Jim Amos, MD. Click me to read Faculty Focus.

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Mining for Fool’s Gold

My wife found an interesting news item the other day about robots getting smarter than humans. I got a kick out of it because I thought of it as just another sort of below-the-fold or even back page filler item we see occasionally on the idea that machines are taking over the world. As Robots Grow […]

Dr. James Amos with coffee

JAMA Studies Support MOC? You Decide

Well, we’ve been waiting for good evidence showing whether or not Maintenance of Certification (MOC) actually improves outcomes. Do the two studies published recently in JAMA deliver? You should read them and decide for yourselves. I’m troubled by the conflict of interest of Holmboe, one of the authors of the Gray, et al study (see […]


European Delirium Association Website Gone Away Again

Once again the website for the European Delirium Association (EDA) seems to have gone away. When I clicked on the link this morning between 4:00 and 5:00 AM (no kidding, that’s when I usually get up), I got the message “Access denied.” The EDA website occasionally goes away for some reason, and has always returned […]


Thoughts On Doctors Forming Unions

So you may remember that I tweeted about a recent news item announcing the formation of a union by doctors in Oregon. Since then I’ve learned that unionizing by doctors is nothing new; the new thing about what happened in Oregon was that it was the hospitalists at Peacehealth’s Sacred Heart medical centers who unionized. I […]


CPCP: Potential Antidepressant Overtreatment by Dr. Diana Flint, MD

Coming at you with another outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation, this one on the issue of potential antidepressant overtreatment given by Family Medicine resident, Dr. Diana Flint, MD, who really went all out. The bottom line is that it’s probably not unusual that antidepressant overtreatment is occurring and one controversial scenario that […]


CPCP: Psychiatric Emergency Medications for Agitated Patients by Dr. Matt Klein, DO

We had a big day on the consult service with Clinical Problems in Consultation Psychiatry (CPCP) presentations yesterday including medical student Amy Walz’s on obesity and antidepressants and psychiatry resident Dr. Matthew Klein’s on Psychiatry Emergency Medications for Agitated Patients, which is the subject of today’s post. When we say “managing agitation,” we mean that […]


CPCP: Depression and Obesity by Medical Student Amy Walz

So today we have a killer Clinical Problems in Consultation Psychiatry (CPCP) presentation by 3rd year medical student Amy Walz who is interested in eventually doing her residency in Pediatrics (which may explain some of the baby pictures in the slide set). Amy was curious about the literature about weight gain in patients with depression […]

Christmas Dog

More on the NbNomenclature App from Psych Practice Blogger

Hey, you guys have to see this great post about Psych Practice blogger’s take on the new NbNomenclature app for psychotropic drugs. See my recent post about it, but Psych Practice scooped me about it a year ago. See the tweet below: Psych Practice: App Review: NbNomenclature Thanks Psych Practice! — James Amos (@jamostheelder) December 9, […]

Buddha in Fall

Musing on the Muse

Just a short post on Monday. So my wife alerted me to the story about an article on the uber-great tech changes on the horizon and I tweeted a couple of them: Robot lawyers, smart assistants: Tech trends for 2015 via @azcentral Neuroenhancers for mindfulness? — James Amos (@jamostheelder) December 8, 2014 Brainy Muse […]


How Do Physicians Effectively Respond to the Pressures We Face?

I finally ran across the eloquent essay by Dr. Jeffrey Singer; see “How Government Killed the Medical Profession” in the tweet below. How Government Killed the Medical Profession via @CatoInstitute Required reading for residents & medical students — James Amos (@jamostheelder) December 6, 2014 As you can see, I called this required reading for […]

Dr. James Amos with coffee

Reflections on the Recent MOC Debate in Philadelphia

Remember that recent post about the Maintenance of Certification (MOC) debate on December 2, 2014? Last night I had the opportunity to view two videos of the debate “Is Maintenance of Certification (MOC) Needed and Appropriately Constructed for Success?” I’ve also read a blog post about it which contained one of the videos. I’ve included both below and […]

Nigella reading article 2

Neuroscience Based Nomenclature for Drugs According to Nigella Didn't we just get rid of a multiaxial system? — James Amos (@jamostheelder) December 4, 2014 So it was my turn to refresh our consult service mascot, Nigella, by walking her down to the gift shop for her weekly shot of helium. Let me tell you, if you need a way to lift your […]


Petitions Opposing MOC Still Active At New URL

This is a just a short announcement that the petitions I couldn’t find which I mentioned in a recent post are found. You can find the new link for petitions opposing the new MOC changes from the American Board of Internal Medicine (ABIM) and the pledge to be noncompliant with MOC in the menu below the […]


The Geezer’s Wish in the Season of Gratitude

This is the season of gratitude and even though I’ve been working on developing a practice of mindfulness since June, I still reminisce on where I’ve been and with whom I’ve shared experiences. That’s because I’m a geezer and I’m entitled. May you be happy; may you be well; may you be safe. May you […]

Buddha in Fall

How the MOC Debate and Aikido Could Be Alike

This post contains a few remarks about petitions and debates about opposing Maintenance of Certification (MOC) and Maintenance of Licensure (MOL). So I’ve closed my petition to oppose Maintenance of Licensure (MOL) in Iowa for a couple of reasons. The main one is that the Iowa Board of Medicine (IBM) has indicated to me that […]


A Definitive Journey

I recently was reminded of my search for my former teacher, Dr. Jenny Lind Porter, which culminated in April this year with my discovery of her home address followed by my writing an old-fashioned letter to her. She doesn’t have a computer. The reminder was a message from someone else who is searching for her. This […]

Luisella Magnani

The 2nd Congress on Paediatric Palliative Care: A Message of Hope from Luisella Magnani

Luisella Magnani sends a message of hope from Rome where she attended the 2nd Congress on Paediatric Palliative Care–A Global  Gathering. BeingThere-and-Living the 2nd Congress On Paediatric Palliative Care A Global Gathering Rome 19th – 21st November 2014  – Auditorium Antonianum Luisella Magnani If all the Children needing Palliative Care in the World knew about this […]


Keep Your Eyes on The Pennsylvania Medical Society Debate on MOC

I ran across this post from the Pennsylvania Medical Society (PAMED) and I thought I’d share it. Note the opportunity for readers to share opinions below the post. It’s a survey and I shared mine. At the time (which was this morning) there were only 3 responses. Click on the image to expand it to full […]

picture credit

Treat Your Patients Right

Earlier this week, I gave my usual lecture to the medical students about delirium and major neurocognitive disorder (the new name per DSM-5 for dementia). It’s similar to the one at this link. Only 4 students showed up. Oh well. I’ve taken to emphasizing my own experience with delirium many years ago, in the context of […]


MOC and the FOCUS Journal for Psychiatry: Yesterday and Today

So have you heard the latest about the American Psychiatric Association (APA) and the American Board of Psychiatry and Neurology (ABPN) and their collaboration (or collusion depending on your perspective) regarding the newest wrinkle in the collection of CME activity transcripts for Maintenance of Certification (MOC)? This is a complicated story so bear with me. […]

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GRECC Videos

Geriatric Research Education and Clinical Centers

Spectacular Video from the GRECC: Agitation in the Hospitalized Older Patient

This is another one of those high-quality videos I posted about earlier, Spectacular Educational Videos by Department of Veterans Affairs « The Practical Psychosomaticist: James Amos, M.D. and which Dr. Nina Tumosa, PhD gave permission to post. This is Agitated Behaviors in Older Hospitalized Patients, an educational video from the Department of Veterans Affairs, Geriatric Research […]

Geriatric Research Education and Clinical Centers

Spectacular Video from the GRECC: Dementia with Agitation

This is one of those high-quality videos I posted about earlier, Spectacular Educational Videos by Department of Veterans Affairs « The Practical Psychosomaticist: James Amos, M.D. and which Dr. Nina Tumosa, PhD gave permission to post. This is Dementia with Agitation, an educational video from the Department of Veterans Affairs, Geriatric Research Education and Clinical Centers […]

Geriatric Research Education and Clinical Centers

Spectacular Video from the GRECC: Delirium, Quiet and Excited

Coming at you with another one of those pristine videos from the VA GRECC, and this one is about hypoactive and hyperactive delirium. This is an incredibly well-crafted educational resource and I thank Dr. Nina Tumosa, PhD for giving permission to post it. This is Delirium: Quiet and Excited, an educational video from the Department […]

Dr. Joseph Flaherty, MD

“TADA!” Tolerate, Anticipate, Don’t Agitate

“T-A-DA”stands for Tolerate behaviors that are challenging, but not dangerous; Anticipate needs of patients who are unable to communicate their needs; and Don’t Agitate patients who are cognitively incapable of processing the reasons why caregivers want to provide care for them which might be misunderstood. It’s taken from a paper written by Dr. Joseph Flaherty […]

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James Amos, MD

Jim Amos

Jim Amos

Dr. James J. Amos is Clinical Professor of Psychiatry in the UI Carver College of Medicine at The University of Iowa in Iowa City, Iowa. Dr. Amos received a B. S. degree in Distributed Studies (Zoology, Chemistry, and Microbiology) in 1985 from Iowa State University and an M.D. from The University of Iowa in Iowa City, Iowa in 1992. He completed his psychiatry residency, including a year as Chief Resident, in 1996 at the Department of Psychiatry at The University of Iowa. He has co-edited a practical book about consultation psychiatry with Dr. Robert G. Robinson entitled Psychosomatic Medicine: An Introduction to Consultation-Liaison Psychiatry. As a clinician educator, among Dr. Amos’s most treasured achievements is the Leonard Tow Humanism in Medicine Award.

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Hey, It’s Not All About Me

You can find a lot of educational content about Psychosomatic Medicine here, mostly about delirium (not the music group!). I give credit to all of my teachers. Some WordPress features (e.g. Presentation Shortcode) work better in other web browsers. In order to see the picture galleries of photos or powerpoint slides, click on one of the slides, which will open up the presentation to fill the screen. Use the arrow buttons to scroll left and right through the slides or up and down to view the annotations. To search educational University of Iowa presentations, go to URL Type my name to see mine—or just type “skinny”. Navigate to Category 1 CME from my blog site by looking under The University of Iowa Hospitals & Clinics menu under my blog title header, scroll to “Panopto UICapture Educational Presentations” (clicking that will take you to all presentations or type my name to see mine—or just type “skinny”), and hover to highlight “Health Pro Network Univ of Iowa CME”; or go to URL Enjoy!
Disclaimer:This blog is both fun and it's for educational purposes only. You should not use it as a substitute for medical advice from your personal physician.