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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 […]

CPCP: Mental Health, Mental Capacity, And Abortion by Medical Student Colette Gnade

Coming at you with yet another outstanding Clinical Problems in Consultation Psychiatry (CPCP) by a medical student. This one is on a topic much in the news lately in Iowa–mental health and decisional capacity as they relate to abortions. Colette Gnade, a senior medical student heading for a residency in Ob-Gyn, dug into the literature […]

Some News About Mental Health In The Nation And In Iowa You Could Take With A Grain Of Salt

I ran across an article on the Forbes site, “Trump’s Stealth Health Plan Could Be ‘Medicare For All’” by John Wasik, posted Jan. 20, 2017. It had 43,537 views when I read it this morning. I’m pretty skeptical of just about everything I read in the news these days. I’m sure you want to know […]

CPCP: Predicting Alcohol Withdrawal Severity by Medical Student Noah Frydenlund

Well, it’s about time for another stellar Clinical Problems in Consultation Psychiatry (CPCP) by a medical student. This one is by Noah Frydenlund and he had a question about whether or not there is any way other than clinical assessment to predict which patients will undergo complicated alcohol withdrawal or even simple withdrawal. The issue […]

“Legions of Half Truths, Prejudices, and Propaganda”: My Online Healthcare Reform Studies for MLK Week

The Martin Luther King, Jr (MLK) Human Rights Week is upon us and starts tomorrow. The University of Iowa theme customarily uses an MLK quote and this year’s is “Intelligence plus character–that is the goal of true education.” This is taken from “The Purpose of Education,” an essay he wrote in 1947 for The Maroon […]

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

GRECC Videos

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 […]

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 […]

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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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