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

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Open Access

Open Access Week at Iowa!

Well it’s that time of year again, meaning Open Access Week at University of Iowa. There will be several blog posts about it at Transitions Blog University of Iowa and mine is supposed to be among them. Open Access Week starts tomorrow and runs from October 20-26, 2014. You gotta come on up to Open Access!

bumpy riding on the box

Suicide Risk Assessment: Always Look for Ways to Improve

Today I’d like to call attention to a couple of interesting articles on suicide risk assessment, which is something I do every day as a consulting psychiatrist in the general hospital (and I’m always looking for ways to improve). The easiest way to start is to let you have a look at a couple of […]

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MOL Acceptability Survey Update

So I just got a reply yesterday from the Iowa Board of Medicine (IBM) regarding my inquiry about the results of the Maintenance of Licensure (MOL) Acceptability Survey, completed in late April. My message prompted them to publish a press release about the results, which they had available in June. They were kind enough to send […]

Sena and Me at Monona Terrace

Psychiatry Update Conference in Madison, Wisconsin–Dang, Missed It Again!

I just saw Dr. George Dawson’s post on the 2nd Annual Update and Advances in Psychiatry conference held in Madison, Wisconsin: Real Psychiatry: University of Wisconsin 2nd Annual Update http://t.co/012T5QnD20 — James Amos (@jamostheelder) October 14, 2014 I’m always on duty staffing our general hospital psychiatry consultation service in the fall months, so I’m usually […]

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CPCP: PTSD in ICU Survivors by Dr. Victoria Linares

The outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentations are coming thick and fast, so much I can hardly keep up with them! This one is on Postraumatic Stress Disorder (PTSD) in intensive care unit (ICU) survivors by Dr. Victoria Linares, MD, a Family Medicine resident who is rotating on the psychiatry consult service this […]

Donald Zolan painting of children Little Potters

Luisella Magnani on World Hospice and Palliative Care Day: Guest Post

I’ve just received Dr. Luisella Magnani’s short article for the World Hospice and Palliative Care Day, Saturday, 11th October 2014. She wants to share it with the world. She also plans to send along her Poster Presentation for the European Delirium Association Congress, 6th and 7th November 2014, which will be held in Cremona, Italy. Many thanks, Luisella […]

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CPCP: Serotonin Syndrome Redux by Medical Students

Well we had another very fine presentation at our Clinical Problems in Consultation Psychiatry (CPCP) case conference, this time by two very able and rightfully critical medical students, Alice Xu in her 4th year and interested in internal medicine and Patrick Hussey in his 3rd year, who is interested in anesthesia. This is a companion […]

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Analogy Between Wellness Programs and MOC?

I saw this article about employee wellness programs and I was struck by the analogy I could draw to Maintenance of Certification (MOC) programs: Wellness programs get a health check http://t.co/iKo2QpTquk via @WSJ — James Amos (@jamostheelder) October 8, 2014 So I wrote the piece below which I think draws attention to the major similarity […]

My firetruck

Sing Out, Dr. Ezekiel Emanuel

I don’t know how I missed Dr. Ezekiel Emanuel’s essay “Why I Hope to Die at 75.” I just happened to find the PBS link to Judy Woodruff’s interview with him about the provocative article. So my wife, Sena, and I were talking about it this morning and she said Dr. Emanuel’s idea made her think of the […]

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CPCP: Using Proper Restraint with Physical Restraints

Dr. Bennett Poss is one of our stellar psychiatry residents and he delivered a very thorough Clinical Problems in Consultation Psychiatry (CPCP) the other day, on the use of physical restraints in the  hospital. Violence against health providers is, unfortunately, a common problem in many hospitals. What Makes Hospital Patients Turn Violent? http://t.co/eunIrg7Jvu — James […]

Delirium in Critical Care

Quiz Results On The Psychiatrist’s Role In Delirium

As promised, today I closed the quiz on the psychiatrist’s role in delirium in the intensive care unit and I’ll explain my answers. The questions were adapted from the book on ICU delirium by Valerie Page and E. Wesley Ely [1]. The answers were variable, but tended to indicate a little too much confidence in psychiatrists as […]

Garden

It’s Time to Walk Nigella

    I’ve been thinking about our psychiatry consult service’s new mascot, Nigella. She’s on my mind a bit more since yesterday because I took my first turn walking her down to the gift shop to get her helium tune-up. She was looking a little wrinkled, almost as wrinkled as me. Nigella is a reminder […]

what's up doc

What’s Up, MOC?

So I sent a message to the Iowa Board of Medicine (IBM) inquiring about the results of the Iowa Physician Acceptability Survey on Maintenance of Licensure (MOL). The IBM was supposed to have received the aggregate results in June. What’s up, Doc? I’ve been waiting for the results of the Iowa Physician Acceptability Survey on Maintenance […]

The Nigella Award

PRS 14-02 Opposing MOC Adopted by Iowa Medical Society Policy Forum

Well, I just found out the good news from the Deputy Executive Vice President, Administration of the Iowa Medical Society. My Iowa Medical Society Policy (IMS) Request Statement PRS 14-02 opposing MOC was accepted yesterday, September 25, 2014 by the Policy Forum with one amendment which was not material to the main issue and now reads: […]

Nigella

Nigella Be With Us

Well, today is the Policy Forum for a variety of Policy Request Statements including my PRS 14-02: Support of Lifelong Learning and Opposition to Mandatory Maintenance of Certification (MOC). I’m on duty and unable to attend to give a verbal statement, but I’ve submitted my written statement. The meeting starts at 12:30 in room 5181 of […]

Delirium in Critical Care

Quiz Time on Delirium in Critical Care!

So this quiz is intended to elicit reader comments and questions because I have explanations for what I’ve set as the correct responses, which I’ll announce next week on Friday at which time the quiz will be closed. If you believe you understand why, then maybe all is well :) If you don’t agree, let […]

Dr. Jim Amos, MD

Professor Yahya Shehabi’s Talk: Missing Links in Diagnosing Delirium in ICU

This video about the missing links in diagnosing delirium is about two years old, but the difficult situation regarding research into this neuropsychiatric disaster that Dr. Shehabi describes in it continues today and some experts say that we’re at least a decade away from a true understanding of the pathophysiology of delirium. The talk could as […]

M Ali boxing

The Maintenance of Certification Fait Accompli Position and Why I Reject It

So we’re just days away from the Iowa Medical Society (IMS) Policy Forum and I can tell you that the majority of Iowa physicians support my Policy Request Statement on opposing Maintenance of Certification. I have to admit I’m a bit nervous about how the discussion will go on September 25, 2014 starting at 12:30 in room […]

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CPCP: Borderline Personality Disorder and Chronic Pain Management in Primary Care

So today’s Clinical Problems in Consultation Psychiatry (CPCP) presentation was absolutely spot-on and right up the alley for primary care clinicians and consultation psychiatrists in the general hospital. Dr. Alka Walter, MBBS, is a first year resident in Family Medicine rotating through the General Hospital Psychiatry Service and did an outstanding job of outlining the […]

(c) Andrew Pieper, M.D., Ph.D., University of Iowa

Neuroprotective Chemicals and More Than One Way to Skin A Cat

So I saw a fascinating Grand Rounds presentation on traumatic brain injury today. The Grand Rounds is a lifelong learning kind of activity in our department recently undergoing a change. We used to have separate presentations, one for researchers to present their research, and a more traditional Grand Rounds in which clinicians (or researchers) could […]

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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

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 […]

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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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Psychiatry Mini-Clinical Assessment & Feedback Exercise (Mini-CAFE) by James J. Amos, M.D. is licensed under a Creative Commons Attribution 3.0 Unported License.
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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.