This…

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Time for Tarrazu

The other day we got some coffee that reminded me of Wisconsin–Costa Rica Tarrazu. Unexpectedly, it was available at a little store in town. In fact, it’s called Royal Tarrazu. I’m not sure why it’s called “royal”; it’s sold out of a company in Staten Island. Why does it remind me of Wisconsin? We moved […]

Open Letter to Iowa Lawmakers Supporting Legislation Opposing MOC

The Iowa Medical Society (IMS) will soon be voting on a new resolution to oppose Maintenance of Certification (MOC) and preserve the principle of lifelong learning. It will entail pursuing the help of Iowa lawmakers in the pursuit of legislation toward clarifying what MOC should not be used for. I support it and acknowledge my […]

Hit The Road

Sorry about the long silence; part of the reason is vacation, some of which we spent making concrete plans for my retirement, which is definitely coming, although not tomorrow. That reminds me of a Robert Mankoff cartoon published in the New Yorker. Believe it or not, even physicians have to sign up for things like […]

CPCP: Clozapine Use for Aggression by Drs. Laura Gibbons and Samuel Shultz

Well, today it was time for a Clinical Problems in Consultation Psychiatry (CPCP), this one on something I occasionally run into, Clozapine used off-label for aggression and personality disorder complicated by self-harm behavior, which sometimes includes deliberate ingestion of foreign bodies. Sometimes, psychiatric consultants see patients in the general hospital who are taking clozapine for […]

MOC Wars: May The Force Be With You

Today I have a little spare time for a post about (what else?) Maintenance of Certification (MOC). Yesterday was a little busy, judging from the pedometer. Remember that Psychiatric Times article on MOC I posted about on March 11? The PT editorial staff are calling it “MOC Wars,” even though there are only a couple […]

National Patient Safety Awareness Week and World Delirium Awareness Day: Twofer

Since today is World Delirium Awareness Day and this is also National Patient Safety Awareness Day, we get a twofer because the two are naturally connected. A big part of maintaining patient safety is doing our utmost to prevent delirium in every case we possibly can. A few years ago we had a campaign at […]

Delirium Education for Families and Health Professionals

In observance of National Patient Safety Week and World Delirium Awareness Day on March 15, 2017, please share the delirium education handouts below the video, courtesy of I-Delirium.

Patient Safety Week and Delirium Awareness Day: Be a Paladin for Patients

Two important events to announce: National Patient Safety Week runs from March 12-18, 2017 and closely connected with this is The International Federation of Delirium Societies (I-Delirium) World Delirium Awareness Day – March 15, 2017. The I-Delirium organization is composed of the Australasian Delirium Association, the American Delirium Society, and the European Delirium Association. And […]

Maintenance of Certification: A Reply by Dr. James Amos, MD

I’ve just received the latest print issue of Psychiatric Times, in which I was surprised to find an article supporting the controversial Maintenance of Certification (MOC). It was written by Dr. Robert Boland, MD, who is the current President of the Academy of Psychosomatic Medicine (APM) and an Associate Professor at Harvard Medical School and […]

Winston the Mascot and Other News

I’ve been pretty busy in the last few weeks, but even for a smokejumper, things settle down temporarily. Just a few items in between fires. Looks like the name for the new Psychiatry Consult Service mascot is Winston. I just got back from a walk with Winston. Folks down at the gift shop are used […]

Name Our New Mascot!

Well, now we’ve got another Psychiatry Consult Mascot and we have to come up with a name. He’s a bulldog. I’ve already had to take him for a walk like I used to do with former mascots. Traditionally we choose a name by poll.   I think he’ll get along OK with the other mascots.

New Mindfulness Programs: A Letter from Bev

An open, “beginner’s” mind allows us to be receptive to new possibilities and prevents us from getting stuck in the rut of our own expertise, which often thinks it knows more than it does. ~Jon Kabat-Zinn in Full Catastrophe Living Greetings, I hope the moments that you read this message provide a pause in what […]

Point And Counterpoint on Health Care Reform?

I’m running around on the Psychiatry Consultation Service and barely have time to think about anything else. However, my wife saved a recent New Yorker viewpoint article to our computer for me to read, On Health Care, We’ll Have What Congress Is Having, by Jeffrey Frank, published on February 17, 2017 in the on line Daily […]

What Do Chocolate Chips and Compeer of Johnson County Have In Common?

Yesterday morning I was standing around in the hall waiting to get into the Employee Health Clinic when Margalea Warner passed by, said hello and had just about moved on when she turned to me and asked if I ever listened to Iowa Public Radio. I said I did, and she told me she was […]

International Childhood Cancer Day February 15, 2017: A Letter From Luisella

I got a message from Luisella Magnani yesterday about International Childhood Cancer Day, which happens to be today.  Luisella wants to share her message. Many thanks. Let’s reflect and act:

Making A Decision On Health Care Reform: It’s Not Easy

Remember that post I wrote about health care reform, including my day long web research? None of that was easy. Well, I had a question about comparing the Federal Employees Health Benefits Program (FEHBP) to H.R 676. I asked the Physicians for a National Health Program (PNHP) about it. They debunked the FEHBP. At least […]

CPCP: Antidepressants in Pregnancy by Dr. Laura Gibbons MD

This week’s Clinical Problems in Consultation Psychiatry (CPCP) is about antidepressants in pregnancy. It’s an excellent summary of the cutting edge in research on this often confusing issue. Are they safe or not? As we listened to Dr. Laura Gibbons’ presentation, the answer is not clearly “yes” or “no” but “it depends.” It depends on […]

CPCP: Psychogenic Pruritis By Medical Student Leah Laageide

I’ve got a really talented group of trainees this past month and Leah Laageide gave a fantastic Clinical Problems in Consultation Psychiatry (CPCP) on Psychogenic Pruritus. She’s interested in Dermatology and is working on research project already with one of the Dermatology faculty. In fact, she had more than one presentation she volunteered to deliver. […]

On The American Psychiatric Association Elections 2017…And Other Thoughts

Today is the last day American Psychiatric Association (APA) members can vote in the 2017 election. Even though I am not a member, I’ve gotten email messages from one candidate, Dr. Brian Crowley, MD, who is running for APA Secretary. One of his main campaign issues is abolishing Maintenance of Certification (MOC). When I asked […]

Time to Scrub MOC

It’s time to scrub Maintenance of Certification (MOC). I see the American Psychiatric Association (APA) candidates for President (Dr. Rahn Kennedy Bailey, M.D.) and Secretary (Dr. Brian Crowley, M.D.) are running for office based partly on platforms that promise to “abolish MOC.” I’ve inquired about their specific plan for doing so. My question to both […]

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What Psychiatrists Need to Know About Cardiac Devices: see slide 20 for quick tips on EKG measurements

GRECC Videos

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 […]

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 […]

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 […]

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 […]

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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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