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The dispensable psychiatrist

Division of Geriatric Medicine, St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE

Changes in the organisation and delivery of psychiatric services are likely to increase the stigma of mental illness, reduce the role of the psychiatrist, and inhibit recruitment of the best medical students. The value of close integration with the district general hospital and medical school is stressed. The future of psychiatry will be in doubt if this is ignored.