Delirium PIP Tool Saga Continues: It Gets Preapproval

I’m on vacation but decided to announce the American Board of Psychiatry and Neurology (ABPN) preapproval of the Maintenance of Certification (MOC) Delirium Performance in Practice (PIP) Tool, just notified today. This is a tool that psychiatric consultants in general hospitals can use. It’ll be published on the ABPN website and I’ve requested that the ABPN add the name of 2nd year psychiatry resident, Dr. Emily Morse, DO, on their website in recognition of her work on the project.

Save our pursuit of excellence!
Dr. Emily Morse, DO: Save our pursuit of excellence!

I’ve notified my department and the Academy of Psychosomatic Medicine (APM) which may use the new Delirium PIP Tool. This clinical module will be valid for a 3-year period and you can use this PIP for your 2015-2017 CMOC block PIP Unit requirement.

So, in addition to that, I’ve requested the board also take a look at the Clinical Problems in Consultation Psychiatry (CPCP) conference we do in the service of lifelong learning–and consider making it an alternative to the PIP in Part 4 of the MOC.

Bill Yates, MD

I’m a little old-fashioned and I think the CPCP conference, which was started by one of my mentors (Dr. Bill Yates, MD) back in the mid-1990s, is superior to Part 4 of the MOC. As Bill told me recently,

You should really write a follow up paper on the CPCP for something like Academic Psychiatry, Gen Hosp Psychiatry or Psychosomatics. My original description is Yates WR, Gerdes TT, Problem-based learning in consultation psychiatry. Gen Hosp Psychiatry 1996;18:139-44. This would also be a good resident project. Let me know if you decide to do something as I would be happy and honored to assist in any way I can. I have more time now that I am “retired.”

A “good resident project.” Hmmmm…. Did somebody mention retirement? As Agent K in the movie Men in Black said, “I haven’t been training a partner; I’ve been training a replacement.”

Anyway, my contact at ABPN (who likes Rock and Roll, incidentally) says:

I, personally, from an educational standpoint, think the CPCPs are great. I think they could be incorporated into the PIP/QIs as a sort-of introduction/basis for the QI projects. Currently, the PIP requires that each physician review their own patient data/charts in a specific category using peer developed & published guidelines/best practices.

While the CPCPs cannot be used right now as an alternative, perhaps they can be used as a catalyst to chart reviews. Maybe if your colleagues find a particular CPCP presentation that appeals to them/their patients, they can use that information for the review of their patient charts/data- using published guidelines/best practices, do an initial assessment of at least 5 of their patient charts, identify & implement improvement, and then do a follow-up reassessment of another 5 patient charts.

Dr. Jim Amos
Dr. Amos and his flip phone

I think the CPCPs are great, too, but then I’m old-fashioned. Being old-fashioned isn’t such a bad thing, though. Take flip phones, for example. My wife and I still own them and I just haven’t found a compelling reason to switch to a smartphone yet. A recent flip phone article tells why (click image below to enlarge).



I guess you could call me “generally older.” You can’t turn or click a page without finding an article critical of MOC, complaining about it and wanting to go back to the old days before MOC. Even pediatricians hate it.

On the other hand, why not try offering solutions instead–which is the old-fashioned way?

Niagara (4)
Niagara Falls, the old-fashioned way.

3 thoughts on “Delirium PIP Tool Saga Continues: It Gets Preapproval

  1. Love your new web page look. And love that you have listed EFT in your heading. Honored. Also don’t think of you as retiring, but writing more books. Maybe collaborating with me on Emotional Fitness for Medical Students. Love you and all you do.

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