CPCP: Medical Aspects of Acetaminophen Poisoning: Great Presentation by the Medical Students!

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

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MOC: The Race for Money

policymed.com/2014/06/mainte…— James Amos (@jamostheelder) July 18, 2014 I found the tweet above after I got the usual American Medical Association Political Action Committee (AMPAC) dues invoice asking for the millionth time for a $100 fee to help fund their political action activities. I read the letter and marveled at the ironic ring of one paragraph: […]

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Zombie Apocalypse Walking Meditation for Resident Stress Management?

How to Welcome Incoming Residents psychcongress.com/blogs/michael-… How about mindfulness?— James Amos (@jamostheelder) July 19, 2014 The link in the tweet above takes you to an article about how important enhanced resilience is in new resident physicians. This is critically important in July when stress is rampant on the wards. I’m surprised the author didn’t mention […]

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CPCP: Medical Treatment of Acetaminophen Poisoning

This week we had a stellar presentation at our regular Clinic Problems in Consultation Psychiatry (CPCP) conference. This one is about acetaminophen poisoning by overdose and it was delivered by medical students, Justin Chau, 4th year medical student (going into internal medicine), and Savita Joglekar, 3rd year medical student, interested in a lot of things. […]

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The Way of Implacability, And The Way Out

A gentle answer turns away wrath,     but a harsh word stirs up anger.–Proverbs 15:1 As a consulting psychiatrist in a large academic medical center, I’m faced with stressful, occasionally even dangerous, situations. It’s easy to slip into auto-pilot mode, eventually over years forgetting to even acknowledge these events. Recently, I became re-acquainted with a story that […]

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Mass Non-Compliance with MOC; Who Wins and Who Loses?

Petition: A PLEDGE OF NON-COMPLIANCE WITH ABIM’S MAINTENANCE OF CERTIFICATION (MOC) petitionbuzz.com/petitions/nomo… A signal of frustration by docs— James Amos (@jamostheelder) July 16, 2014 The new petition at the link in the tweet above is a pledge by mainly internists to be non-compliant with the American Board of Internal Medicine (ABIM) new Maintenance of Certification […]

Dr. Amos Red Pants Revolution

If We can Lose the Bar Exam, We Can Lose the MOC

So the Iowa Supreme Court is considering a proposal from the state bar association to let new law school graduates start working before taking the bar exam. The story was carried by an Iowa newspaper: Bar exam proposal divides attorneys icp-c.com/1ma6eVz via @presscitizen Implications for MOC?— James Amos (@jamostheelder) July 15, 2014 How good is […]

Dr. Amos and Mindful Bumbershooting

The Geezer’s Guide to Mindful Bumbershooting and Longer Telomeres

I’ve been talking to my medical students and residents about mindfulness lately and my wife just alerted me to a new article about how mindfulness meditation may optimize the length of telomeres, those tiny structures at the ends of our chromosomes. There is still some controversy about whether or not behavioral or psychological factors can […]

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Still Learning Why I Chose Psychiatry

cmeinstitute.com/psychs-talk/?u… Your thoughts?— James Amos (@jamostheelder) July 11, 2014 I hope the link in the tweet above still works. It’s a blog post about why anyone would choose to become a psychiatrist. I’ve tried to answer this in a previous post. Because I’m still evolving, I suspect my perspective about this shifts over time. It’s also […]

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CPCP: Lithium-Induced Diabetes Insipidus by Dr. Burgundy Kimm, DO

Water, water, everywhere. That’s what lithium-induced nephrogenic diabetes insipidus makes me think of. I see the problem only occasionally and needed a refresher to bring me up to date on the basic physiology and what to do about it. So that led to yet another outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation the other […]

Dr. Amos in scrubs

Hospital Dress Code Does Not Include Blue Suede Shoes

I saw an interesting item and wondered what people would think about it. It’s about the issue of dress codes for physicians. There’s an online study which was news story in USA Today about dress codes for health care personnel. It’s based on a article published in January 2014 [1]. I have a distant memory […]

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A Lot of Floors to Sweep

I recently ran across the American Legislative Exchange Council (ALEC) resolution opposing model legislation opposing Maintenance of Licensure (MOL). The Patient Access Expansion Act is connected to several other features of the movement to support the principle of lifelong learning and oppose Maintenance of Certification (MOC), not by coincidence. The model legislation actually was first written […]

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Feeling Mindfully Yucky?

“In some moments when you go into your pain and face it openly, it may seem as if you are locked in hand-to-hand combat with it or as if you are undergoing torture.  It is helpful to recognize that these are just thoughts.  It helps to remind yourself that the work of mindfulness is not […]

Comply and Oppose

Just Let MOC and MOL Be?

Well, this is just an announcement about the new Maintenance of Certification (MOC) rules from the American Board of Psychiatry and Neurology (ABPN), which is summarized in the tweet below: abpn.com/faq_quarterly5… New ABPN MOC changes, read'em before they change again. http://t.co/NSEyyQZOyi— James Amos (@jamostheelder) July 01, 2014 Because of my position in an academic medical […]

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How Should I Be My Brother’s Keeper?

I saw Shrink Rap’s recent blog on whether or not doctors should treat their own family members psychiatric problems: Prescribing psychotropics to family members : Clinical Psychiatry News clinicalpsychiatrynews.com/views/shrink-r… If you were the doc and relative, would you?— James Amos (@jamostheelder) June 30, 2014 It reminded me of an extraordinary situation in which I found myself a […]

Herky Conductor, artist Elizabeth Rhoads Read, Cedar Rapids, IA, Sponsor Hawkeye Express; IA Northern Railway

The July Effect: Does It Affect Residents More Than Patients?

Always we hope someone else has the answer. Some other place will be better, some other time it will all turn out. This is it. No one else has the answer. No other place will be better, and it has already turned out. At the center of your being you have the answer; you know […]

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Welcome New Residents, The Best That Money Can’t Buy

I was pulling duty today on the general hospital consultation service and one of the inpatient units so I was running a little late to the welcome lunch for the new psychiatry residents. They’re a great-looking bunch and they come from all over. They’re eager to get started and I’m as excited for them as […]

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Trying to Get My Message Right

It has been 7 months since we started the LinkedIn online journal club, Psychiatry Online Lifelong Learning (POLL). I’m a little shocked that it has been that long and I’m sorry to say there has been little to no participation. Psych Practice blogger has recently published a post asking readers for their thoughts on how […]

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Practicing Not Being A Physician in Practice

I help my wife carry a heavy potted fern from the back garden around to the front porch where everyone can easily see it. It looks grand. After that, I go for a walk. There is a lot to notice today for some reason. Granular brown ant colonies lining the sidewalk seams, pismires hustling around […]

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Amen to the 800 Project

The 800 Project: Providing Support for Physicians in Practice – Humanizing Medicine humanizingmedicine.org/the-800-projec… I say Amen— James Amos (@jamostheelder) June 17, 2014 I saw the article in the tweet above about the 800 Project on the Humanism in Medicine website the other day and I said “Amen to that.” What Dr. Levin says about how […]

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I’ll Be Looking Out for You

I got a nice surprise from the medical student clerkship that warmed my heart. It’s a tangible symbol of how I want to be remembered by the students. The feedback I got was that I’m pragmatic, passionate, and perturbed. I’m just kidding about the last one–I think :) When they graduate and if they do […]

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GRECC Videos

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 […]

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 […]

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

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 […]

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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 http://medicine.uicapture.uiowa.edu/Panopto/Pages/Default.aspx. 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 http://www.medicine.uiowa.edu/healthpro/. 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.