CPCP: Mental Health, Mental Capacity, And Abortion by Medical Student Colette Gnade

Coming at you with yet another outstanding Clinical Problems in Consultation Psychiatry (CPCP) by a medical student. This one is on a topic much in the news lately in Iowa--mental health and decisional capacity as they relate to abortions. Colette Gnade, a senior medical student heading for a residency in Ob-Gyn, dug into the literature … Continue reading CPCP: Mental Health, Mental Capacity, And Abortion by Medical Student Colette Gnade

Can Any Doctor Assess Decisional Capacity?

The title of this post is deliberately provocative and ambiguous. On the one hand the title (a question) implies that a specialist (usually a psychiatrist) should conduct most decisional capacity assessments (DCAs). On the other hand, one wonders if any doctor, regardless of specialty, can get the job done right. The question arises almost every … Continue reading Can Any Doctor Assess Decisional Capacity?

What’s My Capacity for Getting Small?

There are so many things which remind me of my work that I often find it difficult to take it easy. I know we have Alice, the new mascot, but she doesn't need me to walk her as much as Nigella did. Walking Nigella clear over to the Gift Shop did wonders for shrinking my … Continue reading What’s My Capacity for Getting Small?

Interview with the Mascot: The Right to Refuse Medical Treatment?

So I saw this new article on decisional capacity assessment I recently got in my email from the Primary Care Companion to the Journal of Clinical Psychiatry (JCP). It has a fresh angle on the issue which highlights the differences in approach to this skill between internists and psychiatrists. Just for fun, I ran it … Continue reading Interview with the Mascot: The Right to Refuse Medical Treatment?

Look Out; He’s Using Shortcode Again! Decisional Capacity Assessment

I'm incorrigible; I'm trying to use WordPress Presentation Shortcode again to make a short presentation on decisional capacity assessment. This is a frequent request, I mean to help with decisional capacity assessment, not shortcode, of course. This by no means does much more than scratch the surface of this issue, but it's what's essential for … Continue reading Look Out; He’s Using Shortcode Again! Decisional Capacity Assessment

Update on Entrustable Professional Activities for the Psychiatry Consult Service

This is just an update on the Entrustable Professional Activities (EPA) project that our Clinical Excellence Committee has been working on. I was pleasantly surprised to learn that our residency directors took my very rough draft of my imperfect understanding of the EPA (which I outlined in an EPA post) idea to a recent annual … Continue reading Update on Entrustable Professional Activities for the Psychiatry Consult Service

The Geezer’s Dirty Dozen on Decisional Capacity Assessment, with Video

http://www.youtube.com/watch?v=ajozwL-alfs This is yet another GeezerVideo with slide show on a common psychiatric consultation question, decisional capacity assessment. In my opinion, it's important to help med-surg colleagues develop greater confidence in their ability to conduct these assessments themselves. After all, the psychiatrist is really not able to hold an informed consent discussion about the risks and benefits of … Continue reading The Geezer’s Dirty Dozen on Decisional Capacity Assessment, with Video