enhance Consulting (ENHANCE Client Roadmap 10.24.22.docx - Google Docs)
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@Back_Pain_Coach @arisonsned Well put, the BPS model is simply a guide for care. That we seldom use it reflects not on the model but on poor education in it.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
A New Book Puts Chronic Pain in a Better Perspective | Psychology Today
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@RobertCSmithMD
Robert C. Smith, MD
2 years
@thomasinselmd Helping someone with #mentalillnes is just as important as helping them with their appendicitis or pneumonia. Mental Illness Awareness Week emphasizes that. #MIAW
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@ahmedhankir How exciting, I'll bet you feel better too. I do when I say hello and wave each day to the mute woman sitting at the corner where I walk my dog, especially when she waves back as she's begun to do after several months.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
In @PsychToday I worried that new @CDC #opioidguidelines mistakenly encouraged starting opioids in patients NOT ALREADY TAKING THEM: . I advised they clarify that clinicians should not do this b/c, untrained, they created the present crisis.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@sirpauk This seems so obvious, but #medicine remains anchored in the 16th and 17th centuries #mindbodysplit . That this is #subconscious means they lack awareness of the problem. The public, via its politicians, need to take charge. Medicine won't change on its own.
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@RobertCSmithMD
Robert C. Smith, MD
7 months
To get grounded, in light of this internecine Palestinian-Israeli conflict, I recommend reading David Brook's editorial in the Sunday, Nov. 5 @nytopinion
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@RobertCSmithMD
Robert C. Smith, MD
2 years
Informed by @EACH_com and @ACHonline , I’ve recently posted in @PsychologyToday how all people can apply #patientcenteredintrviewing skills in their daily lives: . These basic interpersonal skills maximize #communication , #empathy , and #relationships for all
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@RobertCSmithMD
Robert C. Smith, MD
1 year
The science of improvement, by @miller7 . Great piece by Ben Miller on improving #mentalhealth care by getting better data. We do have data in one area that we can act on now: training the now completely untrained #clinicians who provide 75% or more of care
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@RobertCSmithMD
Robert C. Smith, MD
2 years
@PsychHub Thanks to @dcbillsmith for airing the role #politics must play to overcome the #mentalhealth impasse; medicine is too stuck in its #disease mindset to change on its own; it needs a strong political push to meet the needs of the people it serves; #HasMedicineLostItsMind
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@kidneymo See how we can use these same skills with each other, our families, and others in non-professional settings:
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@RobertCSmithMD
Robert C. Smith, MD
6 months
@JDaviesPhD Medical schools and residencies do not train their GP graduates in mental health or it’s medications
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Hearing of our all-powerful but refractor-to-change medical industrial complex from thinkers like @RobertPearlMD and @thomasinselmd reminds me Shakespeare in Measure for Measure: “O, it is excellent To have a giant’s strength; but it is tyrannous To use it like a giant.”
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@RobertCSmithMD
Robert C. Smith, MD
2 years
From @justin_garson on evolutionary psychology and depression:
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@RobertCSmithMD
Robert C. Smith, MD
6 years
WHY YOUR PRIMARY CARE PHYSICIAN MAY NOT BE ABLE TO HELP YOU
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@RobertCSmithMD
Robert C. Smith, MD
6 years
Join @theNAMedicine on 6/5 for a free screening of the critically acclaimed documentary Bending the Arc. The screening will be followed by a conversation with @jimyongkim , Anthony Fauci @NIAIDNews , and other world health leaders:
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Here's why society will demand improved #mentalhealth care: 1) poor #mentalillness and #chronicdisease care causing huge, unnecessary #medicalcosts , and 2) medicine’s irritating, self-righteous attitude—not taking our concerns seriously, having the chutzpah to contend all is well
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@RobertCSmithMD
Robert C. Smith, MD
6 years
Listened to Patient-Centered Intervie... from Healthcare Communication... @Stitcher @DocCom
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@RobertCSmithMD
Robert C. Smith, MD
2 years
I see #physicianburnout addressed without considering a key factor. #medicaleducation does not train them for the most common problems they see in practice: #mentalhealth problems, more extensively discussed in my @PsychToday post . #HasMedicineLostItsMind
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@puppyjakefdn Founded by my daughter, Becky Beach, Puppy Jake trains #servicedogs for #PTSD #veterans and they can always use a donation.
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@RobertCSmithMD
Robert C. Smith, MD
6 years
Prescription Opioids Create A Societal Problem | Psychology Today
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@RobertCSmithMD
Robert C. Smith, MD
1 year
The Invisible Kingdom: Reimagining Chronic Illness from @meghanoris recounts the devastation of a woman severely disabled with chronic symptoms, made worse by expensive medical care that didn't know a #biopsychosocial approach. She took responsibility and improved significantly.
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@RobertCSmithMD
Robert C. Smith, MD
6 years
They worked very hard and well deserve their Fellowship Certificate. Congratulations!
@JinShirey
Jinie Shirey
6 years
Congratulations to the 2018 MSU Biopsychosocial Medicine Fellows
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@WSJopinion @gerardtbaker I was embarrassed for her and for the grand jury.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
@pravinfrontline @mgh_educacion @ACPinternists @ACHonline The trade book is called Has Medicine Lost Its Mind? It describes how medicine’s slavish adherence to physical disease excludes the psychological and social aspects of care, and thereby mental health which is now in a crisis. Thanks for your interest.
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@RobertCSmithMD
Robert C. Smith, MD
1 year
Don't be surprised when it happens to you, by @miller7
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