Also check out an excellent (and entertaining) podcast on delirium with Mark Oldham

open.spotify.com/episode/26Q8Ho…

❓ What do you make of a ➕ 3D-CAM with only:

🔹 1 day off on day of the week (q2)
🔹 1 error on reverse digit span (q4/q5)
🔹 Subjective confusion (q8)

I wouldn't diagnose this as #delirium .

I really do like the 3D-CAM for its reliability, but it's overly sensitive at times.

Interesting study. For-profit hospitals more likely to admit patients from the ER vs. non-for-profit hospitals (admission can be more lucrative), which provides analytic backing for Department of Justice suits against large for-profit hospital chains...

pubmed.ncbi.nlm.nih.gov/37875259/

Can’t recommend this more for anyone who just matched into psychiatry!

Ashley Akramoff American Psychiatric Association If you want a resource to help you get started, make sure to check out Mark Mullen’s Psychiatry Boot Camp - it’s been one of my favorite podcasts to listen to during intern year!

linktr.ee/psychbootcamp

My favorite #psychodynamic concepts:
1)Understanding past patterns of behavior helps us change them in present & future
2)We're not aware of most of our motivations
3)Insight promotes change
4)Corrective emotional experience in therapeutic relationship
5)Taming the 'superego'

A point I continually return to is that skepticism about HOW we carve up psych problems into different conditions, illnesses and diseases is warranted, but skepticism about the existence of psych problems is absurd. And psychiatry and psychotherapy only req the latter to be legit

In psychiatry we don’t say “I love you” we feel countertransference and I think that’s beautiful

Residency is recognized as one of the most hostile work settings in the country. To use terms like “safe space” and “wellness” in a derogatory fashion says more about complicity in a system that destroys trainees (bodies and minds) than it does about the system itself. Do better.

The Bush-Francis calculator is now 🔥 mobile optimized 🔥.

Our goal was to simplify the interface so it's user-friendly at the bedside 🛌.

Direct link to calculator: bit.ly/bfcrscalc

Main page: bfcrs.urmc.edu

🎧 Excellent refresher on Bipolar Disorders at the Psychiatry Boot Camp podcast. Comprehensive and thoughtful discussion of core clinical features in Bipolar I vs II, pathogenesis, impact of trauma, psychological and pharmacological treatment #bipolardisorders Mark Mullen

Suicidology
Predicting Suicide Death

A recent study looking at >2M Americans presenting to ERs with MH concern shows the difficulty of 'predicting suicide' - we can't predict suicide to help guide important clinical decisions.

The problem: Sensitivity vs PPV

/1

When referring to a specialist of any type, refer using the following phrase: 'I'd love to ask a colleague of mine with specialization in __________ for their opinion.' Not: 'you need to see _________ to get ________.'

That's what we consultants are there for!

/1

Tyler Black, MD “To study the phenomenon of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all.” –Sir William Osler, in Boston Medical and Surgical Journal (now NEJM ), 1901.

feeling “unsure” is not a weakness

you will find people who think they
are so “sure”—tell you that it is.

it means you are still active & thinking
maybe you need more depth & meaning
in the process of arriving somewhere
rather than only final conclusions.

🚨New catatonia assessment resources🚨

📹23 point-of-care videos on scoring individual Bush-Francis items: bfcrs.urmc.edu/videos

🔎 #BFCRS PDF with links to item descriptions in the Training Manual & to videos: bit.ly/3LSwIyI

Main page: bfcrs.urmc.edu

This week, Roger S. McIntyre, MD, FRCPC returns to explore depressive disorders. It’s a speedy, engaging, high level overview.

And fun fact: Dr. McIntyre recorded this while traveling… in a McDonald’s. Talk about commitment! #FOAMed #psychtwitter

open.spotify.com/episode/7K4d7P…