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FOCUS
Earn CME Credit!

FOCUS
The Journal of Lifelong Learning in Psychiatry

Edited by Deborah J. Hales, M.D., and Mark Hyman Rapaport, M.D.
2014
ISBN 1541-4094
Journal
Item #FOC





Earn up to 44 AMA PRA Category 1 CME Credits™!

Interested in a specific topic issue such as Psychosomatic Medicine and Integrated Care? Please call Customer Service at 1-800-367-5777 to purchase a single issue. Please note: CME credit is only available with a yearly subscription.

FOCUS is the best system to meet Maintenance of Certification requirements of the ABPN, Self-Assessment, Performance in Practice and Lifelong Learning. In one four-issue subscription FOCUS provides a comprehensive review of current clinical practice based on the content outlined by the ABPN recertification exam. Each issue offers: Clinical Reviews, Patient Management Exercise, Seminal Articles, and a CME quiz with 20 hours of CME per year for the journal and 24 additional hours can be earned through completion of the Self-Assessment Exam. All current and back issues are accessible online with available CME credits only for your subscription year. A subscription to FOCUS also provides ABPN approved Performance in Practice Modules that meet requirements for MOC Part 4 and an opportunity to earn an additional 20 CME credits per module.

The FOCUS Self-Assessment Exam is an annual 120 question, multiple choice supplement written by practicing psychiatrists and academic experts that allows you to earn 24 CME credits and the opportunity to anonymously compare your knowledge to that of your peers either online or paper. Each question is similar to those used in board-type exams. The FOCUS Self-Assessment Exam is listed by the ABPN as an approved self-assessment activity that fulfills the requirement of psychiatrists applying for and taking the recertification examination.

Six Performance in Practice Modules, approved by ABPN for the clinical chart review component of MOC Part 4, are included in a subscription to FOCUS. Screening of Adults with Substance Use Disorder; Assessment and Treatment of Adults with Substance Use Disorder; Assessment and Treatment of Adults at Risk for Suicide and Suicide-Related Behaviors; Physician Practice Assessment Tool for the Care of Adults with Schizophrenia; Clinical Module for the Care of Patients with Major Depressive Disorder; and Clinical Module for the Care of Patients with Posttraumatic Stress Disorder are easy to use, paper-based PIP Modules. Completion of three stages of a PIP Module provides 20 additional CME credits per module and qualifies as a completed MOC Part 4 activity.

FOCUS addresses the core content in psychiatry in four year cycles. Each issue briefs you on new developments and reviews the current state of practice in that topic area through:


  • Comprehensive review articles summarizing current research
  • Clinical synthesis articles written by leading experts in the field
  • Patient management exercises, ask-the-expert column, ethics column, and communications commentary
  • Recent influential works selected by experts in the field

FOCUS updates you in core content areas:


  • Volume IX (2011): Addiction Psychiatry; Bipolar Disorder; Professionalism and Quality Measures in Psychiatry; Anxiety Disorders
  • Volume X (2012): Womens Mental Health; Schizophrenia; Child and Adolescent Psychiatry; Depression
  • Volume XI (2013): Geriatric Psychiatry; Personality Disorders; Posttraumatic Stress Disorders and Traumatic Brain Injury; Integrated Care and Psychosomatic Medicine
  • Volume XII (2014): Sleep: New Biologies and New Therapies; Psychopharmacology; Psychotherapies; Eating Disorders
  • Volume XI2 (2015): Bipolar Disorders; Obsessive Compulsive Disorders; Substance-Related and Addictive Disorders; Psychiatry and Society

The American Board of Psychiatry and Neurology has reviewed FOCUS: The Journal of Lifelong Learning in Psychiatry and the FOCUS Self-Assessment Examination and has approved this program as part of a comprehensive lifelong learning and self-assessment program, which is mandated by the ABMS as a necessary component of maintenance of certification.

The American Board of Psychiatry and Neurology has reviewed the FOCUS Performance in Practice Modules: Screening of Adults with Substance Use Disorder; Assessment and Treatment of Adults with Substance Use Disorder; Assessment and Treatment of Adults at Risk for Suicide and Suicide-Related Behaviors; Physician Practice Assessment Tool for the Care of Adults with Schizophrenia; Clinical Module for the Care of Patients with Major Depressive Disorder; and Clinical Module for the Care of Patients with Posttraumatic Stress Disorder and has approved each of these modules for ABPN MOC Part 4 (clinical module) requirements.

The FOCUS Self-Assessment Program is also accredited for up to 24 hours of continuing professional development per year under Section 3 of the Maintenance of Certification program of the Royal College of Physicians and Surgeons of Canada. The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Psychiatric Association designates the FOCUS enduring material for a maximum of 44 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

To visit FOCUS online, please visit http://focus.psychiatryonline.org

In This Issue: Fall 2013

Psychosomatic Medicine and Integrated Care

Supportive Oncology: New Models for the Role of Psychiatry in Cancer Care
Treatment advances have resulted in the creation of large numbers of cancer survivors, and to the recognition that cancer is now often a chronic, rather than acutely life-threatening, illness. Evolution of our scientific and clinical understanding of the human dimensions of cancer and cancer care can be encapsulated in the progression of descriptive terms from psycho-oncology, to psychosocial oncology, to supportive oncology.

Evaluation of Cognitive Impairment in Older Adults
With the shifting demographic pattern toward more aged individuals, more physicians will be needed who have competency in the differential diagnosis for cognitive impairment. Psychiatrists who can evaluate patients for mood and different cognitive disorders will be key societal contributors in caring for the growing elderly population.

Collaborative Care Models for Comorbid Medical and Behavioral Health Conditions
The integration of behavioral health and primary care has become an increasingly important topic, with health care reform placing new emphasis on providing care that meets the spirit of the “Triple Aim”: better clinical outcomes, cost containment, and enhancing the patient experience of care.

Editors
Deborah J. Hales, M.D.
Mark Hyman Rapaport, M.D.

Patient Management Exercise
Ian A. Cook, M.D., Associate Editor

Ethics Commentary
Laura W. Roberts, M.D., Associate Editor

Senior Advisory Board
Carol A. Bernstein, M.D.
Paula J. Clayton, M.D.
Pedro L. Delgado, M.D.
Howard H. Goldman, M.D.
Ira M. Lesser, M.D.
Charles F. Reynolds III, M.D.
Pedro Ruiz, M.D.
Stephen C. Scheiber, M.D.
Daniel K. Winstead, M.D.
Joel Yager, M.D.

Editorial Board
Josepha A. Cheong, M.D.
Laura Dunn, M.D.
John B. Herman, M.D.
Donald M. Hilty, M.D.
Geetha Jayaram, M.D., M.B.A.
Thomas A.M. Kramer, M.D.
Daryl Matthews, M.D.
Cheryl F. McCartney, M.D.
Philip R. Muskin, M.D.
Michele T. Pato, M.D.
Cynthia W. Santos, M.D.
Deborah Spitz, M.D.
James W. Thompson, M.D., M.P.H.
Joyce A. Tinsley, M.D.
Owen M. Wolkowitz, M.D.

FOCUS Self-Assessment Editorial Board
J. Michael Bostwick, M.D.
Robert Boland, M.D.
Arden D. Dingle, M.D.
Laura Fochtmann, M.D.
James W. Jefferson, M.D.
Vishal Madaan, M.D.
Annette M. Matthews, M.D.
Rima Styra, M.D.
Marcia L. Verduin, M.D.
Isaac Wood, M.D.
Joel Yager, M.D.
Eric R. Williams, M.D.
Deborah J. Hales, M.D., is Director of Education at the American Psychiatric Association and Associate Clinical Professor of Psychiatry and Behavioral Sciences at George Washington University.

Mark Hyman Rapaport, M.D., is Chairman and Professor of the Department of Psychiatry and Behavioral Neurosciences and the Polier Endowed Chair in Schizophrenia and Related Disorders at Cedars-Sinai Medical Center in Los Angeles, California; Vice-Chairman and Professor in Residence in the Department of Psychiatry and Biobehavioral Sciences at the David Geffen School of Medicine at UCLA.