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The C-L Psychiatry Service: Don’t Let It Burn Up

I just read an article about volunteer firefighters with which I identify. Being a one-man hit-and-run psychiatric consultant in the general hospital is similar to being an aging volunteer firefighter. The analogy is not perfect. That means the title of the article doesn’t fit exactly, “Fighting Fires For Free, Aging Volunteers Struggle To Recruit The […]

New Model of Consultation Psychiatry

Being on the road to retirement sometimes makes me wonder about ways to improve how our psychiatry consult service works before I go. But then I just think, “Heck, it’s already perfect,” and have another doughnut. Seriously, I think the one-man, reactive, hit-and-run consult routine probably ought to make room for a newer model. That […]

Short Ramble About The New Psychiatry Consult Office

We have a new psychiatry consult office. You can compare it to the old one, which was much smaller. Our printer isn’t working yet. And there’s no place to put the mascots, at least that I can see so far. I’m also supposed to be moving to a new office again, which will be right […]

Thoughts On “Busyness” On The Psychiatry Consultation Service:

It’s been a while since my last post. That’s because the psychiatry consult service has been extra busy, partly because of the July Effect, a well-known phenomenon in academic medical centers. Busyness is a way of life in this environment. In fact, I’ve been doing a little reading about Consultation-Liaison Psychiatry during the few free […]

Meatball Psychiatry

My wife and I watched a fascinating movie the other night, “Interstellar.” It appeared in 2014 and I managed to stay awake for the entire 4 hour long film. It’s set in a dystopian future in which the Earth is a place of blight and dust storms. What gave it a sense of reality are […]

New York State of Mind from Jim and Sena

Well, my wife, Sena, and I just got back from the Big Apple and I must say I learned a lot about Manhattan, one item being that it’s only one of the five boroughs in New York City. We felt barely a drop of rain the whole time we were there. There are a lot […]

CPCP: Catatonia by Medical Student Ashwin Subramani

The Clinical Problems in Consultation Psychiatry (CPCP) is an excellent educational exercise developed for the psychiatry consultation psychiatry service over 20 years ago by one of my former teachers, Dr. William R. Yates, MD. He and Dr. Terri Gerdes published a paper about it, the abstract for which is below: Yates, W. R. and T. […]

Thoughts On The Psychiatric Shortage And Congratulations To Graduating Residents

As our Psychiatry Department prepares to graduate another crop of outstanding residents this week, I’ve noticed a fundamental disagreement about the psychiatrist shortage in America. I’m going to mention only one aspect of it because it’s very complicated. Some psychiatrists believe that one of the biggest single problems contributing to the shortage are those who […]

Upload To The Psychiatric Consultant Supercomputer?

I often wonder if Artificial Intelligence (AI) mavens could come up with a better psychiatric consultant for the general hospital. I have renewed interest in the idea now that the National Geographic Channel is halfway through the 6 episodes series, “Year Million.” It’s a fun, speculative, futurist view of how computers are becoming more integrated […]

A Geezer’s Thoughts About How to Defuse and Diffuse

I was browsing the news on line, a habit I probably ought to try to break, when a story’s title caught my eye: “This Is The One Word You Should Use To Diffuse Any Argument With Your Partner.” I’m not a grammarian but I thought something was wrong with the choice of the word “diffuse” […]

Public Option for Health Insurance or Change to Single Payer?

My wife showed me an article about something called a “Public Option” for health insurance. I recalled reading something about that on the Physicians for a National Health Program (PNHP) QnA web page. This just makes me even more interested in seeing a serious mainstream debate about single payer systems across all major TV news […]

CPCP: Clozapine and Boot Camp for Clinicians on Delirium?

Today’s CPCP is really about clozapine side effects but this could easily have been about delirium as well. Clozapine is a very anticholinergic drug and has a lot of other side effects other than severe neutropenia. Medical students Melissa Bacci and Irtaza “Taz” Khalid did a great job on this one. In order to see […]

Maintenance of Certification: Point-Counterpoint

By now, many doctors have seen the JAMA viewpoint article in support of Maintenance of Certification (MOC) but you might have missed the rejoinder on MedPage Today. See my tweet below: Alternative Pathways to Board Recertification https://t.co/Vt6rnTf7TS Point and Counterpoint https://t.co/h8f9Shlaq3 — James Amos (@jamostheelder) May 12, 2017 I read the JAMA viewpoint by Dr. […]

CPCP: Drug Induced QT Prolongation by Top-Flight Medical Student

We got an outstanding Clinical Problems in Consultation Psychiatry (CPCP) today, on drug-induced QT prolongation by medical student Lisa Wehr. Lisa is interested in pursuing a combined residency in internal medicine and psychiatry. Hmmm…Iowa has one of those. This got kicked off when I noticed a Letter to the Editor of Psychosomatics, co-authored by Dr. […]

The Bumpy Road to Changing Our Name

I saw a letter to the Editor in the March-April 2017 issue of Psychosomatics from a senior resident looking forward to entering a fellowship in Psychosomatic Medicine but lamenting the choice of name for the specialty [1]. Dr. Montalvo ends her letter saying, A strong foundation has been created on the word “Psychosomatics”; however, this […]

Speculations On Physician Seat Time With Patients

I’ve been thinking about the notion that sitting with a patient when I’m listening to them may give them a sense I’ve actually spent more time with them. This has been studied and overall, while there are a few caveats about the hypothesis including the obvious caution that empathy should and does involve more than […]

The Geezer’s Take On Health Care Reform

I just discovered this morning that U.S. Congressman Dave Loebsack Democrat Iowa 2nd District has agreed to co-sponsor H.R. 676, the Expanded and Improved Medicare for All Act. This is the first time I’ve written a congressman to say thank you. Please take the time to do the same if the representative in your district […]

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 […]

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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: 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 […]

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 […]

“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 […]

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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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