The Practical C-L Psychiatrist’s Basic Links

Dr. Jim Amos, MDThe dozen links below are suggested basics I thought medical students and junior psychiatry residents might be interested in focusing on first as they navigate through my blog site.

The Geezer’s Dirty Dozen on Introduction to Consult Psychiatry – The Practical C-L Psychiatrist

Sample Introduction to a Psychiatry Consultation Service – The Practical C-L Psychiatrist

Dirty Dozens – The Practical C-L Psychiatrist

Delirium and Dementia Lecture for Medical Students and also see Iowa Geriatric Education Center Delirium Resources

Lightning Fast Mini-Cog: Video Featuring Drs. Paul Thisayakorn and Alex Gamble – The Practical C-L Psychiatrist

Managing the Violent Patient, Parts 1 and 2 – The Practical C-L Psychiatrist

Clinical Problems in Consultation Psychiatry (CPCP) Guidelines – The Practical C-L Psychiatrist

CPCP Presentations

http://depts.washington.edu/bioethx/tools/4boxes.html

TCPR May 2013

Humanizing Medicine – The blog of the Arnold P. Gold Foundation

GRECC Delirium Videos – The Practical C-L Psychiatrist

American Delirium Society

Academy of C-L Psychiatry — Home Page

2 thoughts on “The Practical C-L Psychiatrist’s Basic Links

  1. Hi Jim, hello again. I’m a retired psychiatrist who wrote in couple years ago about looking for any med-psych inpatient programs for my brother. Nothing happened on their end but now we’re looking again! He has neuro-sarcoidosis and loads of medication related problems, an addiction to prescription meds, depression, personality d/o, etc., sleep apnea non compliance, chronic pain……….so on.
    Are there ANY med psych programs left anywhere? Or anything outpatient even?
    He is in L.A and I will start working with psychiatrists here but wanted to check back with you first!

    Thanks so much.
    Laura

    Liked by 1 person

    1. Hi Laura, I’m sorry to hear the situation for your brother is still difficult. Not much has changed on the combined medical and psychiatric service side either. It’s ironic that Iowa has taken the number 1 spot for best health care including access in the nation, at least according to the 2018 U.S. News and World Report ratings. I say ironic because, as both you and I and a great many others know, there is no physical health without mental health yet access to mental health care remains a major challenge in Iowa. About 3/5 of the nation’s psychiatrists are over age 55 and the graying out of the profession continues. I’m in phased retirement now myself and plan to fully retire in a couple of years.

      I ran across an essay on medicine and psychiatry by Dr. Roger Kathol, MD, today at the Association of Medicine and Psychiatry website, https://assocmedpsych.org/2016/12/why-become-a-medical-and-psychiatric-doctor/. He wrote it in 2016 and he mentioned medical-psychiatry units in the country. He still prefers the term Complexity Intervention Unit (CIU). The excerpt is below:

      “Unlike even five years ago, opportunities for physicians with combined training have expanded dramatically. They include but are not limited to:

      Integrated, psychiatrically supported, medical outpatient clinics, e.g. collaborative care, soon to be paid through sustainable medical benefits;
      Integrated medical and psychiatric inpatient units (Complexity Intervention Units—CIUs), e.g. University of Iowa Hospitals, Portland Hospital (Maine), St. Mary’s Hospital (Michigan), Massachusetts General Hospital, Duke University Hospital, others(bold face type mine)
      Integrated substance use disorder programs, e.g. primary care based buprenorphine clinics, primary care based alcohol screening and brief intervention (part of general medical clinics), primary care based physical health, alcohol detoxification, and rehabilitation programs
      Delirium prevention and treatment (often associated with CIUs)
      Physical health prevention and intervention programs for the chronic and persistent mentally ill, e.g. state and county mental hospitals, correctional facilities
      Specialty combined physical and BH treatment programs, e.g. eating disorders, oncology programs, end stage renal disease programs
      Integrated physical and BH administration, policy making”–Roger Kathol in Why Become a Medical and Psychiatric Doctor?

      You could contact the hospitals mentioned above and see if you can find out more. Good luck and best regards!

      Liked by 1 person

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