This…

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

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Jim Amos MD 7

Crossroads for Maintenance of Certification?

So I see Dr. Nora, President and CEO of the American Board of Medical Specialties (ABMS) notices the “disconnect” rank and file physicians have relative to our view of Maintenance of Certification (MOC), reported on in a recent issue of Psychiatric News: ABMS President Defends MOC Part 4, Calls for Physician Engagement in Quality: Psychiatric […]

Pedometer 6.26.2015

Pedometer Daze or the 10,000 Hour Rule

This afternoon a colleague and I were talking about something or other and the topic turned to how many steps I take on a given day on the consult service. I minimized it. He also mentioned something about the significance of  the number 10,000, I guess as it might relate to gaining proficiency at anything, […]

graduation 6-15 - Copy

Congratulations, Dr. Paul Thisayakorn!

I just got word from Dr. Paul Thisayakorn, who previously graduated from our residency program, that he has now graduated from the year-long and very rigorous Psychosomatic Medicine Fellowship at the Cleveland Clinic on June 15, 2015. Paul plans to return to his native Thailand to continue his career by working in a private hospital […]

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CPCP: Late Onset Bipolar Illness by Dr. Michele Morais

After the residents got back from taking the psychiatry consult service mascot Alice (and Clive) for a walk yesterday, Dr. Michele Morais delivered an excellent review of the limited literature on late onset bipolar disorder. It’s rare to see a manic episode in someone over fifty years old and it should always trigger a systematic […]

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CPCP: Disparities in Psychiatric Diagnoses of African Americans by Dr. Shailen Mhapsekar

So this is an encore performance of Dr. Shailen Mhapsekar and this Clinical Problems in Consultation Psychiatry (CPCP) presentation is about disparities in the mental health evaluation and treatment of African Americans in the United States. This is a politically sensitive topic although it’s especially relevant in view of the violence against black people that […]

and start laughing thinkin about it...

Mat Ball Challenge 2015: Residents Undefeatable; Faculty Undeflatable!

Well, it’s in the books. The 2015 first UIHC Psychiatry Department Mat Ball Challenge (Residents vs Faculty) is now history. Residents win–probably because I didn’t play. It was a hangnail thing. Anyway, it’s clear the residents are undefeatable and the faculty are undeflatable. It was a pretty decent turnout and, although rain threatened to make […]

sleep deprived

CPCP: Ramelteon for Delirium Prevention Study by Dr. Shailen Mhapsekar

So the first year Family Medicine resident, Dr. Shailen Mhapsekar, MD,  gave a very interesting Clinical Problems in Consultation Psychiatry (CPCP) on the Ramelteon for delirium prevention study [1]. The importance of the study is the high morbidity and mortality associated with delirium in the general hospital, especially in the cognitively impaired elderly, the population at highest […]

We are here!

Matball Challenge Soon!

So the Mat Ball Challenge (Psychiatry Faculty vs Residents) and Potluck is day after tomorrow, if that’s escaped your notice. Our Chief Resident, Dr. Jen Donovan, has come up with the official Matt Ball Rules below. As I’ve been pointing out for about the last month now, the announcement for the Mat Ball Challenge is here. […]

Dr. Aubrey Chan somatiz talk 2015

CPCP: Somatization; An Encore Performance by Dr. Aubrey Chan

So this is an encore performance Clinical Problems in Consultation Psychiatry (CPCP) presentation by Dr. Aubrey Chan, who authored the one on catatonia recently. It’s also his internal medicine noon conference talk. He’s an R2 in the UIHC Internal Medicine-Psychiatry combined residency program and these presentations are given in the William B. Bean Conference Room, […]

Dr. Jim Amos Clancy Award 2015

Thanks to Graduating Residents…and I’ll Be Seeing You

In our department, just before the residents graduate, we vote for the best learners and the best teachers. We can never vote for more than one in a category, e.g., inpatient, outpatient, senior, junior, and so on.  I wished I could have voted for more. The residents are graduating and I’ll be seeing them. Thanks. […]

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CPCP: Catatonia by Dr. Aubrey Chan

This is a special Clinical Problems in Consultation Psychiatry (CPCP) by Dr. Aubrey Chan, MD, who’s in his second year (soon to be third year) of his residency in our combined Internal Medicine-Psychiatry program here. This is on catatonia and he has a great sense of humor and a command of the humanities which makes […]

Congratulations, Graduates

Congratulations, Graduates!

Major announcement! Congratulations Graduating Residents! Hey, we have graduating seniors today and I want to congratulate them, thank them, and wish them well. They’ll be moving from the position of putting out fires to holding the keys to the world now (at least I hope!). Lately, Alice has been hanging on and it’s probably time […]

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CPCP: Serotonin Syndrome Treatment and Benzodiazepines by Medical Student Christopher Iverson

Coming at you with another thought-provoking Clinical Problems in Consultation Psychiatry (CPCP) presentation; this one is treating serotonin syndrome with high-dose benzodiazepines. The 3rd year medical student, Christopher Iverson, did an excellent job on this. We asked ourselves the question of how this practice got started and what literature this is based on. Chris asked […]

Think Delirium

Delirium: Time to Transcend the News Reports and Work on the Problem

Some people thought the news article on delirium, which has been republished a few times, could have gone further to characterize delirium as a life-threatening complication of medical illness. It’s amazing that health care professionals and society in general still seem to struggle to understand this neuropsychiatric condition in terms of its pathophysiology, clinical presentations, […]

Jim Amos MD 7

Authentically Edging Away from “Authentic”?

So my wife alerted me to a local news article yesterday about Iowans nearing retirement. Just about everywhere I look, I’m getting messages that I’m nearing retirement. They’re in my email inbox, coming from my broker. They’re in my mailbox, coming from the AARP (of course):   I’m getting messages from Congress:   I’m getting messages […]

Hellboy-HELLBOY-S-Hero-Battle-Damaged-Shirt-3

Thoughts on Deception

Alice, an Apatosaurus (“deceptive reptile”) our new psychiatry consult service mascot, told me about the new dinosaur identified recently. The popular name for the Regaliceratops peterhewsi is “Hellboy,” because of the eye horns. News articles describe Hellboy’s eye horns as small, which shows how little they know about him. He used a grinder on them so […]

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The Connections Between Yucca Moths, Fledgling Robins, Teachers, and Learners

So my wife, Sena, has grown yucca plants in our gardens in many backyard and frontyard gardens where we’ve lived. She planted one in the front yard at our new house. This morning Sena asked me if I remembered her telling me (maybe about a thousand years ago) that a special moth is sort of […]

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CPCP: Corticosteroid Induced Psychosis by Medical Student Hope Steinke

Here’s another great Clinical Problems in Consultation Psychiatry (CPCP) presentation, this one by 3rd year medical student Hope Steinke, who is interested in pursuing a career in Family Medicine. As you can see the prevalence of steroid-induced mental disorders is quite high. Something else I noticed that is different from the previous reviews I’ve seen: […]

Jim Amos MD 7

Delirium In The News

I saw the story below about delirium in Kaiser Health News today and I’m republishing it according to Creative Commons CC BY 4.0 KHN identified in the article. The original publisher is Kaiser Health News (KHN) is a nonprofit national health policy news service. The story is written by Sandra G. Boodman, Kaiser Health News on June 2, 2015. As […]

Robin babies1

Reflecting On The Core Competencies

What the heck, let’s talk about the core competencies. But first let’s talk about my new pedometer. My first official reading from today (which was fairly busy in hospital as Tuesdays go) is below: I show the number of steps because that’s more impressive. Honestly it works out to a little over a mile and […]

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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

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 […]

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 […]

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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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