Does MOC Matter?

So it’s time for another update on the National Board of Physicians and Surgeons (NBPAS) survey. There’s still only a handful of respondents, but the opinion is still pretty clear–doctors want an alternative to the traditional boards. The comments are revealing and, after a while, redundant: Respondents are from states across the U.S. and Canada. […]

The Geezer’s Dirty Dozen on Common Psychiatry Consult Issues

This is a quick Dirty Dozen on common issues in Consultation Psychiatry. It can hardly be comprehensive because the field is so broad. If I had to pick the problems I encounter most often though, these would be highest on the list. This is just a brief bird’s-eye overview for the junior trainee in psychiatry residency programs. On most […]

The Geezer’s Dirty Dozen on Introduction to Consult Psychiatry

This is yet another Dirty Dozen, this time an introduction to consultation-liaison psychiatry–which, arguably, should have been first in the series, but what the heck; better late than never. One additional reference is for the large U.S. survey showing depression is overdiagnosed and overtreated: Rajaraman, M. (2013). U.S. survey shows depression overdiagnosed, overtreated. Clinical Psychiatry […]

The Geezer’s Dirty Dozen Update on Catatonia

This is a Dirty Dozen update on catatonia, inspired by a colleague, Dr. James Beeghly, MD, who delivered an excellent presentation on the subject at a recent departmental Grand Rounds conference. It’s a follow-up to the catatonia quiz and I hope it clarifies a couple of points. I have other posts on catatonia here as well, all […]

The Dirty Dozen on Dr. Allen Frances’ General Tips for Psychiatric Diagnosis

This is a special Dirty Dozen using material by permission from Dr. Allen Frances’ book, “Essentials of Psychiatric Diagnosis”. Dr. Frances’ first chapter contains a section called “A Dozen General Tips” about the process of psychiatric diagnosis. It contains many lessons I’ve been teaching medical students and residents for many years. The material in this […]