Stellar Lecture on Delirium for Medical Students–by an Internist

Dr. Justin Smock, MD
Dr. Justin Smock, MD

So I just recently received an outstanding powerpoint lecture on delirium that the author, Dr. Justin Smock, MD was willing to let me share on my blog. I think you’ll all agree–he’s the man.

There’s an extra special reason for sharing this–it was done by an internist who believes as I do, that delirium is a medical problem, not a primary psychiatric issue per se. In his own words:

“Teaching a hypothesis-driven diagnostic model to medical students and residents is critically important to understand the clinical approach to a medical problem with such a broad array of underlying medical etiologies.  As a general internist and hospitalist, I may need psychiatric consultation to assist with atypical presentations or with psychoactive medication management, but it’s my job to recognize delirium and then to identify and treat its underlying general medical condition.”–Justin Smock, MD

Now you know that it’s not just a geezer psychiatrist who thinks you don’t necessarily need a psychiatrist to assess delirium:

There’s an MP3 video on slide 32 that, unfortunately, I can’t show on my blog because of its digital format. It’s about a minute long and it shows a frustrated medical student trying to perform a neurological exam on an obviously delirious patient. But other than that, this presentation is a monster.

And I realize that there are 4 slides on the DSM-IV delirium criteria. I’m guessing he was trying to drive that point home. A little redundancy doesn’t hurt. The DSM-5 criteria emphasize the difficulty with attention, and are not that different.

In order to see the picture galleries of photos or powerpoint slides, click on one of the slides, which will open up the presentation to fill the screen. Use the arrow buttons to scroll left and right through the slides or up and down to view any annotations.



Author: 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.