CPCP: Catatonia by Medical Student Ashwin Subramani

The Clinical Problems in Consultation Psychiatry (CPCP) is an excellent educational exercise developed for the psychiatry consultation psychiatry service over 20 years ago by one of my former teachers, Dr. William R. Yates, MD. He and Dr. Terri Gerdes published a paper about it, the abstract for which is below: Yates, W. R. and T. […]

CPCP: Clozapine and Boot Camp for Clinicians on Delirium?

Today’s CPCP is really about clozapine side effects but this could easily have been about delirium as well. Clozapine is a very anticholinergic drug and has a lot of other side effects other than severe neutropenia. Medical students Melissa Bacci and Irtaza “Taz” Khalid did a great job on this one. In order to see […]

CPCP: Drug Induced QT Prolongation by Top-Flight Medical Student

We got an outstanding Clinical Problems in Consultation Psychiatry (CPCP) today, on drug-induced QT prolongation by medical student Lisa Wehr. Lisa is interested in pursuing a combined residency in internal medicine and psychiatry. Hmmm…Iowa has one of those. This got kicked off when I noticed a Letter to the Editor of Psychosomatics, co-authored by Dr. […]

CPCP: Clozapine Use for Aggression by Drs. Laura Gibbons and Samuel Shultz

Well, today it was time for a Clinical Problems in Consultation Psychiatry (CPCP), this one on something I occasionally run into, Clozapine used off-label for aggression and personality disorder complicated by self-harm behavior, which sometimes includes deliberate ingestion of foreign bodies. Sometimes, psychiatric consultants see patients in the general hospital who are taking clozapine for […]

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 […]