The Ancient Aliens Hair Dude Announces: The first annual matball challenge and potluck: UIHC Psychiatry Dept. Faculty vs Residents!

This…

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

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Jim Amos MD 7

APA Meeting Updates from Toronto: The Good and the Bad and No I’m Not There

OK, so even though I’ve not renewed my membership with the American Psychiatric Association (APA) for various reasons, I’m getting updates about this year’s annual meeting in Toronto. This contains news both good and bad. First the bad; the announcement by American Board of Medical Specialties (ABMS) President and CEO, Dr. Lois Nora, MD, JD, […]

Dr Bobblehead

So How Long Are You Going to Work for a Living?

So my wife told me about another Vanguard Boglehead discussion, this one about a radiology resident trying to decide whether to go into private practice or academics. Some of the issues were more broadly applicable to the rest of medicine, including psychiatry. The original question and the advice you can see here. First of all, nowhere […]

Children's Hospice Week

Children’s Hospice Week

Well, I just heard from Luisella Magnani about Children’s Hospice Week, which is going on from May 11-17, 2015. It’s mostly observed in the United Kingdom, although it sounds like it would be wonderful to raise awareness worldwide. Dr. Magnani shares her thoughts about Children’s Hospice Week below. Click to view full size. Many thanks, Luisella. […]

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CPCP: Intersection of GI Disease and Disordered Eating by Dr. Emily Morse

Coming at you with another outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation for lifelong learning, this one on disordered eating. It’s important to remember that various digestive diseases can take all the joy out of eating and patients suffering from them can display behaviors that can mimic eating disorders. In a major way the […]

The Elements of Style Will Strunk

Reasons to Remember Will Strunk’s “An Approach to Style”

So I read Psych Practice Blogger’s review of Dr. Jeffrey Lieberman’s new book, and thought of Will Strunk’s book The Elements of Style and chapter 5 therein, “An Approach to Style.” I’m unlikely to buy Lieberman’s book. One reason other than those already discussed in the review is that, as a general rule, I try to […]

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Go Ahead and Wave; It’s Mental Health Month!

So I almost forgot that May is Mental Health Month until I saw our waving man today. He works at the Hy-Vee grocery store stocking shelves, where my wife says he doesn’t attract any undue attention. But we see him a lot while he’s walking either to or from the store. All along the street […]

MeTV

Hawaii Five-O on Sociopathy

As many of my readers know, I sometimes watch MeTV and a March post of mine featured a Hawaii Five-O episode which featured a psychiatrist. Well, I recently saw another episode (orginally aired in November 1970) in which a psychiatrist was featured, in the video below from  “Over Fifty Steal”, psychiatrist Dr. Emerson runs from about 17 min […]

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First Matball Challenge: UIHC Psychiatry…And Beyond?

So what does it mean that within a day or so of our faculty meeting on the agenda of which was Maintenance of Certification (MOC) we found out that the residents challenged faculty to a Matball match?   And what the heck is Matball? Ouch. The Wikipedia rules are less lame. Anyway, it’s a complicated story […]

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What Would Jive Dinosaurs Do About The MOC?

I just read the article entitled “Why board certification is important to this physician,” supporting Maintenance of Certification (MOC) by Dr. Christina Girgis, MD. It’s also one of her blog posts, which has a different title, “I’m Glad I Took the Boards: Thoughts From a Board-Certified Psychiatrist.” It’s notable because my impression is that MOC supporters […]

7 Habits Stephen Covey

Hey, Let’s ALL Change from the Inside Out!

So I saw this JAMA article in which the authors, Berwick et al, use the term “change from the inside out,” and don’t attribute it to Stephen Covey, whom I’ve always thought originated the phrase, although I may be wrong [1]. I’m a big believer in change from the inside out rather than change from the […]

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CPCP: Acute Lithium Toxicity by Crack Medical Students

We got an outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation today on acute lithium toxicity from a couple of medical students on crack. No wait, I mean a couple of crack medical students! They worked really hard on it and it’s excellent. They’re in their 3rd year clerkship. Nandita Agarwal is interested in either […]

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Sinko de MOC Mojo On Cinco de Mayo

Happy Cinco de Mayo out there and welcome to today’s post which is about one of the more recent MedPage Today articles about Maintenance of Certification (MOC). Docs Take ABIM to Task at Townhall http://t.co/ZxluMIelLH See comments — James Amos (@jamostheelder) May 5, 2015 So far, there are just a few comments at the end […]

kramer4_th

How to Stop Wandering?

I got a phone call from a good friend recently about a position in outpatient psychiatry in which I might be interested. This is mainly because it’s in Madison, Wisconsin, a city both me and my wife really fell in love with several years ago when I tried working in a private practice outpatient environment. […]

New Mascot3

Interview with the Mascot: The Right to Refuse Medical Treatment?

So I saw this new article on decisional capacity assessment I recently got in my email from the Primary Care Companion to the Journal of Clinical Psychiatry (JCP). It has a fresh angle on the issue which highlights the differences in approach to this skill between internists and psychiatrists. Just for fun, I ran it […]

New Mascot4

Celebrate and Welcome the New Mascot!

Unbelievable…the psychiatry consult service already has a new mascot after the tragic loss of Nigella. We don’t know how an Apatosaurus (at least I think it’s an Apatosaurus) time-traveled from the sauropod age to the 21st century but it has a reason to celebrate anyway. Don’t blame me if it looks like a Brontosaurus. Blame […]

Keep Calm and Focus on Hurrah

Leaving the Hurrah’s Nest Behind?

So I found another way to describe Maintenance of Certification (MOC). It’s a hurrah’s nest. Never heard of it? Neither had I until I got focused on a very messy Robins’ nest an industrious couple of birds were trying to build on our deck. In simple terms, a hurrah’s nest is a big mess which […]

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http://thepracticalpsychosomaticist.com/

Lifelong Learning: Making Sure Ideas Live

I’ve been eagerly awaiting the results of Psych Practice Blogger’s survey on the American Board of Psychiatry and Neurology (ABPN) Maintenance of Certification (MOC) and they’re finally in. Psych Practice: MOC Survey Results http://t.co/vZieg3yL76 What would you do? — James Amos (@jamostheelder) April 25, 2015 That survey is now closed and I decided to close […]

Nigella and fire trucks

Remembering Our Friend Nigella

  I have bad news. We lost a friend yesterday. Nigella, after a protracted exhalation, finally expired. The mascot of the psychiatry consult service just couldn’t hang on any longer. It’s ironic but inspiring (no pun intended) that walking Nigella down to the gift shop about once a week for her regular helium injection actually […]

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CPCP: Neuroleptic Malignant Syndrome by Neurology Resident Dr. Dan Anderson, DO

Hey, coming at you with another outstanding Clinical Problems in Consultation Psychiatry (CPCP), this one on Neuroleptic Malignant Syndrome (NMS) by Neurology resident Dr. Dan Anderson, DO. NMS is a rare syndrome, occurring in about 1 in 5000 patients and it can progress quickly to a life-threatening condion. Many experts call it a drug-induced malignant […]

bevklug

A Mindful Letter from Bev

As I reflect on my upcoming one year anniversary of my own mindfulness practice, I want to pass on the latest letter from Bev Klug, M.A., LMFT, Director of Mindfulness-Based Programs here at Iowa about the upcoming Mindfulness programs this summer. It starts off with a quote from the 14th century Persian poet, Hafiz. Now […]

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What Psychiatrists Need to Know About Cardiac Devices: see slide 20 for quick tips on EKG measurements

GRECC Videos

Geriatric Research Education and Clinical Centers

A Spectacular Video from the GRECC: Agitation in the Older Nursing Home Resident

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 Nursing Home Residents, an educational video from the Department of Veterans Affairs, Geriatric […]

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 […]

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 […]

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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