Department of Psychiatry
Grand Rounds and Presentations Schedules

8B60 8th floor OHSU Hospital

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PSYCHIATRY GRAND ROUNDS
Time: Noon to 1:00 p.m.
When: 1st, 3rd, and 4th Tuesdays
Location: 8B60, 8th Floor, OHSU Hospital
(unless otherwise noted)

Program Chair: William H. Wilson, MD
Program Assistant: Mary Kays (503)494-8205, kaysm@ohsu.edu

Psychiatry Grand Rounds provides continuing medical education for the target audience. To enable discussion that both is about and involves the patient so the physician can better understand the depth of one's mental illness. Explore the history of certain policies and procedures in place for handling mentally ill patients and what can happen to improve care and treatment that they receive. To better explain and expand on various forms of mental illness and how treatment should be approached and practiced by the clinician.

Accreditation
Oregon Health & Science University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit OHSU School of Medicine, Division of CME, designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™ per session. Physicians should only claim credit commensurate with the extent of their participation in the activity. Target Audience Psychiatrists, Psychologists, Psychiatry Residents & Fellows, Medical Students, LCSW's, MA's, PA.s, NP's, RN's, PharmD.'s.

"Click here to view recent lectures."

TUESDAY, October 7, 2008
"Suffering and the relief of suffering: A perspective from palliative care."

ERIK FROMME, MD
Assistant Director, Center for Ethics in Health Care/ OHSU
Attending Physician, Palliative Medicine and Comfort Care Team
Assistant Professor of Medicine

Learning Objectives:
At the end of the presentation participants will be able to:
1) Describe the nature of suffering. 2) Illustrate the link between stories and suffering and the relief of suffering. 3) Discuss 2 teachings on how to approach suffering: generous listening ( Rachel Naomi Remen, MD) and the Fourfold Way
(Angeles Arriens, PhD).

TUESDAY, October 21, 2008
"Latino Mental Health and the treatment of psychological trauma"

FABIANA WALLIS, PhD
MIOS Program Director- Community based Latino Mental Health Program
Adjunct Faculty/OHSU

Learning Objectives:
At the end of the presentation participants will be able to:
1) Understand some of the Latino mental health disparities, prevalence of disorders, and patterns based on acculturation/immigration. 2) Describe the assessment and treatment issues regarding trauma, including a review of a curriculum-based intervention for Latina women with trauma histories. 3) Discuss the contextual considerations of trauma treatment including provider issues, vicarious traumatization, and community-based mental health.

TUESDAY, October 28, 2008
"The Virginia Tech Shooting: Threat Management Lessons Learned."

DAVID J. DRUMMOND, PhD
Director, VACO Behavioral Threat Management Program VA Medical Center
Associate Professor, Department of Psychiatry, Oregon Health Sciences University

Learning Objectives:
At the end of the presentation participants will be able to:
1) Describe the four essential domains of violence risk factors. 2) Describe the pathway to intended violence. 3) Describe the secret “Violence Guy Profile”
(and know why not to use it.)

Produced and directed by Barak Goodman and John Maggio. Written by Barak Goodman Edited by R.A. Fedde. Based, in part, on the book “The Lobotomist” by Jack El-Hai.

It was hailed by the New York Times as “surgery of the soul,”a groundbreaking medical procedure that promised
hope to the most distressed mentally ill patients and their families.

But what began as an operation of last resort was soon being performed at some fifty state asylums, often with devastating results. Little more than a decade after his rise to fame, Walter Freeman, the neurologist who championed the procedure, was decried as a moral monster, and lobotomy one of the most barbaric mistakes of modern medicine. Through interviews with Dr. Freeman’s former patients and their families, his students, and medical historians, this American Experience production offers an unprecedented look at one of the darkest chapters in psychiatric history.

Learning Objectives:
At the end of the presentation participants will be able to:
1) Describe the development, implementation, and ultimate scientific rejection of frontal lobotomy 2) Describe the long-term effects of frontal lobotomy on psychiatric patients 3) Discuss the use of critical thinking in one’s own practice to distinguish between treatments which have been shown to be effective and those that are unproven and potentially counterproductive or dangerous .

Dr. DAVID A WILLIAMSON's presentation
"Agitation and Violence in Bipolar Disorder." has been cancelled.
We hope to reschedule, but at this time his November 4th Grand Rounds presentation will be replace with the above PBS American Experience Production.

ELIZABETH GOY, PhD.
Clinical Psychologist, Portland VA Medical Center

GEORGE EIGHMEY
Evecutive Director, Compassion & Choices of Oregon.

Learning Objectives:
At the end of the presentation participants will be able to:
1) Describe how the Oregon Death with Dignity Act works: who is eligible; what is required in the way of mental health evaluation of patients seeking to use the law; what has been learned from the 10 years the law has been implemented about who chooses aid in dying and why; whether any risks to vulnerable populations have been observed. 2) Discuss how the OR DWD is serving as a model for other states considering aid in dying; how Oregon’s experience has influenced policy of various medical and health policy organizations; 3) Understand the specific confounds between depression criteria and medical illness and attempts to adjust for these confounds. 4) Describe recent findings about depression among patients who request Physician Aid in Dying.

TUESDAY, December 2, 2008
"Integrated Treatment of Eating Disorders in the 21st Century:
5 Essential Tidbits to Chew On."

KATHRYN ZERBE, MD
Professor, Department of Psychiatry OHSU

Learning Objectives:
At the end of the presentation participants will be able to:
1) Understand 3 essential ways that educational, cognitive-behavioral, psychodynamic, and existential/spiritual perspectives overlap in order to develop the therapeutic alliance. 2) Appreciate how cohort and qualitative research methods complement each other in assessing what works with this group of patients. 3) Have at least 2 new tools to use to work with this challenging group of patients.

TUESDAY, December 16, 2008
"Diagnosis and Treatment of Bipolar Disorder in Patients with
Concurrent Substance Use."

MICHAEL RESNICK, MD
Associate Professor, OHSU Department of Psychiatry,
Portland VA Medical Center

Learning Objectives:
At the end of the presentation participants will be able to:
1) Discuss diagnostic dilemmas regarding diagnosis in patients with co-occurring substance abuse and mood disorders. 2) Discuss evidence basis for treatment approaches for patients with concurrent substance use and bipolar disorders. 3) List three key elements of treatment planning based on scientific evidence for individuals with concurrent substance abuse and mood disorders.