FOCUS Patient Management Exercises in Psychiatry
is a practical and accessible self-study workbook designed for practicing psychiatrists who want to improve their knowledge of clinical psychiatry and patient care. Physicians who complete the exercises in this workbook can improve their clinical decision making, advance their communication and diagnostic abilities, evaluate their knowledge and clinical skills, learn leading-edge clinical information, and most importantly, improve patient care. The dynamic patient management exercises included here are derived from material in FOCUS The Journal of Lifelong Learning in Psychiatry.
Designed to test clinical considerations beyond the typical multiple-choice testing approach these exercises describe diagnostic and therapeutic questions in a clinical narrative that follows a patient through time. Each vignette closely resembles an actual patient presentation, including constellations of symptoms and introduction of new and critical information that was unexpected by the physician. These clinical vignettes are intended to refine diagnostic and communication skills and sharpen practitioners’ clinical decision making.
The sixteen clinical vignettes in this workbook cover the following topics:
- Anxiety Disorders
- Bipolar Disorder
- Child and Adolescent Psychiatry
- Gender, Race, and Culture
- Major Depressive Disorder
- Obsessive-Compulsive Disorder
- Panic Disorder
- Personality Disorders
- Sleep, Sex, and Eating Disorders
- Substance Abuse
This book is meant to be used in a program of continuous professional development. It assists psychiatrists in assessing their own processes of evaluation, diagnosis, and clinical management. These exercises may also be useful in preparing for board-type examinations, promote discussion and learning for individuals of various levels of experience, ranging from seasoned clinicians to psychiatric residents.
APA is accredited by the ACCME to provide continuing medical education for physicians.
Program release date: May 2011
Program end date: May 2014
APA designates this enduring material for a maximum of 32 AMA PRA Category 1 CME Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Introduction. How to use this book and how to earn CME credit. Schizophrenia: you are touching the door. Bipolar disorder: I’m afraid he’s going to quit his job for no reason. Major depressive disorder: my life doesn’t add up. Depressive disorder and suicide: I’m so sick of this. Anxiety disorders: a keyed-up paper chaser. Obsessive-compulsive disorder: I cannot get the thought out of my head. Panic disorder: I can’t take chances on my heart. Personality disorders: the construction of a young woman. Delirium: here today, gone tomorrow. Child and adolescent psychiatry: scheduling time to raise the “perfect” daughter. Child and adolescent psychiatry: what do you expect? My house is whacko. Substance abuse: get me a doctor who knows what he’s doing. Sleep, sex, and eating disorders: can you keep a secret? Gender, race and culture: how to exorcise in the emergency room. Psychotherapy: why must you be such an angry young man? Psychopharmacology: it’s like squeezing the end of a garden hose.
Ronald C. Albucher, M.D.,
is Clinical Associate Professor of Psychiatry at Stanford University and Director of Stanford’s Counseling and Psychological Services Center in Palo Alto, California.
B. Harrison Levine, M.D., M.P.H., is Assistant Professor in the Division of Child and Adolescent Psychiatry at the University of Colorado Health Sciences Center in Denver, Colorado.