Being Careful With Benzodiazepines

I frequently see patients in the hospital who receive benzodiazepines from their doctors in outpatient clinics, both psychiatric and primary care. Many of them are diverting their prescriptions, overusing the benzodiazepines, and getting them for conditions which are not indications for this class of drug. I guess my perspective on benzodiazepines probably speaks to the different […]

Delirium Order Set! Now Will We Change?

Yesterday, one of our best resident physicians, Dr. Paul Thisayakorn, MD, dropped by our staff psychiatric consultation office just before our Clinical Problems in Consultation Psychiatry (CPCP) case conference to tell us about a new quality improvement project he’s involved in. He’s rotating through the Palliative Care Medicine service and the director asked Paul to come […]

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CPCP: Drugs for Delirium by Rock Star Residents and A Medical Student

We heard a great Clinical Problems in Consultation Psychiatry (CPCP) presentation from rock star residents Thomas Salter, Paul Thisayakorn as well as medical student Rick Siel.  Tom and Paul took the lead in making the slides. The topic was psychopharmacology for agitation of delirium. I wish I could have found pictures for all of them. […]

NMS and Serotonin Syndrome: CPCP Review

We have a weekly case conference on our psychiatry consultation service in which we discuss relevant medical literature in connection with patients we’ve seen. It’s a continuous improvement activity relevant to the practice-based improvement competency called the Clinical Problems in Consultation Psychiatry (CPCP) and a recent meeting focused on differentiating neuroleptic malignant syndrome (NMS) and […]

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 […]