Psychiatry This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.
This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 2.
About that Flag or Why We Put the E in Robert Lee's Name
The Declaration of Independence has something in it about justifying war with England. An ideal had not been recognized. Thus wars happen. General Lee's men fought, killed and died for their view of an appropriate cultural order. After he surrendered though there was peace. He was a gracious loser in the conflict. So the battle flag of the Confederacy can express an attitude of being willing to stand up for what you believe in. The legacy of Robert E. Lee doesn't authorize however a private war against black people. The flag symbolizes being able to lose a conflict, possibly even graciously. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - July 3, 2015 Category: Psychiatry Source Type: blogs
I went to Hillsborough Public Library, and found these two books:Graham, N. and Warner, J. (2009). Understanding Alzheimer's Disease and other dementias. Poole, Family Doctor Publications.The authors are UK based psychiatrists, and the book series is published in association with the BMA. I liked the warning in the back cover blurb about the perils of information from the web, and there is a bit before the list of useful resources at the end about web searching, which could perhaps do with repeating that advice. The list of resources looks dated now (after only 6 years), at least one organisation has chan...
Source: Browsing - July 2, 2015 Category: Databases & Libraries Tags: dementia patient information Source Type: blogs
Cartoon: Exposure Therapy For Dogs With Anxiety Disorders
(Source: Better Health)
Source: Better Health - July 2, 2015 Category: American Health Authors: Dr. Val Jones Tags: Humor Anxiety Disorders behavioral therapy cartoon Dogs exposure therapy Flooding Phobias Psychiatry Psychology Source Type: blogs
A Patient's Lie Masks the Cause of Chest Pain
A man in his 30s comes to your emergency department at 3 a.m. profoundly diaphoretic and reporting severe 10/10 chest pain. He has been at a party all night, and the chest pain started about 30 minutes earlier. He had a previous heart attack, but cannot remember many of the details. He reports no medication or drug use. No doubt this is a concerning presentation, and you immediately order an ECG, blood work, and an aspirin. While this is in process, you review the electronic medical information, which reveals that the previous “heart attack” was actually observation for chest pain rule-out. The ECG showed nonspecifi...
Source: Spontaneous Circulation - July 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
A psychiatrist is burnt out and depressed. Here’s what she did about it.
I noticed that my writing and conversations with others convey far less emotion than usual. My reserve for tolerating stress had reached maximum capacity, which I realized upon my first day back at work from vacation three weeks ago as exhaustion immediately erased any sense of relaxation from my trip. Perhaps I should have requested two weeks off instead of one? Either way, I’ve felt numb in the past, but my current state of numbness also included fatigue and the need for multiple naps throughout the day. At first, I blamed my tiredness on multiple potential causes (overexerting myself during workouts, not eatin...
Source: Kevin, M.D. - Medical Weblog - June 30, 2015 Category: Journals (General) Authors: Vania Manipod, DO Tags: Physician Psychiatry Source Type: blogs
The Digital Doctor: Is Natural Language Processing the Breakthrough We’ve Been Waiting For?
By BOB WACHTER, MD Natural language processing might seem a bit arcane andtechnical – the type of thing that software engineers talk about deep into the night, but of limited usefulness for practicing docs and their patients. Yet software that can “read” physicians’ and nurses’ notes may prove to be one of the seminal breakthroughs in digital medicine. Exhibit A, from the world of medical research: a recent studylinked the use of proton pump inhibitors to subsequent heart attacks. It did this by plowing through 16 million notes in electronic health records. While legitimate epidemiologic questions can be raised a...
Source: The Health Care Blog - June 23, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs
Editorial Board Q&A: Laura Roberts
Laura Roberts, MD, chair of the department of psychiatry and behavioral sciences and Katharine Dexter and Stanley McCormick Memorial Professor at Stanford University School of Medicine 1. Describe your current activities. My “day job” is service as the Chair of the Department of Psychiatry and Behavioral Sciences and as the Katharine Dexter and Stanley McCormick Memorial Professor at Stanford University School of Medicine. As the chair of a major department at a prominent institution, I have the opportunity to work with wonderful colleagues and to oversee and grow many extraordinary academic and clinical programs. It i...
Source: Academic Medicine Blog - June 23, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Editorial Board Q & A behavioral sciences Laura Roberts psychiatry Stanford Source Type: blogs
A doctor shares his story about overcoming mental illness
Being related to a famous person is somewhere between a cruel joke and a minor distraction. My father was immensely talented and worked very hard at his writing, but the degree of his success was a fantastically unlikely bit of luck. There are lots of talented, hard-working artists who don’t make it. The important thing in overcoming mental illness, whether or not you have a famous last name, is to want things to be better — and being willing to get help to make that happen. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. ...
Source: Kevin, M.D. - Medical Weblog - June 19, 2015 Category: Journals (General) Authors: Mark Vonnegut, MD Tags: Physician Primary care Psychiatry Source Type: blogs
Funtabulously Frivolous Friday Five 108
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 108 – this week has a literal twist! Question 1 What is Peter Pan syndrome? + Reveal the Funtabulous Answer expand(document.getElementById('ddet227464559'));expand(document.getElementById('ddetlink227464559')) Not an official diagnosis as per the WHO but a “pop-psychological” concept whereby male adults (typically) are socially immature and are unable to take on adult responsibilities. The most famous pe...
Source: Life in the Fast Lane - June 19, 2015 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five alice in wonderland Charles Dickens Dr Seuss FFFF peter pan Pickwickian Third man factor Source Type: blogs
These stunning photos take you on a physician’s cancer journey
On December 17th, 2013, while in her last year of psychiatry residency at UCLA, Dr. Elana Miller was diagnosed with stage IV acute lymphoblastic lymphoma. Below is a photo essay of her journey. December 18, 2013: December 22, 2013: January 5, 2014: February 24, 2014: May 15, 2014: June 17, 2014: July 23, 2014: August 6, 2014: August 11, 2014: October 14, 2014: January 9, 2015: March 12, 2015: March 15, 2015: March 19, 2015: April 24, 2015: May 28, 2015: Elana Miller is a psychiatrist who blogs at Zen Psychiatry. Your patients are rating you online: How to respond. Manage your online reputation: A social ...
Source: Kevin, M.D. - Medical Weblog - June 15, 2015 Category: Journals (General) Authors: Elana Miller, MD Tags: Physician Cancer Source Type: blogs
LITFL Review 186
Welcome to the 186th LITFL Review. Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM. The Most Fair Dinkum Ripper Beauts of the Week The importance of grit in medicine can’t be stated enough. Mike Lauria discusses the concept and its import. [AS] The Best of #FOAMed Emergency Medicine Excellent lecture on the non-utility of backboards and collars via Anton Helman and...
Source: Life in the Fast Lane - June 14, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs
A little muddiness isn’t half bad: This social worker’s story explains why
I am often struck that those I work with who have enormous reasons to be depressed — they may be poor, physically ill, uneducated, and very crazy — are not depressed, not at least as I describe depression, a state of melancholy and dejection. In my view, there is a terrible, terrible hopelessness in these situations and in these lives. And then, there is William Jenkins. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 12, 2015 Category: Journals (General) Authors: Raymond Abbott Tags: Conditions Psychiatry Source Type: blogs
A doctor spreads hope on the TED stage
Practicing the art of medicine is my passion. Whether I am translating poignant patient cases into prose for public education, providing informative commentary on current mental health news to the media, or speaking to students in a lecture hall, the art of medicine takes many forms. Recently, I was invited to present a TEDx Talk. TEDx is an independently run event celebrating Technology, Entertainment and Design. I chose to use my performance opportunity to creatively spread this idea: “Creating Hope for Mental Health.” Continue reading ... Your patients are rating you online: How to respond. Manage your online...
Source: Kevin, M.D. - Medical Weblog - June 10, 2015 Category: Journals (General) Authors: Helen M. Farrell, MD Tags: Physician Psychiatry Source Type: blogs
Game Changer: CMS’ Proposed Medicaid Managed Care Regulation
The Centers for Medicare and Medicaid Services (CMS) released its long awaited Medicaid managed care proposed rules on May 26; the rules were published in the Federal Register on June 1 (80 Fed. Reg. 30198-31297). The last time the federal government seriously tackled Medicaid managed care was in a 2002 regulation (67 Fed. Reg. 40989, June 14), a response to the Balanced Budget Act of 1997 (Pub. L. 105-33), which itself amounted to a major new chapter in Medicaid’s relationship to what by then had become known as managed care. In both vision and sweep, the new proposal represents a defining moment in the life of Medicai...
Source: Health Affairs Blog - June 10, 2015 Category: Health Management Authors: Sara Rosenbaum Tags: Featured Insurance and Coverage Long-term Services and Supports Medicaid and CHIP Population Health actuarial soundness beneficiary protections managed care medical loss ratios quality of care States Source Type: blogs
Breaking the cycle of human trafficking: What can physicians do?
With my white coat still on, I put my hands together behind my back and heard the police officer ratchet the handcuffs shut. The last place I’d expect this to happen is in the hospital while taking care of patients. But there I was, getting handcuffed along with my attending while standing in the middle of the psychiatry inpatient unit. Ashley (name changed) was a female in her early 20s with a sweet face pained by hardships endured since she ran away from home in her teens. When I met her, she had been an inpatient on the psychiatry ward for several weeks, having been brought in by the police, who found her in a dit...
Source: Kevin, M.D. - Medical Weblog - June 8, 2015 Category: Journals (General) Authors: Rachel Solnick Tags: Physician Source Type: blogs
Medical student suicide: It’s impact is devastating. This case proves it.
Kaitlyn Elkins was a medical student at the Wake Forest School of Medicine in North Carolina and a member of the class of 2015. She excelled academically, named the valedictorian of her high school class and graduating summa cum laude from Campbell University. She wrote poetry in her free time. She had a cat, lovingly named Gatito. On April 11, 2013, just weeks before beginning her clinical rotations, Kaitlyn Elkins took her own life. She left behind a note revealing her battle with depression, a struggle that was hidden from her family for years. Continue reading ... Your patients are rating you online: How to respond. ...
Source: Kevin, M.D. - Medical Weblog - June 4, 2015 Category: Journals (General) Authors: Ajay Koti Tags: Education Medical school Psychiatry Source Type: blogs
Big White Wall: Expanding Mental Health Access Through The Digital Sphere
There is a preponderance of evidence that conventional approaches to the provision of mental health care do not meet the needs of a large portion of the population. Due to limitations of scale alone, there is an inherent misalignment between the number of individuals who can benefit from mental health assistance and the availability of traditional services. Yet scale is not the only issue. Stigma, accessibility, and medical models of treatment are equal deterrents to seeking help. Poor mental health impacts us all and carries a huge socio-economic cost. Technology offers a solution and is already helping those experiencing...
Source: Health Affairs Blog - June 1, 2015 Category: Health Management Authors: Jen Hyatt Tags: Global Health Health IT Health Professionals Innovations in Care Delivery Long-term Services and Supports Population Health Public Health Big White Wall digital medicine Mental Health NHS Choices SAMHSA Source Type: blogs
Doctors and nurses vs. administrators on patient satisfaction. Who’s right?
I’ve been volunteering in an emergency department of a Southern Californian community hospital for five years. I clean gurneys, stock shelves, provide support for RNs and EMTs and translate for Spanish-speaking patients. Since my job requires minimal intellectual effort, I’ve had considerable time to observe the staff and contemplate the inspiring work they do. I’ve watched them perform heroically with sick babies, agitated psychiatric patients, full cardiac arrests, and everything else from stroke to strep. I love what they do and who they are. Continue reading ... Your patients are rating you online: How to re...
Source: Kevin, M.D. - Medical Weblog - May 30, 2015 Category: Journals (General) Authors: David Howard Tags: Patient Hospital Patients Source Type: blogs
Don’t Just Integrate, Innovate—When It Comes to Mental Health
The sheer number of people living unsupported with some form of psychological or emotional pain suggests that the traditional laws of supply and demand are not working in the mental health arena. As we close on May, as Mental Health Awareness Month, it is important that we raise public awareness of individuals struggling alone with poor mental health and acknowledge the need for a new paradigm that aligns society’s needs with widely available technological and social connectivity. Today, nearly one in every five adults – over 40 million Americans – experience some form of mental illness in any given year. This is a d...
Source: Disruptive Women in Health Care - May 29, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Mental Health Source Type: blogs
Project ECHO GEMH: Disruptive Technology For Geriatric Mental Health
New York State is a leader on many health fronts, whether it be antismoking, obesity reduction, or insurance coverage. But our state is also a leader in another area: we are among the states with the greatest shortages in physician supply. According to the Healthcare Association of New York State, the deficits are especially large in rural areas, which lack both primary care physicians and specialists. This situation hits particularly hard in rural communities since primary care doctors may be their only source of health services, including those for mental health. The prevalence of mental illness is not much different in ...
Source: Health Affairs Blog - May 28, 2015 Category: Health Management Authors: Brian Byrd and Bronwyn Starr Tags: Drugs and Medical Technology GrantWatch Health IT Health Professionals Access Chronic Care Dementia Health Care for the Elderly Health Philanthropy Innovation Mental Health Primary Care Rural Health Care States Workforce Source Type: blogs
Proactive Psychiatric Consultation For Hospitalized Patients, A Plan for the Future
The Yale Behavioral Intervention Team (BIT) is a proactive, multi-disciplinary psychiatric consultation service for all internal medicine inpatients at Yale-New Haven Hospital. The goal of the team, which includes nurses, social workers, and psychiatrists, is to shift from a “reactive” to a “proactive” paradigm of psychiatric consultations on hospital inpatient medical floors. The team screens for, identifies, and removes/mitigates behavioral barriers to the effective receipt of health care among hospitalized medical patients, especially among those with co-occurring mental illness and/or substance abuse. To facili...
Source: Health Affairs Blog - May 28, 2015 Category: Health Management Authors: William H. Sledge and Hochang Ben Lee Tags: Hospitals Innovations in Care Delivery Organization and Delivery Behavioral Health Behavioral Intervention Team Mental Health Nursing Patient Care Psychiatry Social Work Source Type: blogs
Developing a Framework for Competency Assessment: Entrustable Professional Activities (EPAs)
Editor’s Note: This post is the second of two on the topic of competency-based medical education. Read the first post here. By: Robert Englander, MD, MPH, Terri Cameron, MA, Amy Addams, Jan Bull, MP, and Joshua Jacobs, MD Dr. Englander is the former senior director of competency-based learning and assessment at the Association of American Medical Colleges (AAMC). Ms. Cameron is director of curriculum programs at the AAMC. Ms. Addams is director of competency-based admissions at the AAMC. Ms. Bull is lead specialist in competency-based learning and assessment at the AAMC. Dr. Jacobs is senior director of electronic portfo...
Source: Academic Medicine Blog - May 26, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective CBME competency assessment competency framework competency-based medical education entrustable professional activities EPA Source Type: blogs
Transitioning to private practice: What it has taught me about our underserved
After four years working as a child and adolescent psychiatrist in Brooklyn treating the underserved, I decided it was time to dedicate myself fully to my growing private practice. Functioning solely as an out of network provider in private practice, as expected, my clientele grossly changed. Unlike my hospital patients, a majority of my patients are upper class to wealthy. Finances are not concerns or stressors. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 21, 2015 Category: Journals (General) Authors: Johnny Lops, MD Tags: Policy Psychiatry Source Type: blogs
Top stories in health and medicine, May 18, 2015
From MedPage Today: Remote Monitoring, a New Paradigm for Cardiac Implanted Devices? Patients who used the remote monitoring (RM) function of their cardiovascular implantable electronic devices (CIEDs) had less healthcare utilization and better survival than those without RM according to a pair of studies. Migraine, Carpal Tunnel Syndrome Linked in Association Study. Migraine headache and carpal tunnel syndrome (CTS) may be associated, researchers reported, with individuals reporting one in a large federal survey having greater likelihood of also reporting the other. Antidepressant Use on the Rise Among Patients with Dem...
Source: Kevin, M.D. - Medical Weblog - May 18, 2015 Category: Journals (General) Authors: MedPage Today Tags: News Heart Neurology Psychiatry Radiology Source Type: blogs
Casual Fridays don’t have a place in medicine
A disclaimer before I even get started on this post. Some of you who know me or work with me will think that by writing this post I am talking about you or even attacking you. I am not. If you’re especially sensitive, don’t read any further. I am simply writing something that has been kicking around in my head for a long time. Feelings that I have about a concept. A concept called casual Friday. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 16, 2015 Category: Journals (General) Authors: Greg Smith, MD Tags: Physician Psychiatry Source Type: blogs
What’s it like to live with depression? This poem shows you. Wow.
Dan Roman gives a powerful account on what it’s like to live with depression, performing at the 2015 College Unions Poetry Slam Invitational. Sometimes, words can’t explain it. In this case, poetry can. Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 14, 2015 Category: Journals (General) Authors: Admin Tags: Video Psychiatry Source Type: blogs
Why must doctors complete extra training to prescribe buprenorphine?
I recently completed the buprenorphine waiver training. Buprenorphine, itself a partial opiate, is a medication that can be prescribed to patients who have opiate use disorders (e.g., taking Oxycontins or injecting heroin to get high). A physician must complete an eight-hour training and take an exam to become eligible to prescribe this medication. The physician must then apply for a specific “X license” through the DEA to prescribe it. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 9, 2015 Category: Journals (General) Authors: Maria Yang, MD Tags: Meds Medications Psychiatry Source Type: blogs
Megan McCardle goes a long way in explaining Hilary for me. One of the things I object to is academic high mindedness about the relationship of pharmaceutical companies to doctors. In part this is, for me, about profitable interchange of ideas that may occur at dinners to promote a product. For instance I learned more about the physiology of pain at a talk on Neurontin. Or it may just be about things that make life a little easier or more fun. For instance I weigh patient's on an Equetro branded scale. I didn't know about the type of scale it is an example of. These things are now not apparently permissible. Many politicia...
Source: a psychiatrist who learned from veterans - May 8, 2015 Category: Psychiatry Source Type: blogs
Why board certification is important to this physician
Recently there has been a great deal of controversy surrounding the American Board of Internal Medicine (ABIM), and its board certification requirements. Currently, the board require physicians to take an exam and recertify every ten years in a process termed MOC, or maintenance of certification. The process is time-consuming and costly, and many physicians claim it does not improve their day-to-day practice. Doctors have become more vocal in their grievances with the organization, and its possible misuse of funds. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A s...
Source: Kevin, M.D. - Medical Weblog - May 6, 2015 Category: Journals (General) Authors: Christina Girgis, MD Tags: Physician Psychiatry Source Type: blogs
Greg Mankiw, Chairman of Harvard's Economics Department, Favors the Abolition of the Estate Tax
Here. My own view of it is that it is a burden on high middle earners and their offspring. Given that you have enough funds, you can engage in estate planing and work to avoid the tax like people used to avoid income taxes, not so inclined or having the time, the estate gets taxed. That would tend to fall on people who are not primarily significant financiers. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - May 6, 2015 Category: Psychiatry Source Type: blogs
Feeling Grey About Fifty Shades
The following post originally ran on Huffington Post Women on April 16th and can be seen here. The author is Aimee Gallagher, MPH, MS the Scientific Program Manager at the Society for Women’s Health Research. The much-anticipated release of the Fifty Shades of Grey movie and its novel series precursor struck chords of concern among women’s health advocates. While the book sold over 100 million copies worldwide and has been heralded as an erotic romance novel that is sexually liberating, the nature of the protagonists’ relationship is troubling because of its multiple aspects of domestic violence. Domesti...
Source: Disruptive Women in Health Care - May 5, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Women's Health Source Type: blogs
Health Affairs May Issue: Variety Issue Includes Focus On Affordable Care Act
This study is part of Health Affairs’ DataWatch series. (Source: Health Affairs Blog)
Source: Health Affairs Blog - May 4, 2015 Category: Health Management Authors: Tracy Gnadinger Tags: Elsewhere@ Health Affairs Featured Health Professionals Hospitals Insurance and Coverage ACA 5th anniversary California hospital closures hospital networks HPV vaccine pediatric psychiatry physician training Source Type: blogs
I think the facts of The Freddie Gray case, the false arrest, the brutal ride in the paddy wagon are a surprise to most white Americans. The fact that police authority in this case has been subject to a flanking attack by a Pennsylvania state attorney will open up more hope to black people and together these events are the most positive for interracial comity in many years. We love you, poor Freddie. (Source: a psychiatrist who learned from veterans)
Source: a psychiatrist who learned from veterans - May 3, 2015 Category: Psychiatry Source Type: blogs
The Armstrong v Exceptional Child Inc. Medicaid Payment Case: Now What?
In its recent decision in Armstrong v. Exceptional Child, the United States Supreme Court held that providers (and, by implication, beneficiaries as well) may not turn to the courts for help in requiring that states live up to the minimum legal terms of the Medicaid statute. Although the decision was not unexpected (the Court decided to hear the case only three years after considering a similar suit), it nonetheless represents a fundamental shift in public policy. Over the half century of Medicaid’s existence, the courts have played a crucial role in ensuring that Medicaid’s words mean what they say. In this post, we ...
Source: Health Affairs Blog - April 30, 2015 Category: Health Management Authors: Sara Rosenbaum Tags: Featured Medicaid and CHIP Payment Policy Access Health Law Supreme Court Source Type: blogs
Mental health for medical professionals deserves more attention
Every year roughly 400 physicians take their lives: a group of physicians greater than the size of two graduating classes at my medical school. Let’s be clear, physician suicide and medical professional mental health awareness is a neglected issue in medicine. We are twice as likely to commit suicide than our non-physician counterparts. Women physicians are up to three times as likely to take their lives than their non-physicians peers. Medical students have rates of depression 15 to 30 percent higher than the general population. A 2009 study by the AAMC reported that 9.4 percent of fourth-year medical students and ...
Source: Kevin, M.D. - Medical Weblog - April 27, 2015 Category: Journals (General) Authors: Michael McClurkin Tags: Education Medical school Psychiatry Source Type: blogs
Hillary Clinton’s hormones have nothing to do with her qualifications
Time magazine published this article about why Hillary Clinton is the perfect age to run for president. The author, Dr. Holland who is a psychiatrist, chose not to focus on Ms. Clinton’s vast political experience or her education but rather on Ms. Clinton’s menopausal status. Yes, you read that right, when it comes to qualifications for president of the United States menopause trumps a Yale law degree, eight years as a senator from New York, and four years as Secretary of State. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how...
Source: Kevin, M.D. - Medical Weblog - April 27, 2015 Category: Journals (General) Authors: Jennifer Gunter, MD Tags: Physician OB/GYN Source Type: blogs
What is mental illness? Words matter.
I’ve been invited to speak to a group of attorneys who work at the interface of psychiatry and the law. The topic of my talk? “Psychiatry 101.” A psychiatrist who gave this talk to a similar group a few years ago advised me: “You should assume that lawyers are laymen. It’s surprising how little they know, given the work that they do.” This teaching opportunity to teach has given me pause: What is mental illness? Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 25, 2015 Category: Journals (General) Authors: Maria Yang, MD Tags: Conditions Psychiatry Source Type: blogs
The Unbefriended – NYC HHC Annual John Corser Ethics Conference
Conclusion and Attendee Evaluation (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 25, 2015 Category: Medical Ethics Authors: Thaddeus Mason Pope Tags: Health Care medical futility blog syndicated Source Type: blogs
Integrating Behavioral Medicine Into Primary Care GME: A Necessary Paradigm For 21st Century Ambulatory Practice
Limited access to child and adolescent, adult, and geriatric psychiatry, as well as other mental health providers, has a large impact on the capacity of our health care system to address mental health needs, particularly in underserved urban and rural areas. A major determinant of this limited access is an under-supply of mental health providers. The recently developed Teaching Health Center Graduate Medical Education (THCGME) program provides a promising resource to address this problem because of its unique educational setting, which could facilitate integration of behavioral medicine into primary care graduate medical e...
Source: Health Affairs Blog - April 24, 2015 Category: Health Management Authors: Alan Axelson Tags: Health Policy Lab Health Professionals Organization and Delivery Population Health Behavioral Health GME Primary Care Source Type: blogs
Teaching Health Centers: Targeted Expansion For Immediate GME Reform
We describe examples of current or proposed programs which illustrate the potential of these modifications. Need for Immediate Targeted GME Expansion in Primary Care There is broad agreement on the need for adequate numbers of physicians prepared to work in primary care, geriatrics and psychiatry in urban and rural underserved areas. A 12,000-31,000 shortage over current primary care physician supply in the next ten years is anticipated, depending on modeling considerations such as physician retirement rates and entrance of advanced practice nurses to take up some of the duties physicians currently perform. Regional and st...
Source: Health Affairs Blog - April 24, 2015 Category: Health Management Authors: Richard Rieselbach Tags: Costs and Spending Health Policy Lab Health Professionals Organization and Delivery Graduate medical education teaching health centers THCGME Source Type: blogs
Law, Religion, and Health in America
Discussion E. J. Dionne, Jr., Columnist, The Washington Post; Senior Fellow, The Brookings Institution Diane L. Moore, Senior Lecturer on Religious Studies and Education and Senior Fellow at the Center for the Study of World Religions, Harvard Divinity School Charles Fried, Beneficial Professor of Law, Harvard Law School Frank Wolf, Representative, Virginia’s 10th Congressional District, U.S. House of Representatives, 1981-2015 (retired) Moderator: Daniel Carpenter, Freed Professor of Government, Harvard University and Director, Center for American Political Studies at Harvard University&...
Source: blog.bioethics.net - April 24, 2015 Category: Medical Ethics Authors: Thaddeus Mason Pope Tags: Health Care medical futility blog syndicated Source Type: blogs
Research and Reviews in the Fastlane 080
This study calls into question the current guidelines and will hopefully lead to more evidence-based recommendations in the future.Recommended by: Zack RepanshekRead More: Antibiotics for community-acquired pneumonia: Is azithromycin out? (Pulm CCM)The Best of the RestOphthalmology, Ultrasound Vrablik ME et al. The diagnostic accuracy of bedside ocular ultrasonography for the diagnosis of retinal detachment: a systematic review and meta-analysis. Ann Emerg Med 2015; 65(2):199-203. PMID: 24680547Nice meta-analysis of bedside US for retinal detachment in Annals of EM showing 97-100% sensitivity, 83-100% specificity, based...
Source: Life in the Fast Lane - April 23, 2015 Category: Emergency Medicine Authors: Anand Swaminathan Tags: Cardiology Education Emergency Medicine Infectious Disease Intensive Care Ophthalmology Psychiatry and Mental Health Resuscitation Trauma critical care R&R in the FASTLANE recommendations research and reviews Source Type: blogs
Doctor’s death an “inconvenience” for patients
An investigation is underway after a Chicago-area doctor is found dead — a suicide according to the medical examiner. What demands investigation is the callousness with which the this doctor’s death was reported by the media — and received by neighbors, many health care professionals themselves. I’m alerted to the death initially by a Facebook friend: “Pamela, check this out!” Headline: Police: Doctor found dead near hospital in Berwyn. The facts: On Thursday, April 16, a maintenance worker calls the police to request a well-being check on a tenant, Dr. Jon Azkue, a 54-year-old physician employed...
Source: Kevin, M.D. - Medical Weblog - April 21, 2015 Category: Journals (General) Authors: Pamela Wible, MD Tags: Physician Psychiatry Source Type: blogs
How far is too far? A response to Dr. Fredric Brandt’s suicide.
As someone involved in both the medical and acting world, I was tremendously saddened to read about Dr. Fredric Brandt’s recent suicide, which is presumed to be in response to an impersonation of him on the Netflix’s series, The Unbreakable Kimmy Schmidt. Project Casting, a website offering free casting calls and auditions, posted a link on their website asking, “Did Netflix go too far” and I was shocked by people’s comments. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 21, 2015 Category: Journals (General) Authors: Sarah Mongiello Bernstein Tags: Conditions Psychiatry Source Type: blogs
The House of God brought attention to medical slang
An excerpt from The Secret Language of Doctors: Cracking the Code of Hospital Culture. When it comes to modern medical slang, there’s Before Shem and After Shem. Shem refers to Samuel Shem, the pen name of Dr. Stephen Bergman, psychiatrist and author of the blockbuster novel The House of God, which introduced millions of readers — and generations of doctors — to the argot that is the lingua franca of residents and interns then and now. I call Bergman the Slangmeister because until he arrived on the scene in 1978 with his satirical novel, little had been published about medical slang. Continue reading ... Yo...
Source: Kevin, M.D. - Medical Weblog - April 21, 2015 Category: Journals (General) Authors: Brian Goldman, MD Tags: Physician Hospital Source Type: blogs
Can suicide be prevented?
A pilot deliberately flying a plane full of passengers into a mountain is horrific, unbelievably sad, and, thankfully, very rare. But suicide is far from rare. Tragically, those usually lonely acts of despair are rising. But can they be prevented? Someone in this country dies by suicide every 12.8 minutes. The national suicide rate has increased to 12.6 suicide deaths per 100,000 and for ages 18 to 35 — the prime of one’s life — only unintentional injuries account for more deaths. Continue reading ... Your patients are rating you online: How to respond. Manage your online rep...
Source: Kevin, M.D. - Medical Weblog - April 21, 2015 Category: Journals (General) Authors: Linda Rosenberg and Robert Gebbia Tags: Conditions Psychiatry Source Type: blogs
Pay no attention to the man behind the curtain
No doubt you have heard about the physicians who wrote to Columbia University's dean of the medical faculty demanding that the school fire Mehmet Oz. The university responded with some banalities about academic freedom.The physicians who wrote the letter seem a bit dodgy; some of them have ties to the GMO industry and the letter seemed to focus inordinately on that subject. But that's neither here nor there. The question is, should Columbia remove Oz from the faculty.Honestly, I'm of two minds about this. It is generally against my religion to see professors fired because of controversial public statements. Free inqu...
Source: Stayin' Alive - April 20, 2015 Category: American Health Source Type: blogs
When relationship therapy acts as a powerful anti-depressant
Many people know what it feels like to be depressed. It’s hard to go through life without at some point experiencing that helpless/hopeless feeling. Some people, however, stay stuck in this painful state. In my family therapy practice, I frequently get calls from people seeking help for depression. Sometimes their depression is self-diagnosed, reflecting their experience of ongoing distress. Other times they’ve been referred by their family doctor. It’s common for depressed people to worry that they have a “chemical imbalance”. They often feel burdened and alone, solely responsible for their mood state. Con...
Source: Kevin, M.D. - Medical Weblog - April 19, 2015 Category: Journals (General) Authors: Amy Begel, LCSW Tags: Conditions Psychiatry Source Type: blogs
Mental illness: Is it organ dysfunction like any other?
I often get referrals from the town’s free clinic. As you would imagine, the patients often have a unique set of problems, coming as they do from the underserved segment of society. One such patient, Julia, was a fiftyish-year-old woman who had recently moved to town from California. She went to the free clinic (not really sure what the original complaint was) and ended up getting a physical exam that revealed a breast mass, which precipitated a mammogram, and then a biopsy, and a breast cancer diagnosis. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A soc...
Source: Kevin, M.D. - Medical Weblog - April 19, 2015 Category: Journals (General) Authors: Hope Amantine, MD Tags: Physician Psychiatry Surgery Source Type: blogs
The road to health care for veterans is baroque
Read the voices of Service: this discussion thread is a show and tell of what women veterans have to go through to get care. It also demonstrates some traits of women warriors: generosity, tenacity , wisdom , guts and extreme moxie. It is unconscionable that those who served have to come home and fight more battles. Shame on us. Alana Vollmer-Bland Question…..I have a 30% rating for PTSD from Afghanistan. I told the shrink at the VA at the beginning of the claims process and then another counselor at the VA here about the sexual assault while I was on active duty. She spent 6 weeks doing intake on me and waffled be...
Source: Disruptive Women in Health Care - April 17, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Women Veterans Source Type: blogs