Well, there are now a dozen signatures (a dirty dozen?) on the petition supporting the principle of lifelong learning and opposing Maintenance of Licensure (MOL) as a way to express that principle. I have the author of the blog Psych Practice, Dr. Rebecca M. Twersky-Kengmana, to thank for adding her name to the list of signatures, http://www.ipetitions.com/petition/iowa-medical-society-house-of-delegates/. I encourage […]
I just had a chance to have a look at the facelift of The Portal of Geriatrics Online Education (POGOe) at link POGOe – Portal of Geriatric Online Education | The Portal of Geriatrics Online Education. It looks great and there’s a nice quiz feature; see link POGOe QBank | POGOe – Portal of Geriatric […]
I ran across an interesting article the other day about what educational impact a psychiatric liaison had on beliefs and attitudes about delirium among nurses and internal medicine residents in a medical intensive care unit (MICU) [1]. The short answer: not much at all. This is despite the willingness of the MICU staff to host […]
So is this about lies or art? I just caught up to the whole mermaid thing last night, Charlie Foley Created Animal Planet’s Mermaids – Business Insider. The only thing was, I was napping on the couch before I could see the disclaimer about the show being fiction, mermaids new evidence disclaimer – Bing Images. After […]
I received an e-mail announcement about an event called the Nearly Naked Mile. It was about a clothing drive for which the University of Iowa Alumni Association’s S.T.A.T. (Students Today, Alumni Tomorrow) Ambassadors sponsor an annual walk or run race (1). Donations benefit United Action for Youth (UAY), an organization whose mission is “Nurturing […]
This is another lyrical guest post by Dr. Luisella Magnani on the subject of pediatric delirium, specifically as it occurs in the preverbal child. She publishes her work on her website, Luisella Magnani » The PreverbalOncologicChild’s Delicate-and-Private World. She has gotten the attention of researchers with the Vanderbilt Delirium Group, ICU Delirium and Cognitive Impairment […]
Hey, does anyone know when the Diagnostic and Statistical Manual (DSM)-5 is going to come out on the iPad or android? That’s the question on everybody’s mind, DSM-5 Goes Mobile! App allows users to… – American Psychiatric Association | Facebook. It was supposed to be available starting June 1, 2013 but so far–no DSM-5 mobile […]
I regularly run quick medical literature searches on PubMed as a check on how to improve my current practice as a consulting psychiatrist in a large academic medical center. I’m frequently called to consult on difficult delirium cases. My recommendations often include instructions to simplify a patient’s medication regimen, which can include anticholinergic and sedative hypnotic […]
My wife, Sena, and I went downtown to the the annual arts festival in Iowa City yesterday, Arts Festival – Schedule Iowa City 2013. It was the biggest one we’d ever seen and we’ve lived here a long time. It has grown over the years into quite a destination event. Artists and art lovers come from all over. You can […]
What is happening to the profession I love? I found out recently that the Medical Society of New Jersey adopted a resolution to oppose Maintenance of Certification (MOC), American Board of Medical Specialties under Fire for Maintenance of Certification™ Program | Welcome to the Medical Society of New Jersey’s official blog. I know some will […]
Hey, the European Delirium Association (EDA) website is finally back! I’ve replaced the links in the top menu and you should be able to access all the cool educational content on this great sister site to the American Delirium Society (American Delirium Society, ADS), which had a stunning annual meeting early this month in Indianapolis […]
You know, I wonder when I’m going to get the keys to the executive washroom at WordPress now that I can prove that I work there. You doubt me? Well, have a look at this! Would the U.S. Postal Service send a parcel addressed to me at WordPress if I did not work there? There […]
This is a video with powerpoint presentation I put together recently after realizing that there are some practical realities to staffing a medical-psychiatry unit that make it an interesting challenge in the era of integrated care. I owe a lot to Roger Kathol, MD who built the Medical-Psychiatry Unit at The University of Iowa Hospitals […]
This is yet another GeezerVideo with slide show on a common psychiatric consultation question, decisional capacity assessment. In my opinion, it’s important to help med-surg colleagues develop greater confidence in their ability to conduct these assessments themselves. After all, the psychiatrist is really not able to hold an informed consent discussion about the risks and benefits of a […]
This is a variation on the Dirty Dozen, for Earth Day 2012. I wrote the poem for Earth Day and for my wife, Sena, who is an avid gardener and who is very close to the earth–and my heart. Hold On to Me At the root of my heart, Where the mystery starts, In your heart […]
This is yet another Dirty Dozen presentation, this time about psychodynamic psychotherapy. I frankly admit that I don’t do formal, sit-down, 50 minute hour psychotherapy with patients, and that’s because of the nature of my role as a psychiatric consultant. I’m running all over the hospital on this hit-and-run service, putting out fires, and I […]
This is another dirty dozen with video about the psychiatrist’s role in organ transplant. Organ transplant controversies can sometimes lead to major news stories, such as the recent controversy over the intellectually disabled girl being considered for kidney transplant, (see linkhttp://www.cbsnews.com/8301-504763_162-57369008-10391704/hospital-considers-kidney-transplant-for-previously-denied-disabled-girl/). A few years ago, conversely, the big story was about a young girl in the United Kingdom […]
We’re trying to streamline the CAM-ICU so as to make it more adaptable to our electronic medical record and also to ensure that nurses are actually asking the questions to generate the “yes/no” reply algorithm on a Flowsheet. An example screenshot follows: What seems to be left out of the RASS though is how to […]
I was very excited by a letter from Dr. Luisella Magnani the other day. Recall her guest post about her pioneering effort in developing a delirium assessment tool for preverbal children, The Preverbal Pediatric Emergence Delirium Scale by Dr. Luisella Magnani – The Practical Psychosomaticist. Dr. Magnani sent the pPed Scale to major experts in delirium in adult and in children […]
Well it’s about time for more on the Maintenance of Certification and Performance in Practice (MOC/PIP) for Psychiatry. See my latest post about this for background if you’re new to this ongoing issue at short link http://wp.me/p1glcu-1eX Our department leadership has developed a way for psychiatrists to satisfy one component of the PIP, which is […]
A complexity intervention unit (CIU) is a specialized inpatient unit for managing patients with complex, comorbid medical and psychiatric diagnoses as well as health care system and social issues that make it challenging to deliver the highest quality health care. I still like to call it a “medical-psychiatry unit” (MPU) even though my old teacher, Dr. Roger Kathol, prefers […]
Geriatric Nursing Resources for Care of Older Adults :: Videos#player_container. Delirium: The under-recognized medical emergency from Hartford Institute – NYU on Vimeo. This is an excellent video about delirium. It’s about an hour long so adjust your schedule accordingly. It describes the use of the Confusion Assessment Method (CAM). Just because I’m posting this video on […]
Well Said…