University of Minnesota Masonic Childrens Hospital. I chose the Sandra and Leon Levine Psychiatry Residency program because it provides a wide variety of learning opportunities and diverse training experiences. As one of the oldest EM training programs in the country we have a long-standing emphasis on. University of South Alabama Medical School. I am an active participant in the National Alliance on Mental Health and maintain my certifications as a medical technologist and clinical laboratory scientist.
Our training environment is a special and unique place. Read reviews and see ratings from program alumni. During this rotation the PGY-1 resident works with a senior PGY-2 through PGY-3 resident and directly staffs patients with the consultationliaison attending seeing patients exclusively in the emergency department for whom psychiatry has been consulted.
Residents gain broad experience in hospital clinic and community health settings learn the latest materials and techniques and build on both clinical and practice management skills. We are very excited that you are interested in learning more about our program.
I am certified by the American Board of Psychiatry. As one of our residents said we can go toe-to-toe with any of the legacy programs in the southeast when it comes to number of beds number of training sites diversity of. Psychiatric Evaluation Learn More. Psychotherapy with Medication Management Learn More. Free Initial Phone Introduction 5 to 10 Minute During this 5 to 10 minutes phone call introductions are made to assess if you are a good fit for our practice and if Dr.
Mood Disorders. Anxiety Disorders. Psychotic Disorders. Ansar Malik,. In his free time, he loves traveling, sightseeing, exploring different cultures, watching movies and TV shows and spending time with his kids and family. Mehr Karamat,. Paul, Minnesota. Mehr Karamat is currently licensed to practice medicine in both California and Minnesota and is accepting new patients via telepsychiatry in either state. Perinatal Psychiatric Wellness.
So we've got to start somewhere! We remember what we write down. Set up a journal page in New Innovations to track your efforts and thoughts. Enter a comment or question on the blog, or talk it over with your peers during down time. I am also including links to current months' papers on Google Drive, however, these will not be accessible at Regions Hospital or certain other firewalled sites, such as the VAMC.
Let's give it a try! Labels: VJC. Virtual Journal Club--Week of August 8, The following article has kept popping up on a number of my social media newsfeeds: What Is Resilience? Jamie Riches. It is a poignant reminder to me of our vulnerabilities and of a system that both exacerbates those and struggles to respond to prevent these outcomes. The papers I've linked this week are about this uncomfortable topic.
I chose them, not only because they are recent, timely, and relevant--but because the author of two of them, Dr. Srijen Sen, is someone who trained a few years behind me at the University of Michigan. Beyond our common training however, we also shared the grief of the death of one of our peers, a mutual friend and co-resident who completed suicide in September, As our program reeled from the initial shock, we experienced the common questioning that ensued: "What did we miss?
What could I have done? If only I had I often tell my depressed patients "Isolation is the Enemy"--and it certainly was in this case, preventing friends from seeing the need as well as curtailing the opportunities for positive connections that might have helped to alleviate his depression. Kranzler, MD; John H. Archives of General Psychiatry, June Sen, in these two papers, quantifies the burden on medical residents, specifically interns, and then shows on a smaller scale how a brief CBT-based intervention effectively reduces suicidal ideation in a similar group.
I also attach a related editorial which makes certain recommendations regarding education, screening, and theatment. However, as I read these side by side with the refrain of Dr. Riches' editorial above--"The work did not stop"--I worry that sometimes we are just slapping band-aids on a deeper problem. I found her words haunting: " The resilience lecture began to feel less therapeutic [albeit well-intentioned] and more like a venue for perpetuation and exacerbation of a culture that was in itself, the compressive stress.
We were being trained like soldiers, in the wake of our fallen comrade, to go out and fight! Be strong! Our strength was being measured by our ability to silently struggle through whatever we were experiencing and get the job done. Admit again. We were being given tools to obviate the natural human state of vulnerability. I ended my commentary by stating that we were using the language of an abusive relationship. Our systems, despite our best efforts, are flawed.
I think our strongest weapon, though, is healthy, honest, compassionate, respectful, open interpersonal communication. Seek to become good listeners to one another, and be willing to share your own vulnerabilities as well. Thanks for listening.
Links to Google Drive: Sen, et al. Labels: suicide , VJC , wellness. I encountered this article on Suicide Assessment in the most recent issue of Academic Psychiatry, and thought it was reasonably concise and coherent--especially in the examination of the patient's Risk Status vs.
Risk States, as well as the focus on preventative strategies, anticipating changes in circumstances, and documentation. It should serve as a good supplement to what you are already doing in terms of safety assessments. Does it cause you to think about these assessments in any different way? What do you think it might add to that process for you? Pisani, Daniel C. Labels: evaluations , suicide , VJC. I'm often asked by applicants "What are you looking for in a resident?
I think that that is what the following two sets of Milestones emphasize--the kind of respect, integrity, and teamwork that makes a person someone that you like to work with every day, even in tough times.
On ICS1 Interpersonal Communication Skills, in case you were wondering , the emphasis is on our behavior with patients and in teams, whereas PROF1 seems more to emphasize the values and ethics which underlie that behavior.
Nevertheless, the two are inextricably related--our behavior toward one another and toward our patients is the visible and observable manifestation of our beliefs and ethical precepts--even, and perhaps especially, when they are different from ourselves, or when we fundamentally disagree about important matters.
Consider these things and make it your goal to behave toward one another, toward your teammates, and toward your patients as you yourself hope to be treated. Labels: milestones , professionalism. This weeks articles return to the topic of Professionalism, this time from the Physician Health dimension. Tyzuk's review of this subject, Physician health: A review of lifestyle behaviors and preventive health care BCMJ 54 8 : , , points out that most of the attention to this topic has been given to crisis management with impaired physicians, and little, if any, to overall wellness and prevention strategies.
Perhaps the tide is beginning to turn on this, but the reminder is still relevant. Sleep, nutrition, and fitness are often the first areas of neglect when work load and stressors mount, fundamentally impairing our abilities to manage that work load and stress.
In psychiatry, though we may not usually be subject to the same time demands in number of hours, nor the same pressures in terms of overnight calls or rotating shift, we also face unique stressors of high intensity interpersonal interactions, and often the secondary traumas involved with managing patients in severe emotional crises.
I often tell my patients that if they will eat breakfast and walk 20 minutes each day, they will be "halfway there" with respect to recovery. Stable habits and decent nutrition go a long way toward strengthening our inner selves. What are you doing now that works? What do you need to do, or what goals would you like to meet, and how can we as your peers support this for you? That's because I prepared it in advance and scheduled it to post automatically. Trying to set a good example, too!
Labels: professionalism , VJC , wellness. Happy Monday! This week's article falls into the category of "classics": an interesting, controversial, and thought provoking experiment that might cause us to question some of our foundational ideas about mental health.
Rosenhan Science , examined what might happen if a healthy individual presented, claiming vague symptoms and seeking admission to a psychiatric hospital. Although it was rightly criticized as lacking realism, since the "patients" were intending to deceive psychiatrists through their subjective reports, I think that reading this still might make us pause and ask "How do we know what we think we know?
I found the observations of how patients and staff interactions very interesting as well. Although there are many differences between the psychiatric institutions of 40 years ago and our current inpatient units, I think there is still a real danger that we might easily dismiss or minimize patients' experiences. The subjects of this experiment reported boredom, invasion of privacy, and dehumanization--to say nothing of loss of autonomy--and I think these are still relevant experiences of our patients today.
What have you noticed on our units that is similar? Do we really treat patients "better" today? How do we ensure that patients' humanity and dignity is maintained, in spite of their illness and potential endangerment of self or others?
It's often been said that the only difference between "Us" and "Them" is that one has the keys. Considering this might cause us to consider how it feels to be on the other side of that door. Labels: Classic , VJC. Kandel, M. D, was published two months after I finished my med school Psychiatry clerkship. The s had been declared "The Decade of the Brain" by the NIH--and it was a time of rapid discovery, with the advent of functional brain imaging, the start of the Human Genome Project, and new applications of molecular biology to neuroscience.
There were a lot of heady claims about what clinical applications might result "any day now" from this research. I'll leave it as an exercise for the readers to deliberate what, if anything, has changed since that time frame. Kandel is one of the true renaissance thinkers of psychiatry--Nobel-winning basic scientist, core textbook editor, art historian some of us heard him speak at the Minneapolis Institute of Arts a couple of years ago , and analytically-trained psychiatrist.
This article addresses the false dichotomy between psychological and biological paradigms of psychiatry, and offers, I think, insights in how to reconcile the two viewpoints. I think you might enjoy his reflections on the history of how this developed, as well as his survey of how five basic principles of neuroscience apply to Psychiatry. Given that this article is now pushing 20 years of age--do you think that any more recent knowledge has changed that framework? Can you think of any specific finding of the last 18 years that would make Kandel's perspective obsolete?
How does basic neuroscience knowledge inform or alter your approach to clinical needs of the patient? Hello and welcome to our first weekly Virtual Journal Club. I chose to start out the year with two articles this week which relate to one of the Milestones of the Month: Professionalism. Both of these are qualitative essays, rather than quantitative studies, so an approach to discussion is less about hypothesis testing and quantitative analysis and more about considering the authors' perspectives and what applications they may have to our practices.
First up is Professionalism in medicine: definitions and considerations for teaching , by Lynne M. Proc Bayl Univ Med Cent ;— Kirk explores some of the history of how professionalism became a focus of medical education, and attempts to deliniate how it should be defined, assessed, and taught.
Characteristics of professionalism are listed as a set of specific commitments and as measurable behaviors. What do you think of these lists? Are there things that are included that you don't think of as necessary?
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