View this excellent video on how to administer the Mini-Cog, which is one suggested cognitive assessment to accompany the CAM. See my blog from April 16, 2011 for further details and commentary.
FDA Alert on Drug Safety: Zyprexa Relprevv
OtherCare: Liberation & Innovation in American Healthcare
Dr. Luisella Magnani’s “The Best Practice of the PreverbalPediatricEmergenceDelirium Scale, PPED Scale
Take the Free QTc Prolongation and Psychotropic Drugs Quiz!
Dr. George W. Henry, author of “SOME MODERN ASPECTS OF PSYCHIATRY IN GENERAL HOSPITAL PRACTICE.” 1929
Encore Performance, Carlat Report Psychiatry on the MOC Available!
Watch the Dirty Dozens!
The Geezer’s Dirty Dozen on Psychodynamic Psychotherapy
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 […]
The Geezer’s Dirty Dozen on Decisional Capacity Assessment, with Video
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 […]
The Geezer’s Dirty Dozen on Delirium Lecture with Video
This is one of those videos I promised to inflict on you and, of course, its about delirium. The nurse on our delirium Quality Improvement project asked for volunteers to give a CEU talk to nurses in the hospital because she’s planning to roll out the Delirium Observation Screening Scale (DOSS) to the rest of […]
The Geezer’s Dirty Dozen on Psychosocial Assessments for Organ Transplant
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 link http://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 […]
The Geezer’s Dirty Dozen on Somatoform Disorders
This is another Dirty Dozen presentation, this time on Somatoform Disorders. It can be complementary to the Dirty Dozen on Factitious Disorder and Malingering. ADDENDUM: The DSM-5 and the book “Essentials of Psychiatric Diagnosis: Responding to the Challenge of DSM-5 by Dr. Allen Frances, MD have a lot to say about the somatoform disorders. The […]
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Delirium and More
Letting Go of Yesterday
Here’s just one among many ideas I need to let go of; an idea from the past: “Chlorpromazine is an old antipsychotic which is highly anticholinergic and should be avoided.” One of our leaders on the Palliative Care service taught this old dog a new trick about Chlorpromazine recently. It can still be the most humane drug […]
Compare Melatonin, Haloperidol, Ziprasidone, and Placebo in Preventing Delirium?
I know which study I’d like to see fairly soon, since there’s so much excitement about melatonin in preventing delirium recently. There’s a fair amount of work being done in pharmacologic studies using antipsychotics in an effort to see if we can prevent delirium using drugs like Haloperidol, Olanzapine and Ziprasidone. Results have been intriguing […]
Delirium: A Normal Accident?
I recently read a chapter entitled “Blowup” in Malcolm Gladwell’s book, “What the Dog Saw [1].” I got to comparing other disasters he talked about with delirium. Some research seems to show that very complex systems are just by nature accidents waiting to happen, examples in the chapter being the Challenger explosion in 1986 and the Three […]
Who You Gonna Call?
Have you looked at the delirium poll lately? I made a proposal yesterday in the post, Hey, Let’s Tamper with the Delirium Poll! « The Practical Psychosomaticist: James Amos, M.D.). I’ll mow our lawn with a reel mower if the percentage of votes for what I think is the best answer exceeds 90%. So far…not […]
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The Geezer Nominated for Versatile Blogger Award!
The 2012 National Strategy for Suicide Prevention
“…And we must build a culture…”
Excellence: Go the Extra Inch
“Compassion in the face of extreme events…”
“Yes, if you want to say…”
“I’m just a lucky so-and-so…”
“Psychiatrists from both genders and all backgrounds…”
“Synergy…”
Keep Calm and Carry On
Dr. Mary Jane England, MD
Dr. Gail E. Robinson, MD
Dr. Patricia R. Recupero, JD, MD
“No parent can see…”
“Fast snickering is mean…”
“It is fully human…”
Dr. Thomas P. Hackett Jr., MD
The University of Iowa
Psychosomatic Medicine, eds. Amos & Robinson
Psychiatry Mini-Clinical Assessment and Feedback Exercise (CAFE) creative commons license
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.
Based on a work at www.abim.org.
Permissions beyond the scope of this license may be available at http://www.abim.org/program-directors-administrators/assessment-tools/mini-cex.aspx.
Well Said…