CPCP: Catatonia Super Review

Wow; the residents and medical students gave the Geezer a special treat yesterday–three (not one; not two) special Clinical Problems in Consultation Psychiatry (CPCP) presentations! They included one about catatonia (see below), another about mood disorders and traumatic brain injury taken from a recent review article, and one about psychiatric aspects of carcinoid tumors. Our psychiatry consultation service has been extremely busy and I could not be more impressed with the performance of all of the trainees. They’re taking on the heat and giving it all they have. As a team, we’re undefeatable.

Amos Group Pic CL October

What the CPCP exemplifies is the importance of the principle of lifelong learning and valuing what clinicians do every day to fulfill it. Although the American Board of Psychiatry and Neurology (ABPN) Maintenance of Certification (MOC) managers acknowledge that–they will not approve the CPCP as an activity for MOC credit as part of certification.

On the other hand, they were all too pleased with the Delirium Performance in Practice (PIP) activity which is essentially useless to those who teach others about how to assess and manage delirium (but potentially a practical tool for learners). And while other specialty medical boards change the American Board of Medical Specialties (ABMS) certification requirements at will, including the 10 year cognitive exam and the PIP requirement in recognition of the redundant time-wasting and irrelevant features of these nonsensical and expensive components, the ABPN does not.


The MOC program dumbs down the continuing education process for doctors and makes a few board CEOs richer. On the other hand, outstanding lifelong learning efforts like the one below go begging for official recognition of their value to excellent patient care and safety.

But as long as we believe in what we’re doing…we are undefeatable.

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.