Grand Rounds


Program Chair: William H. Wilson, M.D.
Program Coordinator: p 503 494-8205


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


OHSU School of Medicine, Division of CME, designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™ per session. Physicians should claim only the 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. Additionally, Psychiatry Grand Rounds is open to the public.


Typically held the 1st, 3rd & 4th Tuesdays of each month

Noon to 1pm, 8B60, 8th Floor, OHSU Hospital (unless otherwise noted)

Psychiatry Grand Rounds provides continuing medical education for the target audience. We strive to enable discussion that is both about and involves the patient so the physician can better understand the depth of one's mental illness. In Grand Rounds we 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, as well as to better explain and expand on various forms of mental illness and how treatment should be approached and practiced by the clinician.

Grand Rounds Schedule

January 6, 2015

Topic:  "Satisfaction in Medical Marriages:  Is the Gottman Approach a Good-fit?"

Jack Crossen, Ph.D., Clinical Associate Professor, Department of Psychiatry, OHSU

Learning Objectives:

  • Describe the seven levels of Sound Relationship House Theory
  • Identify the elements of couple's therapy assessment in the Gottman approach
  • Describe two interventions to enhance a couple's friendship system
  • Describe two interventions to strengthen a couple's management of conflict
  • Describe two interventions to explore a couple's system of shared meaning


January 20, 2015

Topic:  "Hashimoto's Encephalitis or Autoimmune Encephalopathy Presenting with Psychosis in a Child"

Dr. Rebecca Marshall, MD MPH, Fellow, Child Psychiatry Fellowship Program
Emily Johnson, OHSU MS4
Dr. Meg Cary, MD MPH, Assistant Professor, Child and Adolescent Psychiatry

Learning Objectives:

  • Attendee will understand the epidemiology of pediatric autoimmune encephalopathy
  • Attendee will understand the differential diagnosis for psychosis in school age child
  • Attendee will be able to identify the appropriate diagnostic workup for psychosis in a school age child
  • Attendee will understand treatment options for autoimmune encephalopathy in a child


January 27, 2015

Topic:  "Understanding Social Security Disability and the Role of the Treating Provider"

Cheryl Coon, JD, LLM Managing Attorney, Social Security Disability Section
Swanson, Thomas, Coon & Newton

Sara Walker, Ph.D., Assistant Professor, Department of Psychiatry, OHSU

Learning Objectives:

  • Recognize key stages of the social security disability process and the timelines involved;
  • Identify patients who qualify under federal regulations for social security disability benefits;
  • Distinguish between patients who qualify for disability benefits from those who are unlikely to be found eligible;
  • Utilize that understanding to guide patients to vocational rehabilitation when they are unlikely to be approved for disability;
  • Apply an understanding of the critical role of medical evidence in the evaluation of disability claims to future charting for patients deemed to be likely to seek disability benefits


February 3, 2015

Topic:  "Use of Antipsychotic Therapeutic Blood Levels"

Thomas (Tom) Hansen, M.D., Associate Professor, Department of Psychiatry, OHSU; Supervising Psychiatrist, Portland Oregon State Hospital

Learning Objectives:

  • Recognize reasons to monitor blood leels of antipsychotic medications
  • Recognize and learn about limitations in use of antipsychotic blood levels
  • Learn about recommended ranges of antipsychotic blood levels


February 17, 2015

Topic:  "Motivational Interviewing in Mental Health Care"

Michael Fulop, Psy.D.

Faculty Sponsor:  Kyle P. Johnson, MD Associate Professor, Department of Psychiatry, OHSU

Learning Objectives:

  • Identify four main processes of Motivational Interviewing
  • Discuss how to integrate Motivational Interviewing within a practice
  • Describe the "righting reflex" and how to aovidthis within a Motivational Interviewing framework
  • Discuss some literature about Motivational Interviewing  and mental illness
  • Identify situations in which Motivational Interviewing is not appropriate


February 24, 2015

Topic:  "Modern Psychiatry and Substance Use Disorders - from Dual Diagnosis to a Biopsychosocial Whole"

Paul Conti, MD, Affiliate Assistant Professor, Department of Psychiatry, OHSU

Learning Objectives:

  • Describe the evolving place of Substance Use Disorders in mental health treatment and describe its incorporation into the Biopsychosocial Model;
  • State at least three examples of the interraltion between Substance Use Disorders and both i) mental health conditions, and ii) pain conditions;
  • Describe the importance of epigenetics to all aspects of mental health, including Substance Use Disorders;
  • Describe at least three special complexities and dangers of opiates;
  • Draw together the most advanced mental health knowledge requird to optimally address Substance Use Disorders thorugh the Biopsychosocial Model, and will also be able to explain this to others.


March 3, 2015

Topic:  "Solving Medical Mysteries"

David Clarke, MD, Affiliate Assistant Professor, Department of Psychiatry, OHSU

Learning Objectives:

  • Learn to assess a patient with physical symptoms that are not explained by diagnostic testing;
  • Understand how the process of recovery from childhood stress can result in physical illness;
  • Learn techniques for relief of psychophysiologic disorders


March 17, 2015

Topic:  "Methamphetamine Targets and New Treatment Directions"

Aaron Janowsky, PhD, Professor, Department of Psychiatry, OHSU

Learning Objectives:

  • Describe methamphetamine receptor and transporter targets;
  • Define translational approaches to pharmacotherapeutic discovery and development;
  • Learn what is in the pipeline for new treatments


March 24, 2015

Topic:  "Emotional Attunement, Finding the Other"

Henry Grass, MD, Affiliate Professor, Department of Psychiatry, OHSU

Learning Objectives:

  • Describe how emotional attunement occurs between two people
  • Describe how this helps the therapist learn more about the patient's inner world
  • Describe how this can best be used in psychotherapy to enhance the therapeutic process


Grand Rounds Notification

We send out notifications a few days in advance of Grand Rounds.  If you would like to receive these notifications, please fill out the form below.