About

Jim Amos MD 7I thought it was about time to update my About page on this blog since it has been five years and things have changed, including me. And sometimes people read the About page.

I’ve been a Consult-Liaison Psychiatrist at The University of Iowa Hospitals & Clinics (UIHC) for about the last 20 years except for very short stints in private practice which didn’t suit me because I like to teach.

I used to say that I’m “board certified by the American Board of Psychiatry and Neurology (ABPN) in both Psychiatry and Psychosomatic Medicine.” I don’t like saying that anymore because I’m not comfortable with the name “Psychosomatic Medicine” and because I no longer believe board certification in its present form of Maintenance of Certification (MOC) is such a great measure of clinical competence. It’s certainly not a marker for excellence.

I’ve spent the last 5 years actively supporting the principle of lifelong learning while opposing MOC. MOC has been a source of controversy for physicians all across America and there is no compelling evidence that it improves patient care or physician competence. You’ll find evidence for other unforeseen and unpleasant consequences of MOC in many places on the internet including the website Changeboardrecertification as well as mine.

I’ve enjoyed teaching medical students and residents although I’m looking forward to retirement in the next few years. Despite the disappointments of managed care, MOC, misguided governmental policies about health care and education, and other pressures on doctors, I’m still hopeful that the next generation of physicians will thrive—as long as they stand up to bureaucrats and politicians who don’t take care of patients but think they know patient care better than doctors.

When I was Chief Resident back in the day, I remember talking to an incoming class of residents about Stephen Covey’s book “The 7 Habits of Highly Effective People” and his principles centered leadership philosophy. I still believe that leadership is a choice, not a position. Unfortunately, some of our physician leaders may go astray. But change is constant. Leaders come and go. And just like the song says, “I’m so glad trouble don’t last always.”

One of my most treasured achievements is the Leonard Tow Humanism in Medicine Award. The Arnold P. Gold Foundation has recently announced they are rebranding the organization and the pin will have a different look. The new pin includes a Mobius loop “…as a symbol of the continuous bond of trust, respect, and communication that connects healthcare professionals with their patients when humanism is at the core of practice.”

I think one of the most helpful things I can do to foster communication with my patients in my role as a C-L Psychiatrist in the general hospital is to sit down and listen to them. Often there are not enough chairs in a hospital room. I used to ask a trainee to find one for me. Lately, I have my own portable camp stool I take with me on rounds. It was a gift from a friend and colleague. Patients get the biggest kick out of it.

Soon enough I’ll stop using that camp stool, when I retire. It would be a shame to just take it home and stick it in a drawer. Maybe I should pass it on when I go.

 

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Advertisements

Comments

  1. Hello, I recently read your article on personality changes in people with carcinoid tumors, and I’m very curious to know more. I am a licensed counselor in Wisconsin, but left my private practice when I became director of of Project Success at UWOshkosh, a program that helps students who have learning disabilities. I now find myself using the tools I gained in both positions to manage my own hidden disabilities due to having a carcinoid tumor. I am an educator, a therapist, a patient at UI … and I want to contribute to the small pool of knowledge. I laughingly call the outbursts, anger organisms! Not all carcinoid patients lose their wits and humor. Lastly, mindfulness meditation is a huge benefit to overcoming the crazy moments, so why are we not training people?

    Liked by 1 person

    • Hi Karen,

      Well said 🙂

      Someone I know used to call her carcinoid tumors “aliens,” so I totally agree that many people with carcinoid have a great sense of humor. And I’m really thrilled to hear about your enthusiasm for mindfulness.

      If you read my blog, you probably already know that I’m just a little past a year along in my daily mindfulness practice after finishing the Mindfulness Based Stress Reduction (MBSR) program here at UIHC. So I also agree with your opinion about training just about everyone in mindfulness.

      Like

  2. The Savvy Senorita says:

    Very interesting blog. I absolutely love anything about psychiatry, psychology, counselling and mental health. I studied Psychology at College, and decided to also train as a Counsellor (later on). I find everything about the brain, psyche and ‘mind’ to be fascinating. Thanks for visiting my blog.
    Bex 🙂

    Liked by 1 person

    • You are so welcome and thank you for making my day with your kindness! We can always use more of that in the mental health care field. Talking about how interesting the brain is reminds of a grand rounds presentation in my department by Dr. Nancy Andreasen just on Monday this week. She has a wonderful research interest–interviewing creative geniuses, many of them famous artists and scientists. She wrote a new book I’m meaning to read, “The Creating Brain: The Neuroscience of Genius”.

      Best wishes,

      Jim Amos, MD

      Like

      • The Savvy Senorita says:

        Hello Jim,

        Well thank you for your appreciation, that is kind.
        Ah, the research your colleague has undertaken sounds fascinating. I imagine the resulting book is a good read, lots to discover. I shall keep a look out for it.

        Thanks again,
        Bex

        Like

  3. Dear Dr. Amos, your blog is very helpful for the budding psychiatrists like me. Please keep posting. Thanks

    Like

  4. What a beautiful completion! Thanks, Dr. Amos!

    Best,
    Michael, RN

    Like

  5. I am glad to Honour you with the Versatile Bloggers Award.Thanks for following my blog.Happy New Year

    Like

Your thoughts?

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: