It is obvious that primary care is affected by the transition process, as was well-illustrated in Dr. Rubin's article. When I think of what actually makes this problem so significant, I think of the way patients disclose all of their vulnerabilities and secrets to their physicians. The thought of having to start all over with the painful "band-aid removal" process of digging into their health history must be scary and daunting. The most extreme example of this type of interaction that I can think of is between a psychiatrist and their patient. How do you think this process differs for psychiatrists versus primary care physicians? Are there other specialties that should have special considerations with respect to the transitioning process?
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