This…

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

…Just in!

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 […]

Bluebonnet

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 […]

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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 http://www.brainjet.com/random/3951/22-happiest-animals-ever-we-dare-you-not-to-smile#slide/0

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 […]

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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. […]

Flowers anniversary

Happy Anniversary to My Better Half!

Hey it’s that time of year again, our wedding anniversary. This is when I take a break from harangues about my job to be mindful of the real treasure I have–my wife. Happy 37th!      

My little red firetruck

Attention, Medical Students! Article on Bedside Test for Delirium

So this is really just an announcement to the medical students rotating through our psychiatry clerkship, although you’re all welcome to eavesdrop. I give the lecture on delirium and major neurocognitive disorder (the new DSM-5 term replacing “dementia”) and I recently learned of a new open-access article on a bedside screening test for delirium [1]. […]

zombie_walking

What Do Zombies and Parenteral Clozapine Have in Common?

I noticed this very interesting post by Dr. George Dawson, MD about parenteral clozapine and it got me curious about the reference by Lokshin and colleagues [1]. Although George’s post about this use of the atypical antipsychotic was framed in the context of a TV show called The Walking Dead (which I’ve never watched; hey, nobody’s […]

picture credit http://www.brainjet.com/random/3951/22-happiest-animals-ever-we-dare-you-not-to-smile#slide/0

Focus Group Weighs in on MOC

Psssst, I think the American Board of Medical Specialties (ABMS) thinks we want them to keep lying to us about how essential Maintenance of Certification (MOC) is to doctors who practice real medicine. I just noticed an article about MOC on Medscape which seemed to acknowledge both support of the principle of lifelong learning and opposition […]

Luisella Magnani

Poster for 9th Annual Meeting European Delirium Association: Dr. Luisella Magnani

As promised in an earlier post, here is the gorgeous poster presentation by Dr. Luisella Magnani for the 9th Annual Meeting of the European Delirium Association in Cremona, Italy, which runs from November 6-7, 2014. Luisella sent it to me and my readers as a gift yesterday, letting me know she’d be leaving for Cremona today. Her message […]

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CPCP: Mortality in Patients with Dementia Treated with Antipsychotics by Dr. Neel Patel

So this is the latest in a flurry of Clinical Problems in Consultation Psychiatry (CPCP) presentations, this one by Family Medicine resident, Dr. Neel Patel, MD. He reported on the much talked about risk for increased mortality in elderly patients with dementia. Dr. Patel has an interest in psychiatry which may be propelling him into […]

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Connecting the Connectomes Between MOC and Scholarship: A Rodeo Clown’s Perspective

So I just saw the October announcement from the American Delirium Society (see tweet below) about the National Institute of Health (NIH) research funding opportunity relevant to delirium in the elderly which is connected to the Human Connectome Project: Important Program Announcement from NIH (Please Read and Forward Freely) | American Delirium Society http://t.co/ndOsMTArBr via […]

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CPCP: Catatonia by Medical Student Tyler Mouw

Coming at you with another fine Clinical Problems in Consultation Psychiatry (CPCP) presentation, this one on catatonia, by medical student Tyler Mouw. He’s planning to do his residency in surgery. Interestingly enough, he chose to dig into the medical literature about catatonia, not because of what he saw in the general hospital on the psychiatry […]

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CPCP: Alcohol Withdrawal by Medical Student Jaclyn Keller

Hey, it’s been a big week on the psychiatry consultation service and the medical students are working hard. Senior medical student Jaclyn Keller, who plans to enter residency in Dermatology, delivered a top-notch Clinical Problems in Consultation Psychiatry (CPCP) presentation yesterday, which was on Halloween. You’ll notice the next-to-the-last slide is a picture of a […]

bevklug

Mindfulness Programs at Iowa: A Letter from Bev Klug

Suddenly, sun. Over my shoulder in the middle of gray November what I hoped to do comes back, asking. Across the street the fiery trees hold onto their leaves, red and gold in the final months of this unfinished year, they offer blazing riddles. In the frozen fields of my life there are no shortcuts […]

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CPCP: Opiate Withdrawal by Jenny Preinitz Pharm.D.

I’m proud to announce this new Clinical Problems in Consultation Psychiatry (CPCP) on managing detoxification from opiates and more from jenny Preinitz, PharmD. I gotta tell you I’m not used to having a pharmacist riding with our team but I’ve always hoped for it. She’s been a tremendous asset this month and I’m sure hoping […]

Nigell and fire trucks 2

Psychiatry Consultation and The John Henry Effect

One of my administrators dropped by my office, notifying me that the psychiatry consultation service is down on Relative Value Units (RVUs) in the last few months and asked what I was doing in August. I was off service. Now that doesn’t mean that the service shut down for the month, because I’m one of […]

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Cautious Optimism About Biomarkers for Psychiatric Illness

So my wife saved one of those popular online medical news items for me to read yesterday. This is another one expressing a lot of enthusiasm for biomarkers related to psychiatric disorders and suicidality. I have just a few cautionary remarks on the article and the open access study the reporter highlighted, both of which […]

SQiD Power

3D-CAM: A New Delirium Screener

The link below takes to the Annals of Internal Medicine article on a new Confusion Assessment Method (CAM) derivative called the 3D-CAM [1]. 3D-CAM: Derivation and Validation of a 3-Minute Diagnostic Interview for CAM-Defined Delirium: A Cross-sectional Diagnostic Test Study3D-CAM: Derivation and Validation of a 3-Minute Interview for Delirium | Annals of Internal Medicine. Note […]

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GRECC Videos

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 […]

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 […]

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 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.