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 Credit™ per session. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Target audience:
psychiatrists, psychologists, psychiatry residents and fellows, medical students, social workers, masters in administration, physician assistants, nurse practitioners, nurses and pharmacists.

"Click here to view
recent Grand Rounds lectures."

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The Soundingboard."

TUESDAY, October 6, 2009
"Returning Soldiers: Assessing Violence Risk in the Civilian Sector."

LYNN VAN MALE, PhD.
Assistant Professor of Psychiatry/OHSU Staff Psychologist,
PTSD Clinical Team, Portland VA Medical Center

Objectives:
At the end of the presentation the participants will be able to:
1) List at least three violence risk factors commonly found in military populations and be able to assess for them appropriately.
2) Identify at least three violence risk mitigating factors commonly found in military populations and be able to assess for them appropriately.
3) Differentiate between normative military culture and relevant violence risk factors.

SPECIAL GRAND ROUNDS:

FRIDAY, October 9, 2009
"The Psychoanalytic Treatment of an Un-Medicated 10-year-old girl with OCD."

DAVID E. SCHARFF, MD
Director of the International Psychotherapy Institute, Clinical Professor of Psychiatry at Georgetown University and a teaching analyst at the Washington Psychoanalytic Institute.

Objectives:
At the end of the presentation the participants will be able to:
1) Describe the identifying elements of childhood obsessive compulsive disorder.
2) Discuss indications for psychotherapeutic treatment of obsessive compulsive disorder.
3) Discuss the process of psychotherapeutic treatment in latency and pre-adolescent children.

DONALD ROSEN, MD
Associate Professor of Psychiatry
Director, Psychiatry Residency Training Program

Objectives:
At the end of the presentation the participants will be able to:
1) Describe the differences between the historic “Standard Based”
or “Experience Based” training model to the current “Outcomes Based” training model.
2) Understand the emerging development of “milestones” in the outcomes based training model.
3) Understand the development and assessment of competence in the 6 Core Competencies.

TUESDAY, October 27, 2009
"Preparing Patients with Hepatitis C for Anti-Viral Treatment:
The Pre-Interferon Evaluation."

DAVID INDEST, Psy.D
Director of Training for the Psychology Service, Program
Manager of the Northwest Hepatitis C Resource Center (NWHCRC), and Assistant Professor of Psychology in the Department of Psychiatry at OHSU

Objectives:
At the end of the presentation the participants will be able to:
1) Describe at least 3 critical roles mental health and substance use professionals provide during the management of HCV.
2) List 3 common psychiatric side effects of interferon treatment.
3) List at least 3 important foci of a pre-interferon-treatment evaluation.

FRIDAY, November 3, 2009
"Prescription Opioid Abuse."

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

Objectives:
At the end of the presentation the participants will be able to:
1) Discuss some of the sources of misused prescription opioid medications.
2) Describe what systems approaches are available to reduce availability of illicit prescription opioids.
3) List the variety of treatments available to opioid dependent individuals.

TUESDAY, November 17, 2009
"Psychoneuroimmunology and Depression:
What is the link between our innate immune responses and the behavioral changes observed in depression?"

JENNIFER LOFTIS, PhD.
Associate Professor, Dept. of Psychiatry Oregon Health & Science University Supervisory Microbiologist Portland VA Medical Center

Objectives:
At the end of the presentation the participants will be able to:
1.) Describe the prevalence and features of depression in medically-ill patient groups, such as those suffering from chronic viral infections, diabetes, multiple sclerosis and cardiovascular diseases.
2) Discuss the impact of immune activation and psychosocial factors on depressive symptoms.
3) Consider alternative strategies for managing depression in medically-ill individuals.

TUESDAY, December 1, 2009
"Tourette Disorder: Intersection of movement and thought."

AJIT JETMALANI, MD
Assistant Professor, Department of Psychiatry at OHSU
Director of Training
Joseph Professorship in Child and Adolescent Psychiatry Education
Division of Child and Adolescent Psychiatry

Objectives:
At the end of the presentation the participants will be able to:
1) Discuss how to diagnose Tourette Disorder.
2) Describe how to differentiate Tics from other movement disorders.
3) Describe the indications and methods of treating tics disorders.

TUESDAY, December 15, 2009
"PBS Frontline Special: Sick Around the World:
Other Rich Countries have Universal HealthCare, Why Don’t We?."

PBS SPECIAL

Objectives:
At the end of the presentation the participants will be able to:
1) Discuss the health care systems of the United Kingdom, Japan, Germany, Taiwan and Switzerland
2) List 4 ways in which the healthcare systems of these advanced capitalist democracies are similar to the system in the United States
3. List 4 ways that health care is delivered differently in these countries from delivery in the United States.
4) List 3 lessons the United States could learn from studying the health care systems of other countries
5) List 3 ways that the US health care system challenges your ability to provide high-quality care, and 3 things you can do in your practice to decrease the effects of system problems on the care you provide.