Grand Round Title, Speaker, and Objectives for 2015-­‐2016 Grand Round Updated as of 6-­‐15-­‐16 OFFICIAL START OF GRAND ROUNDS 2015-­‐2016. October 1, 2015 -­‐ 12:00PM t0 1:15PM Title: Zero Suicide Initiative: Can Suicide Be A Never Event? Speakers: Ellen W. Blair APRN, NEA-­‐BC Director of Nursing the Institute of Living; Linda Durst BHN Medical Director; Nancy Hubbard BHN Director of Outpatient and Rehabilitative Services -­‐ Psychiatric Rehab Services -­‐ Family Resource Center; Patricia Graham Case worker for the Family Resource Center of the Institute of Living. Objectives: 1. Describe the Zero Suicide Approach and the 7 Key Components of this initaitive 2. 2. Apply the evidence and best practices about suicide assessment and prevention that have been utilized in organizations which have implemented Zero Suicide successfully. October 15, 2015-­‐ 12:00PM t0 1:15PM Title: Medical and recreational marijuana: where are we headed? Speaker: Godfrey D Pearlson MD Objectives: 1. Describe hazardous effects of cannabis use, for example on motor vehicle driving, psychosis risk and the developing adolescent brain. 2. Discuss recent advances in the development of therapeutic cannabinoid-­‐based medications 3. Describe the key issues made by clinicians and policymakers in formulating decisions relevant to provision of medical marijuana and the current state of evidence 4. Discuss the legal situation pertaining to medical marijuana use in CT October 22, 2015 -­‐8:00AM to 9:15AM Title: Why Does Suicidal Behavior Run in families? Speaker: David A. Brent Objectives: 1. Attendees will be able to discuss the extent to which suicidal behavior runs in families U:\Grand Rounds\2015-­‐2016 Grand Rounds Excel Submissions 2. Attendees will describe possible explanatory mechanisms for suicidal behavior running in families. 3. Discuss the implications of these findings for clinical care October 29, 2015-­‐ 12:00PM to 1:15PM Title: Re-­‐challenge After Major Adverse Effects of Clozapine Speaker: Peter Manu Objectives: 1. To differentiate between dose-­‐dependent and dose-­‐independent major adverse effect of clozapine. 2. To learn the approach to re-­‐starting clozapine by assigning the clinical presentation into no re-­‐
challenge, no discontinuation and re-­‐challenge after return to baseline. November 5th 12:00PM t0 1:15PM Title: Data-­‐Driven Approaches to Assessing Which SSI/SSDI Recipients are Capable of Managing Their Benefits Speaker: Anne Black Objectives: 1. Identify problems with the current SSA approach to assessing capability to manage SSI/SSDI funds 2. Identify primary criteria for evaluating capability to manage SSI/SSDI funds using an all-­‐data approach November 12th 12:00PM t0 1:15PM Title: Strategies to Support Recovery from Chronic Pain & Co-­‐Occurring Opioid Misuse Speaker: Seddon Savage, MD, MS. Director, Dartmouth Center on Addiction Recovery and Education (DCARE) & Adjunct Associate Professor of Anesthesiology, Geisel Medical School at Dartmouth Objectives: 1. Identify the complex contributing factors to distress in individuals with pain and co-­‐occurring addictive disorders 2. Develop an effective treatment plan to address co-­‐occurring pain and addictive disorders 3. Discuss how to engage patients in a recovery self-­‐management program for pain and addiction U:\Grand Rounds\2015-­‐2016 Grand Rounds Excel Submissions November 19th 12:00PM t0 1:15PM Title: Imaging Drug-­‐Effects in Human Physiology Speaker: 2013 Burlingame Award Recipient; Dr. Nora Volkow M.D., Director, National Institute on Drug Abuse Objectives: Participants will be able to: 1. Discuss examples of ways that imaging technology is being used in the study of drug abuse and addiction. 2. Describe the changes in the brain dopaminergic system that differentiate drug use or drug intoxication from drug addiction. 3. Discuss the potential of molecular imaging for exploring the genetic underpinnings of substance abuse and for the development of targeted medications for its effective treatment. November 26th-­‐ NO GRAND ROUNDS HAPPY THANKSGIVING December 3rd -­‐ NO GRAND ROUNDS DUE TO “State of the System”. Grand Rounds will resume December 10th. December 10, 2015 12:00PM t0 1:15PM Title: "The glamour of Arabic numbers”: Pliny Earle's Challenge to Nineteenth-­‐Century Psychiatry Speaker: Professor Lawrence Goodheart Uconn Objectives: 1. Discuss the cultural and historian assumptions that impinged on psychiatric practice during the nineteenth century. 2. Discuss the shifting interpretations of what scholars have called "the cult of curability." December 17th 2015 12:00PM t0 1:15PM Title: Providing Appropriate Healthcare Access to Deaf and Hard of Hearing Individuals Speakers: Jeff Bravin, Executive Director, the American School for the Deaf, Karen Wilson Director of PACES, and Ron Davis. U:\Grand Rounds\2015-­‐2016 Grand Rounds Excel Submissions Objectives: 1. To describe unique communication and assessment needs and variables of persons who are deaf and hard of hearing. 2. To discuss at least 3 myths associated with beliefs about deaf and hard of hearing individuals. DECEMBER 24th NO GRAND ROUNDS December 31st NO GRAND ROUNDS January 7th 2016 12:00PM t0 1:15PM Title: “Opioid Overdose Epidemic and Narcan” Speaker: Dr. J Craig Allen, MD Rushford Objectives: 1. Discuss the epidemiology and natural history of opioid overdose 2. Discuss the evidence for overdose education and naloxone rescue kits. 3. Identify resources for you and your patients around overdose education and naloxone rescue kits. January 14th, 2016 – NO GRAND ROUNDS -­‐ Title: MRM Speaker: MRM -­‐ Psychiatry trainees -­‐-­‐Alison Wellman, Coordinator-­‐-­‐ Child & Adolescent Psychiatry January 21st 2016 12:00PM t0 1:15PM Title: Giving Asylum? The Ethics of Long-­‐Term Care for People with Severe Mental Illness? Speaker: Dominic A. Sisti, Ph.D. Director, The Scattergood Program for Applied Ethics of Behavioral Health Care Assistant Professor, Department of Medical Ethics & Health Policy Perelman School of Medicine at the University of Pennsylvania http://medicalethics.med.upenn.edu/people/faculty/dominic-­‐a-­‐sisti http://www.scattergoodethics.org/ Objectives: 1. Describe the historical underpinnings of the central argument that long-­‐term care settings for seriously mentally ill individuals are lacking. U:\Grand Rounds\2015-­‐2016 Grand Rounds Excel Submissions 2. Provide and defend the ethical argument that individuals deserve the psychiatric treatment they need, in the appropriate setting, at the appropriate time. 3. Dispatch/reply to common objections to my basic argument, pointing to treatment models that aim to fully integrate psychiatric care within health care systems. January 28th 2016 12:00PM t0 1:15PM Title: Grief Therapy After Suicide Loss: New Development from Thanatology Speaker: Jack Jordan Objectives: 1. Describe the role of transforming the psychological relationship with the deceased in recovery after a suicide loss. 2. Describe several methods for “retelling violent death that may help reduce traumatization 3. Describe methods for enhancing a continuing bond with the deceased that can also facilitate recovery. February 4th, 2016 12:00PM t0 1:15PM Title: “Treatment and Prevention of Pediatric Anxiety Disorders” Speaker: Golda Ginsburg, Ph.D. Professor, Psychiatry University of Connecticut Objectives: 1. Identify two efficacious treatments for childhood anxiety 2. Identify two prevention strategies for childhood anxiety February 11th, 2016 12:00PM t0 1:15PM Title: “TMS and Brain Modulations” Speaker: Professor Linda Carpenter R.I-­‐ Professor of psychiatry and Human Behavior Objectives: 1. Discuss similarities and differences between electroconvulsive therapy (ECT), and (repetitive) transcranial magnetic stimulation (rTMS, or simply “TMS”); 2. Describe efficacy and safety data for TMS, an approved neuromodulatory treatment for medication-­‐resistant major depression; 3. Discuss an array of non-­‐invasive brain stimulation concepts, devices, and clinical investigations that reflect technology with potential to shape future treatments of neuropsychiatric disorders. U:\Grand Rounds\2015-­‐2016 Grand Rounds Excel Submissions February 18th 2016 12:00PM t0 1:15PM Title: “Soul Machine: The Invention of the Modern Min.” Speaker: George Makari – Professor of Psychiatry at Weil Cornell Medical College Objective: 1. Discuss the opportunities for care approaches and the effect of those interventions on mental health outcomes. 2. Describe the role of de-­‐escalation, limbic activation, and interpersonal engagement in care. February 25th 2016 12:00PM t0 1:15PM Title: NO GRAND ROUNDS HELD – LAST MIN CANCELATION Speaker: TBA Objectives: March 3rd 2016 12:00PM t0 1:15PM Title: Lethality Assessment and Prevention in Domestic Violence Knowledge and Skills for Mental Health Clinicians. Speaker: National Social Work Week-­‐ Danica Delgado-­‐ Objective: 1. Define lethal presentations of domestic violence. 2. Describe lethality assessment and lethality review. 3. Explain clinical interventions and their role in prevention. March 10th 2016 12:00PM t0 1:15PM Title: “Are Antidepressants Associated with Increased Risk of Readmission In Bipolar Patients?” Speaker: Dr. Goethe, MD Director of Psychiatry & Research at the Institute of Living Objective: 1. Compare and contrast medication variables associated with risk of readmission in patients with bipolar disorder U:\Grand Rounds\2015-­‐2016 Grand Rounds Excel Submissions 2. Discuss the role of antidepressants in the pharmacotherapy of bipolar disorder based upon current guidelines 3. Compare and contrast the benefits of mood stabilizers in patients with bipolar mania vs. bipolar depression and bipolar II. March 17th 2016 12:00PM t0 1:15PM Title: “ADHD in the context of a high IQ” Speaker: Kevin M. Antshel, Ph.D. Associate Professor of Psychology Director, Clinical Psychology Program, Syracuse University. Objective: 1. Describe how a high IQ may influence ADHD assessment and treatment. 2. Describe the legal issues associated with ADHD in the high IQ population. March 24th 2016 12:00PM t0 1:15PM Title: “Social Cognition as a Quantitative Measure in Psychiatry” Speaker: Michal Assaf IOL Objective: 1.
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Describe the sub-­‐constructs of RDoC Social processing domain Outline neural networks subserving social processing Understand the heritability aspect of social processing Describe social processing deficits seen in patient populations, including schizophrenia and ASD, and their underlying neuropathology March 31st 2016-­‐ 12:00PM t0 1:15PM Title: Intergenerational Transmission of Trauma Speaker: Dr. Rachel Yehuda Ph.D. Objective: 1. To discuss biological mechanisms associated with 2. Epigenetics (including preconception, in utero, and postnatal influences) 3. Intergenerational transmission and risk for psychopathology in offspring, 4. Enduring biological alterations. U:\Grand Rounds\2015-­‐2016 Grand Rounds Excel Submissions April 7 2016 12:00PM t0 1:15PM Title: “Integrated Care: The Future is here” Speaker: Kim Brownell, IOL Objectives: 1. Describe the benefits of collaborative care as presented in the literature 2. Discuss collaborative care models in existence both throughout the country and locally. April 14th 2016 12:00PM t0 1:15PM Title: The neurobiology of child abuse and Neglect Implications for the Pathophysiology Speaker: Charles Nemeroff Objectives: 1) Discuss how genetic polymorphism and epigenetics effect psychiatric disease vulnerability 2) Explain how a gene variation effects brain development and function so that the risk of a depressive episode or PTSD is increased 3) Describe how early life experience produces persistent CNS alterations and its implications. April 21st 2016-­‐ BRAIN DANCE AWARDS 12:00PM t0 1:15PM Title: The STEP Program: Building a Population Based System of Care for Psychotic Disorders Speaker: Vinod Srihari, MD-­‐ Yale Associate Professor of Psychiatry at Yale, Director, of their Psychosis Program at CMHC and Associate Program Director, Psychiatry Residency Training, Director of the young adult psychosis/first episode schizophrenia STEP Program at Yale. Objectives: 1. Understand the importance of early intervention for psychotic disorders 2. Understand the relevance of population health based approaches to improving outcomes. April 28th 2016 12:00PM t0 1:15PM Title: Tics, Twitches and More: How Research Informs Treatment of Tourette’s Disorder and Related Problems Speaker: Dr. Barbara Coffey, M.D. M.S., Professor of Psychiatry Icahn School of Medicine at Mount Sinai U:\Grand Rounds\2015-­‐2016 Grand Rounds Excel Submissions Objectives: 1. Assess relevant epidemiology, genetics, neurobiology and phenomenology of Tourette’s / tic disorders 2. Discuss role and impact of psychiatric comorvid disorders 3. Identify relevant clinical science, including clinical trials and behavioral science 4. Demonstrate application of relevant science to a suggested treatment algorithm May 5th 2016 12:00PM t0 1:15PM Title: “Full to the Brim: A Patient's Search for Full-­‐Fillment” Speakers: Donald McNally, Kathleen Hershon, Griffan Randall, Izabella Shuvayev, Vanessa Katon; Institute of Living Psychiatry Residents. Objective: 1.) Recount the historical evolution of Hoarding Disorder as a unique diagnostic entity. 2.) Understand of the relationships between Hoarding Disorder, Obesity and gastric bypass procedure. 3.) Understand the neural basis for hoarding behaviors. May 12th 2016 12:00PM t0 1:15PM Title: Relevance of Care Speaker: Dr. Madelon Baranoski Objective: 1. Discuss the opportunities for care approaches and the effect of those interventions on mental health. 2. Describe the role of de-­‐escalation, limbic activation, and interpersonal engagement in care. May 19th 2016 Title: “The Role of Omega-­‐3 Fats in Neurodevelopment: Implications for ADHD and Comorbid Behavioral Disorders” Speaker: Dr. Rachel Gow Ph.D. from NIH Objective: 1. Define the role of omega-­‐3 in neurodevelopment. 2. Explain the impact of inadequate omega-­‐3 during pregnancy and post-­‐natal. U:\Grand Rounds\2015-­‐2016 Grand Rounds Excel Submissions 3. Evaluate neurodevelopmental disorders including Attention Deficit Hyperactivity Disorder (ADHD) which is one of the most pervasive child psychiatric disorders. Receive an overview of the role of omega-­‐3 fats in ADHD and other conduct disordered May 26th 2016-­‐ NO GRAND ROUND MRM nd
June 2 12:00PM to 1:15PM Title: “The Fancy Cannot Cheat So Well: Communication between Medical Professionals and Patients and Their Families about End-­‐of-­‐Life Care in the Context of Dementia” Speaker: David K. Schmidt D.O., PGY-­‐IV; Psychiatry, Institute of Living. Learning Objectives: 1. Provide basic definitions of end-­‐of-­‐life care and related terms. 2. Examine the intersection of psychiatry and end-­‐of-­‐life care. 3. Evaluate intricacies of diagnosis and prognosis in dementia. 4. Evaluate various aspects of decision making in patients with dementia. 5. Examine key components of end-­‐of-­‐life care, including advance directives and health care representatives. 5. Evaluate potential barriers to effective end of life care. June 9th 12:00PM to 1:15PM Title: “I don’t care that I could die”: Physician Narcissism and the Development of the Professional-­‐Self in terms of the Physician-­‐Patient Dyad Speaker: Justin Uzl, M.D., PGY-­‐IV General Adult Psychiatry; Institute of Living. Learning Objectives: 1. Understand the role of narcissistic development as theorized by Kohut in terms of the development of the professional-­‐self. 2. Describe the manifestation and impact of physician narcissistic injury on patient care. 3. List factors that make physicians vulnerable in developing an insecure and unstable professional self. 4. Discuss deficits in the manner in which physicians are trained preventing the maturation of the professional self. U:\Grand Rounds\2015-­‐2016 Grand Rounds Excel Submissions