Holy buckets, another great CPCP; this one’s on Opiate Withdrawal by Jenny Preinitiz, PharmD

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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 […]

o-EBOLA-facebook

What is the Psychiatrist’s Role in the Ebola Outbreak?

The latest Psychiatric News issue carried a story about the mental health needs of West African patients, families and health care workers stricken by the Ebola crisis. PsychiatryOnline | Psychiatric News | News Article http://t.co/6AvRMgmWCT — James Amos (@jamostheelder) October 25, 2014 Coupled with what I learned at a recent informational forum I attended at […]

integrated care

Snap, Crackle, Pop of Collaborative Care Options

I just happened to see Psych Practice blogger’s post about the Affordable Care Act and noticed something about our Collaborative Medicine and Behavioral Health (CoMeBeh) program here at The University of Iowa Hospitals and Clinics mentioned in the section on collaborative care. The relevant excerpt is: “What about other models? The Family Medicine Department at The University of […]

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Further on with the MOL Physician Acceptability Survey Results

The Iowa Board of Medicine promptly answered my questions about the Maintenance of Licensure (MOL) Physician Survey, the first of its kind in Iowa. The answers prompted me to reflect on the continuing opposition to MOL. The Iowa Board of Medicine (IBM) reply highlights the importance of building and maintaining a commitment to lifelong learning, in […]

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 […]

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GRECC Videos

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: 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 […]

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.