APM Summer 2014 Newsletter

16 Pages·2014·0.57 MB·English

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N E W S L E T T E R
Summer 2014
APM — Psychiatrists Providing Collaborative Care for Physical and Mental Health
President’s Annual Meeting
MESSAGE NEWS
— Linda L.M. Worley, MD, FAPM
I send warm summer greetings your way! APM 61st Annual Meeting in Florida
Much has been happening both in and outside the Academy. “Lessons from Our Best Teachers:
Most importantly, we are growing and fl ourishing thanks to Patient-informed Advances in Clinical
the hard work of so many faithful Academy members and Care, Research, and Leadership”
our close partnership with Mr. James Vrac, our executive di-
—J. Michael Bostwick, MD, FAPM
rector. Our membership has now surpassed the 1,000 mark!
2014 Scientifi c Program Chair
Th is is incredible. Let’s work hard to keep our tradition of
openness and warmth despite our growing size. I suspect this
will come naturally to us when we gather in November on a
beautiful Fort Lauderdale beach for our 61st Annual Meet- We would undoubtedly all agree that the
ing. Our theme is “Lessons from Our Best Teachers: Patient- needs of the patient should be central to
informed Advances in Clinical Care, Research, and Leader- the doctor-patient relationship. But good
ship.” J. Michael Bostwick, MD, FAPM, the annual meeting program chair, with the intentions are rarely enough. How can
tireless assistance of his annual meeting program committee, has done an exceptional job! we approach our clinical encounters with
greater elegance and sophistication? How
Outside the Academy, many of us have been receiving ABPN emails outlining the require-
can we be the most erudite psychosomatic
ments to register for the 2015 recertifi cation examination in Psychosomatic Medicine.
medicine practitioners we can be?
Th ankfully, we can breathe a sigh of relief knowing the Academy will have a full-day pre-
conference Updates course. Additionally, the course will be recorded and made available APM’s 61st Annual Meeting, November
online via the Academy’s website for those who can’t attend in person. In addition, Bob 12-15, in Fort Lauderdale, strives to an-
Boland, MD, FAPM, has been working tirelessly with his group to prepare MOC materi- swer these questions from as many per-
als approved by the ABPN, which we are aiming to launch before the end of summer. spectives as possible. Organized around
In June, we convened our half-year council meeting that included a focused strategic plan- the theme, “Lessons from Our Best Teach-
ning retreat. It was affi rming to review the progress made toward our previous strategic ers: Patient-informed Advances in Clini-
goal of building meaningful partnerships with our sister organizations. One of these es- cal Care, Research, and Leadership,” the
sential partnerships is with the American Psychiatric Association, whose current presi- scientifi c program includes off erings from
dent, Paul Summergrad, MD, FAPM, is a long-standing Academy member. Under Dr. (continued on page 2)
Summergrad’s leadership, the APA has committed to advocating for psychiatry to have a
signifi cant role in health care reform. Mirroring APM’s emphasis on developing integrated Issue
care models, the APA has reached out to experts in the fi eld, most of whose names you will HIGHLIGHTS:
recognize from their prominence in APM. Th anks to Wayne Katon, MD, FAPM, Lori
Raney, MD, Carol Alter, MD, FAPM, Roger Kathol, MD, FAPM, Jurgen Unützer,
9
MD, Ben Druss, MD, and Erik Vanderlip, MD for generously stepping up to lead the 2014 Meeting Highlights
fi eld! Dr. Summergrad has chosen for the theme of the APA 2015 meeting in Toronto,
9
“Psychiatry: Integrating Body and Mind, Heart and Soul.” We expect a strong showing Changes to 2015 PM Recertifi cation
of our membership at the meeting. Make sure you proudly proclaim your identity as a
9
psychosomatic medicine psychiatrist and acknowledge your “home base” in the APM. NRMP Fellowship Match for
We need to continue to spread the word about how excited we are about the work we do. 2015-2016
At the retreat we carefully thought through priorities for the Academy in the domains of 9
SIG and fAPM News
research, education, value of membership, and revenue. Specifi c short-term goals include
updating our psychosomatic tool box so that it contains the latest evidence base from the
(continued on page 2)
view this issue on the web at
www.apm.org/newsletter
In this
President’s Message (cont’d. from page 1)
issue: fi eld, eff ectively showcasing the unique skills and knowledge we provide as PM physicians. A special
thanks to James Rundell, MD, FAPM, who hit the ground running on this one. We also began brain-
storming about plans to strengthen the research arm of our Academy (see “Mission Critical: Th e APM
and Research,” page 7). In addition, we have launched two task forces: the fi rst to make recommenda-
9 tions for improving communications and increasing visibility with our colleagues outside APM; and the
President’s Message ....................1-2
second to continue developing the possibility of residents being able to pursue PM fellowship during
their PGY4 year.
9
2014 Annual Meeting
Exciting news on the Foundation front! Former president of the Academy, Don Lipsitt, MD, made a
From the Meeting Chair ..........1-3 generous donation to the Academy’s foundation arm this year. A special thank you to him and to our
New Meeting Website ...............12 Foundation board for making this possible. Th ese tax deductible donations enable us to pursue strategic
Register Early ............................12 initiatives for the Academy while also preserving aff ordable membership fees. I would be thrilled if each
Marriott: Host Hotel..............13 one of us donated to the Foundation this year. When we reach a mark of 100% of members donating,
Annual Business Meeting ..........14 our eligibility and competitiveness for seeking outside funds increases exponentially. So please give—even
Everglades Tour.........................14 a little—if you can! Donations can be as small as $1—or the sky’s the limit! Th e most important thing
“Mercy Killers” Play ..................14 is to give from the heart, because you want to. We will be honoring sponsorship level donors at the an-
Registration Form .....................15
nual meeting with an invitation-only reception in a beautiful suite with an amazing view of the Atlantic.
Rumor has it that our past president, John Shuster, MD, FAPM, a comedian-in-training, has consented
9
MOC Update ............................4-5 to donate his talent in the form of the début of his new comedy routine.
Can’t wait to see you in November! Until then, take care and enjoy each and every day.
9
NRMP Fellowship Match .............6
9 Annual Meeting Chair’s Message (cont’d. from page 1)
New APM Members .....................6
master clinicians, consummate researchers, seasoned educators, and even a classically trained actor.
9
Mission Critical:
Plenary sessions will hew closely to the meeting’s theme. For the Th ursday morning Presidential Sympo-
Th e APM & Research ...................7
sium that asks the question, “How Relevant Is Our Research and Evidence Base to Actual Patient Care?”,
9 three thought-provoking speakers selected to cover a breadth of points of view will challenge assumptions
Call for Committee Volunteers .....7
that may be guiding our clinical decision-making. In a talk entitled “Th e Creation, Publication, and Mass
Dissemination of High-Quality Medical Information,” William Lanier, MD, editor-in-chief of the Mayo
9
Psychosomatic Milestones .............8 Clinic Proceedings, will describe the process of discernment he uses in assembling high-quality editorials for
his infl uential journal. In “Th ings You Th ink Th at Might Not Be True: Findings from the Rhode Island
9 MIDAS Project,” Mark Zimmerman, MD, a Brown University-based professor of psychiatry, will draw
Journal Editor’s Update .................9
upon data from his own practice to support the iconoclastic arguments that have characterized his produc-
tive clinical research career. Th rough the lens of suicidology, Norwegian psychologist Heidi Hjelmeland,
9
SIG Updates ..........................10-11
PhD, will question the value of a popular approach to research she considers potentially redundant, ir-
relevant, or both in “Risk Factors, Risk Factors, and More Risk Factors: Are We Doing the Right Kind of
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fAPM News................................16 Research to Guide Clinical Care?” Plenty of time is built into the schedule for audience participation in
what promises to be a stimulating Q&A.
In what may be a fi rst for the Academy, a narrative medicine expert will assume the podium for Friday’s
plenary. Louise Aronson, MD, an internist and geriatrician at the University of California at San Francisco,
recently published A History of the Present Illness, a collection of stories about the patients and colleagues
she has encountered in her work with the urban dispossessed. Entitled “Th e Human Side of Healthcare:
Medicine as Stories, Stories as Medicine,” I am honored and privileged to be her discussant. Dr. Aronson
will demonstrate how skillfully elicited stories can elevate history-taking from mundane drudgery to greater
empathic attunement for doctors and better care for their patients.
On Friday evening, in a shift from science to performing arts, a theater piece will thrust the patient’s perspec-
tive to center stage. In his 55-minute one-man play, “Mercy Killers,” Juilliard-trained actor Michael Milligan
will portray the havoc that standard medical care can wreak on a family ill-equipped to pay for it. Celebrated
for his Shakespearean prowess, Milligan shape-shifts into a blue-collar guy who tells the wrenching story of
how well-intended but spectacularly expensive treatment for his uninsured wife’s ultimately fatal cancer has
shattered him fi nancially, morally, and spiritually. During more than two years on the road, Milligan has
continued to evolve his play’s story line to refl ect the continually unfolding, on-the-ground human implica-
2

NEWSLETTER OF THE ACADEMY OF PSYCHOSOMATIC MEDICINE - Summer 2014
tions of healthcare reform. APM fellow James Presentations by our 2013-2014 Webb Fel-
Rundell, MD, FAPM, will act as discussant lows are scheduled for these sessions.
and moderator for the vigorous give-and-take
Highlights of the scientifi c program will in-
that will inevitably follow the show. Tickets
clude awards presentations in conjunction
for the event will be $25, with a discount price
with midday meals: Research Award winner
of $10 for trainees/ECPs.
Jesse Fann, MD, FAPM, on Th ursday, and
As always, the guts of the annual meeting Hackett Award winner Lewis Cohen, MD,
will be the scientifi c presentations from the FAPM, on Friday, whose speech will follow
membership. Th e centerpiece of Wednesday’s an Awards Luncheon that will include the
pre-conference courses will be the all-day Up- induction of several dozen APM members
dates in Psychosomatic Medicine, a CME event newly elected to fellowship in the Academy.
we believe will prove especially attractive this José Maldonado, MD, FAPM, winner of the
J. Michael Bostwick, MD, FAPM
year given the large number of members plan- Dlin/Fischer Award for the best oral paper
APM 2014 Program Chair
ning to take the ABPN recertifi cation exam presentation submitted for the program, will
in 2015. Th ere are also four half-day skills speak on Saturday morning. Jeff Huff man,
sponsored by the Research and Evidence-
courses: MD, FAPM, the winner of the fi rst Lipsitt
Based Practice Committee. Moderated by
Award, will deliver a Th ursday afternoon
• Legal Issues in Psychosomatic Medicine
committee co-chairs Michael Sharpe, MD,
workshop. Inaugurated through an endow-
• Psychopharmacology: A Focused Review FAPM, and Jeff Huff man, MD, FAPM,
ment from psychosomatic medicine pioneer
of Drug-Drug Interactions this event is specifi cally geared to nurturing a
and former APM president Don Lipsitt, MD,
group whose ongoing participation in APM is
• Acute Brain Failure: Neurobiology, Pre- this award honors a mid-career psychiatrist
vital to the health and vigor of our Academy.
vention, and Treatment of Delirium currently making substantial contributions
(See page 7 for Drs. Sharpe and Huff man’s
to the evolving fi eld of integrated behavioral
• Assessment and Management of the article, “Mission Critical: Th e APM and Re-
health.
Opioid-Dependent Chronic Pain Patient search.”)
More than 150 posters, including 102 from
With nearly 400 submissions, the Program If all of this isn’t enough, group runs and med-
trainees, will grace the Th ursday evening post-
Committee had an abundance of riches from itation sessions will occur at the crack of dawn
er session. Th is premier event for mixing and
which to assemble a learner’s feast to be served on Th ursday, Friday, and Saturday. Attendees
mingling with fellow conference attendees will
up Th ursday through Saturday. With the goal wishing to take a break from the classroom
segue into the traditional Welcome Reception
of accommodating as many presentations as can sign up for a guided tour of the nearby
on the ocean-front terrace of the conference
possible, the number of symposia and work- Florida Everglades, or simply relax in the hotel
hotel. Th at gathering will, in turn, morph into
shop sessions has increased from fi ve to six, spa, the swimming pools, or the Atlantic lap-
a cocktail party on the beach jointly sponsored
with up to eight simultaneous off erings in ping a few short steps across the beach from
by the nearby medical schools at the Univer-
each session. Eight tracks span the expansive the scientifi c action.
sity of Miami and the University of South
territory that psychosomatic medicine encom-
Florida. Don’t hesitate to make your hotel reservations
passes:
for APM’s premier event! Th e Marriott is rap-
A suite of events designed to address the con-
1) Collaborative Care & Technology idly fi lling up with early registrants, but near-
cerns of psychosomatic medicine psychiatrists
2) Critical Care/Delirium by hotels abound in this waterfront paradise. I
across the spectrum of their careers will occur
3) Neuropsychiatry look forward to seeing you there.
throughout the conference. New members,
4) Perinatal & Pediatric Psychiatry
fi rst-time attendees, early-career attendees, and
5) Psychosomatic Medicine Subspecialties
trainees will gather for a mixer on Wednesday
6) Psychotherapeutic & Liaison Interventions
evening. Th e Early Career Track Subcommit-
7) Addiction & Transplant Psychiatry
tee will host a Saturday lunch during which Are you taking the
8) Career Development
experienced APM members will meet with ABPN recertifi cation exam
Th e cream of the individual-submission crop groups of junior participants in give-and-take
in 2015?
will be featured in seven concurrent paper sessions whose topics could range from how
sessions on Friday morning, with themes of: to best manage tension between personal and
Don’t miss Bob Boland’s
1) Common Clinical Scenarios professional obligations to how to nourish
article on page 4,
2) Delirium academic aspirations while working in a non-
3) Neuropsychiatry academic setting. A forum specifi cally geared “Changes in the
4) Physical Symptoms & Health to the concerns of psychosomatic medicine Recertifi cation Process.”
5) Psycho-Oncology fellowship directors will convene on Wednes-
6) Transplant Psychiatry day evening. And in another fi rst for APM,
7) Systems-Based Practice mid-career and senior researchers will gather
on Saturday afternoon for a three-hour session
3
Summer 2014 - NEWSLETTER OF THE ACADEMY OF PSYCHOSOMATIC MEDICINE
Maintenance of Certifi cation Update
Changes in the Recertifi cation Process
As many of us are approaching the time for recertifi cation, we are year. SA activities have been available
experiencing more than a little anxiety about the American Board of for only a few years, about three, thus
Psychiatry and Neurology (ABPN) requirements for Maintenance of this means an average of 8 SA credits
Certifi cation (MOC). Recently, the ABPN has updated the require- per year.
ments. Fortunately, the most recent changes have introduced more 9
PIP. Th e Performance-in-Practice re-
fl exibility in the process.
quirement has been a particular irritant
for us. As before, it still consists of two
What Hasn’t Changed?
portions: a feedback module and a
For ABPN recertifi cation, we still have to do MOC activities and
clinical module.
then take an exam. Th e MOC activities still have the same three Bob Boland, MD, FAPM
Feedback module. Originally requiring
parts: CME, Self-Assessment (SA) CME, and Performance in Prac- Chair, MOC Subcommittee
a great deal of feedback from multiple
tice (PIP) units.
sources, the feedback module was controversial for those of us doing
Th e exam, of course, hasn’t changed. It is still the same high stakes
consultation work. It could have meant that we would have to ask
exam, given at a professional testing center where you have to be
patients who barely knew us—and never asked to see us—to evalu-
interrogated, retinal scanned, and stripped to your undergarments
ate us.
before being allowed anywhere near the test. Or nearly so.
Responding to these concerns, the ABPN has softened the require-
What Has Changed? ment and is now letting us choose between a variety of possible feed-
9 back options. Examples they give of acceptable activities include: (1)
CME. Th ere have been some important changes to the CME re-
fi ve patient surveys; (2) fi ve peer evaluations of general competencies;
quirements. Most notably, the number of required CMEs and SA
(3) fi ve resident evaluations of general competencies; (4) 360-degree
CMEs has changed as the ABPN has implemented a “phase in” of
evaluations of general competencies with fi ve respondents; (5) insti-
CME requirements. Th at phase-in ended this year, so for persons
tutional peer review of general competencies with fi ve respondents;
taking the recertifi cation examination in 2015 or afterwards, the re-
or (6) one supervisor evaluation of general competencies. Note that
quirements are 300 CME credits, with some of those being in SA
by “general competencies” they are referring to the same competen-
activities. Th e SA requirements have been mercifully reduced from a
cies used in residency training: Patient Care, Medical Knowledge,
previously required 40 SA credits to a more reasonable 24. Th ese new
Practice-Based Learning and Improvement, Professionalism, Inter-
requirements mean that if we have been keeping track of our CMEs
personal Communication Skills, and System-Based Practice. Any
for the 10 years since we were originally certifi ed (or recertifi ed for
one activity is suffi cient to meet the requirement for a feedback
us older folks), we would need an average of 30 CME credits per
module. Th is is good news for those of us in teaching positions, as
ABPN 10-Year MOC Component Requirements
ALL CME, SA, and PIP Requirements Must Be Completed Before the Application
Original MOC MOC Medical TOTALCME CME from PIP
Certification or Application Exam Year License Credits a Minimum Unit
Recertification Year Required of Two Required
Year SA Activities
2005 2014 2015 270 24 1
Active, full,
2006 2015 2016 300 24 1
unrestricted
license
2007 2016 2017
2008 2017 2018 No restric-
tions on any
2009 2018 2019
license
2010 2019 2020
2011 2020 2021
2012 See Continuous MOC Program (C-MOC) at www.abpn.com/c-moc
4

NEWSLETTER OF THE ACADEMY OF PSYCHOSOMATIC MEDICINE - Summer 2014
many of us already have competency-based perwork (in my case I scan all of them for of the Continuous Certifi cation program
evaluations being done by our residents and safekeeping). alluded to in the chart. More on that in a
fellows. Similarly, many hospital systems in- future article.
3. What can APM do for me? Currently,
clude activities (e.g., peer evaluations) that
one can meet all or most of the CME require- Acknowledgements: Th anks to Patti Vondrak at
would help us meet these requirements.
ments with Academy activities. Th e annual the ABPN for fact-checking this article for ac-
Clinical module. As an example of a PIP meeting off ers an average of 30 CME credits curacy. Any remaining inaccuracies are my own.
clinical module, one could chart reviews of each year, so if you attend regularly you will
patients being treated for depression, com- have suffi cient CME credits when you need
pare it against a standard for depression treat- them. In the past three years we have also of- KEY DEADLINES FOR PLANNING
ment, make a plan for improvement, and fered SA credit in the form of a “pre-test” as- CERTIFICATION
then do subsequent chart reviews to track sociated with our meeting. In 2011, this was
Th e 2015 Psychosomatic Medicine exam
improvement. more of a pilot and only off ered 4 credits; will be held October 13–16, 2015. Th e ap-
subsequent years have off ered 8 credits. If plication will be available in the doctors’
Th e PIPs sound daunting; however, again, we
you participated in these activities, you will Physician Folios accounts approximately
only have to do one unit (meaning 1 feedback
be close to your needed SA credits, and if you January 6, with the deadline of April 1,
+ 1 clinical), and many of us already have to
are taking the examination in this next year 2015.
do activities as part of our hospital staff privi-
you have a chance for another annual meet- Th e cost of the exam is $1900. Applications
leges that may meet PIP requirements.
ing-associated 8 SA credits before you take submitted after April 1 thru June 1, 2015
Th is chart on the opposite page, from the the exam. (Note that even though you will will incur a $500 late fee.
ABPN, summarizes the requirements:
have to apply for the exam before our meet- Scheduling for the exam will begin August
Th is brings up several questions: ing, the ABPN will allow you to continue 10, 2015.
earning credits toward MOC after your ap-
1. Why do I have to do this? Because the
plication.) For those who did not do the SAs KEY DEADLINES FOR PLANNING
ABPN said so. But face it: it simply was never
in the past two years and need more credits, RE-CERTIFICATION (MOC)
reasonable to expect our patients to believe
that after passing one examination at the be- there are a number of other approved SA ac- Exam dates: April 13–17, 2015
tivities listed on the ABPN website and many
ginning of our careers we could be assumed Application available in Physician Folios ac-
are free. (I took the APA’s pre-meeting exam
to be competent for the rest of our lives. All counts: August 4, 2014
for 8 SA credits and it wasn’t awful.) Going
professions that are responsible for the lives Application deadline: November 3, 2014
forward, we are also looking at creating PIP
of others (e.g., pilots, law enforcement, sena- ($1500 exam fee)
modules that are relevant to Psychosomatic
tors—wait, no, not the last) have to regularly
Medicine; in the meantime, the APA off ers Late deadline: December 1, 2014 (with
demonstrate that they are keeping up their
$500 late fee)
free PIP clinical modules to its members, and
skills; so should we. In this era of increasing
some journals such as FOCUS include PIP Scheduling begins: February 9, 2015
regulation, if we drop the ball on overseeing
activities.
ourselves (remember, the ABPN is composed
REQUIREMENTS FOR ADMISSION
of our colleagues), it is inevitable that some 4. What if I haven’t done a thing? Is there
to the 2015 maintenance of certifi cation
other heavier-handed institution will do it still time before my exam? Yes, but hurry.
(MOC) examination include:
for us. Look on the ABPN site for approved activities
(www.abpn.com/moc_products.asp). And, • A full, active, unrestricted medical li-
2. What should I be doing now? You cense
don’t pat yourself too hard on behalf of the
should be keeping track of your CME, SA,
bullet you dodged—this will be the last time • Completion of 270* Category-1 CME
and PIP activities. Th is can be convenient-
you’ll get away with it. Once you’ve passed credits in the past 10 years, with 150 in the
ly done through the ABPN website—the
past fi ve years
your recertifi cation exam you will be entered
ABPN has “Physician Folios” available at
into a newer system that requires more regu- • Completion of at least two self-assess-
application.abpn.com/webclient/folios.aspx
larity. So, rather than put off MOC, maybe ment activities that provide 24* SA CME
where you can create your personal folio.
it’s time to embrace the concept of lifetime credits in the past ten years
Many CME and SA activities are sent by the
learning and self-evaluation! • Completion of one Improvement in
sponsoring organizations to the ABPN and
Medical Practice (PIP) unit.
automatically added to your folio after you A Final Note
complete them. You can also add your own *of the total 270 required CME credits, 24
Th is all pertains to the 10-year MOC pro-
CME credits should involve self-assessment
activities. Th ese are done on the “honor”
gram; that is, to individuals who took their
code; however, the ABPN does do random More information:
examination or recertifi cation before 2012.
audits and may require proof of the activity, http://www.abpn.com/cp-moc
Th ose who were, or will be, board certifi ed
so save your CME certifi cates and other pa-
or recertifying after 2012 will become part
5
Summer 2014 - NEWSLETTER OF THE ACADEMY OF PSYCHOSOMATIC MEDICINE
FELLOWSHIP RECRUITMENT & THE NRMP MATCH
After many years of working through the development of a more • Programs may continue to use the same
effi cient and equitable fellowship recruitment process, Psychoso- application process currently in place, ei-
matic Medicine participated in the 2014 NRMP Specialties Services ther the APM common application or in-
Match. Th e APM has once again signed a formal agreement with the dividual institutional application. ERAS
NRMP and we are now on board to use the Specialties Match for the are not required.
2015 recruitment season. Now that program directors have experi-
• Although NRMP registration opens
ence with the Specialties Match, we are confi dent that things will go
September 10, programs may begin the
smoothly this year. Candidates should be quite comfortable with the Philip Bialer, MD, FAPM
recruitment process, i.e., responding to
process, as they all will have used the Match four years ago for their
requests for applications and setting up
own residencies. While this still may feel like a major culture change,
interviews, prior to that date.
we feel strongly that the benefi ts greatly outweigh the risks for large
and small programs alike and will eventually lead to the growth of For the July 2015 start date for fellowship
our fi eld. programs, the following dates and addi-
tional information apply:
Following are some key informational points about the Match:
• September 10, 2014: Opening date for
• To join the NRMP Match, at least 75% of ACGME-accredited
NRMP registration of programs and can-
programs (nationally) must agree to participate. In addition, at least
didates.
75% of the total available positions (nationally) must be off ered
David Gitlin, MD, FAPM
• November 5, 2014: Rank-order list en-
through the Match. Last year, more than 90% of our programs par-
try opens.
ticipated. We are aiming for 100% participation this year. In addi-
tion, the Fellowship Education Subcommittee has strongly endorsed
• December 3, 2014: Final date for submission of position quotas,
an “all-in” policy in which programs commit all of their available
i.e., number of positions each program will make available.
positions to the Match.
• December 17, 2014: Rank-order list certifi cation deadline
• “Available positions” means those positions which have usually
• January 7, 2015: Match Day
been fi lled, typically those for which a program has funding. Th is is
not necessarily the same as the number of ACGME-accredited posi- Programs which do not fi ll will be provided a list of candidates who
tions unless a program typically fi lls all of those slots. did not match to any program, and these candidates will be in-
formed by NRMP which programs continue to have openings.
• NRMP rules require that subspecialty programs in the same dis-
cipline participate in a single fellowship match. For example, all
Individual program costs:
Internal Medicine subspecialty programs (Cardiology, Nephrology,
Endocrinology, etc.) are run together. For Psychosomatic Medicine, • Institutions: $200 per institution (paid once for any participa-
this means we will be coupled with Child/Adolescent Psychiatry, tion with NRMP)
currently the only other Psychiatry fellowship in the Match. Th is is • Programs: $35 per program track
primarily for organizational purposes and will not complicate our
• Matched Applicant: $35 per applicant matched to the program
matching process.
New Members
FULL MEMBERS Davin Quinn, MD Kaleena Chilcote, MD Ramzi Mardem Bey, MD
Nadine Schwartz, MD Suki Conrad, MD Adrienne Mishkin, MD
Christian Cornelius, MD
Sibyl Simon, MD Caroline Cruz, MD Louis Nardelli, DO
D. Edward Deneke, MD
Martha Ward, MD Aryeh Dienstag, MD Varma Penumetcha, MD
David Diaz, MD
Jennifer Erickson, DO Vasthie Prudent, MD
Maalobeeka Gangopadhyay,
TRAINEE MEMBERS Sarah Faeder, MD, PhD Kamalika Roy, MD
MD
Arpita Goswami-Banerjee, MD Rachel Shmuts, DO
Travis Lajoie, DO Omair Abbasi, MD
Elionora Katz, MD Karina Umanskaya, DO
Elizabeth LaRusso, MD Elizabeth Albertini, MD
Pankaj Lamba, MD Ha Vu, DO
Robin McAllister, MD Tahani AlQassem, MD
Kenny Lin, MD Gerald Winder, MD
Etienne Muscat, MD Ahmad Alzahrani, MBBS
Daniel Linhares, MD Kimberly Woodyard, MD,
Virginia O’Brien, MD David Banayan, MD
Subani Maheshwari, MD MSW
Glenn Pearson, MD Dianna Bisek, MD
Nasuh Malas, MD
Maria Poor, MD Monika Chaudhry, MD
6

NEWSLETTER OF THE ACADEMY OF PSYCHOSOMATIC MEDICINE - Summer 2014
Mission Critical:
THE APM AND RESEARCH
Th e mission of the Academy is to “vigorously promote a global agenda of ex-
cellence in clinical care” and to do this by infl uencing education, policy, and
research. Substantial progress has been made with an increasing membership,
fabulous annual meetings, and a developing education program including a
signifi cant infl uence on health-care policy. But what about the research mis-
sion?
Organizations that wish to remain at the “cutting edge” of their fi eld have
to invest in R&D (research and development). If we don’t do it, who will?
While we need to build on the successes of the excellence of our practice in
both inpatient and outpatient C-L psychiatry, especially collaborative care,
we also need to be ready for, and preferably leading, “the next big thing.”
Th is is especially important as there is both a change in the way that health
Michael Sharpe, MD, FAPM Jeff Huff man, MD, FAPM
services will be organized and funded across the U.S. (and likely beyond) and Co-chairs, Research & Evidence-Based Practice Committee
competition from other disciplines. At a recent APM strategy meeting, the
Council endorsed the critical importance of fostering research as an essential and what you feel would be a powerful draw to recruit ad-
ingredient of our long-term success and as our professional duty to contrib- ditional excellent research colleagues to join us.
ute to advances in patient care.
We are planning other innovations. In Fort Lauderdale this
Th e Academy already has many prominent researchers among its member- November, there are several events for researchers:
ship, and many more who contribute in various ways to the research endeav-
FIRST, a workshop on November 13th about “all you ever
our. However, the Research and Evidence-Based Practice Committee, sup-
wanted to know about research, but were too afraid to ask.”
ported by the Council, thinks we can and should do more. We must not only
disseminate research, but must also work to increase its production. How can SECOND, we will be starting a researchers’ special interest
group specifi cally for those for whom research is a major
this be done? We propose three strategies:
part of their work.
• In the short term, we will foster a culture within the Academy that is
friendly to, and supportive of, those actively conducting research, both in THIRD, we will also be running a workshop specifi cally for
researchers on the afternoon of Saturday, November 15th.
the annual meeting and at times in between, with an enhanced focus on new
Th is will include presentations and discussion on practical
research procedures, biostatistics, and other “research for researchers” topics.
aspects of doing research and an opportunity to discuss how
• In the mid-term, we need to recruit additional active researchers into
we can develop this in the future. Th ere will also be an in-
the Academy by becoming an attractive organization for researchers to come
formal social meeting afterwards on Saturday evening for
together. We also need to partner with other organizations who can further
drinks and dinner for those interested.
the research agenda.
We very much look forward to seeing you there and to
• In the long term, the Academy, with support from our not-for-profi t
working together to build on the Academy’s many achieve-
Foundation, aspires to be a research funder in its own right.
ments in developing it further as a leading research orga-
So what can you do? If you are doing research, even in a small way, please be nization. Now is the time for the Academy to develop its
in touch so we can develop a list of active researchers. We are also interested research mission, a mission that is critical to our long-term
in your views about what would be attractive to researchers at the meeting success.
CALL FOR COMMITTEE VOLUNTEERS
Interested in Academy committee service? Volunteers are now invited to apply.
How to indicate your interest in commit- online directory lookup on the APM website: shortly thereafter by notifi cations from the
tee service by SEPTEMBER 10 Members > Directory/Referrals executive offi ce to all committee appointees.
1. Visit the APM “Organization” web page Committee terms begin and end on October
What happens next?
which provides details of all of APM’s cur- 15.
• By September 15, committee chairs must
rent committees: About > Organization
submit recommendations for committee ap- • November 13-15: Newly constituted
2. Once you identify a committee that inter- pointments to President Worley. committees meet at the annual meeting.
ests you, please contact the committee leader-
• By October 15, the president completes On behalf of the APM Council, we welcome
ship (chair or vice/co-chair) directly to indi-
the committee appointments process and your active participation in the 2014-2015
cate your interest in serving. You will fi nd the
committee chairs are notifi ed fi rst, followed APM committee appointments process.
contact details of committee leaders using the
7
Summer 2014 - NEWSLETTER OF THE ACADEMY OF PSYCHOSOMATIC MEDICINE
PSYCHOSOMATIC MILESTONES UPDATE
Robert Boland, MD, FAPM, with help from the members of the Psychosomatic Milestones Working Group: Madeleine Becker, MD, FAPM,
Mark Servis, MD, James Levenson, MD, FAPM, Catherine Crone, MD, FAPM, and Laura Edgar, ACGME executive director.
I recently had the pleasure of chairing the ate rotations/activities, the development of the group opted to avoid overly specifi c care
Psychosomatic Milestones Committee for Clinical Competency Committees or CCCs and knowledge subcompetencies in favor of
the Accreditation Council for Graduate to incorporate all data and make an assess- larger, core principles. In addition, there were
Medical Education (ACGME). Th e pleasure, ment of the resident’s progress, and the as- many excellent editors in the group, with the
of course, came not from the task, which is sociated increase in workload for training result that we were able to condense and sim-
important, yes, but pleasurable not so much. directors and participating faculty. plify many of the milestone descriptions.
Th e pleasure came from the chance to work
Having completed this process, the ACGME Having completed this draft, there will be
with some excellent colleagues as we together
turned its attention to psychiatry subspe- several opportunities for modifi cation. Th e
considered the next phase of fellowship as-
cialties. As one can imagine, this presented chairs of the subcommittees are currently re-
sessment.
unique challenges. Although all of the major viewing the draft. Th is summer we will share
Any of you involved with general residency competencies remain relevant to subspecialty this draft with interested parties, particularly
training (or within earshot of residency training, not all subcompetencies are appli- the Academy of Psychosomatic Medicine, to
training directors) already know about mile- cable. In addition, a subspecialty may intro- give members a chance for comment and cri-
stones. Briefl y, they are the next phase of the duce new subcompetencies not relevant to tique.
ACGME’s new Accreditation System. Th ey general psychiatry training. Most challenging
Th e goal is to have a fi nal draft by Septem-
are intended to be used by programs to mon- was how to defi ne the learning stages along
ber. Th e fellowship will plan to implement
itor resident performance every six months a shorter continuum, as most subspecialties
the milestones starting July 2015. With this
throughout their training. Th e aggregate data are only one year long and two years at most,
tight deadline, a pilot is not possible. Th us,
will be used by the ACGME to monitor the and trainees may come into the fellowship
feedback from our members will be essential
training programs. with very diff erent levels of skills.
to the process.
Th e approach continues to use the AC- As with any group task, the most important
No doubt, many are asking, “why are we do-
GME competencies: Patient Care, Medical part of that task is picking excellent mem-
ing this?” Training directors and other educa-
Knowledge, Practice-Based Learning and bers. In that, I, along with APM leadership
tors are already weighed down by administra-
Improvement, Professionalism, Interper- (particularly Cathy Crone and Linda Wor-
tive burdens and there is no way to avoid the
sonal Communication Skills, and System ley) did an excellent job. Th e members of the
fact that this will create more work for us.
Based Practice. However, rather than simply committee were: Cathy Crone, Jim Leven-
certifying whether a trainee is competent in son, Mark Servis and Madeleine Becker. Two Th e answers are simple. Th e current system
each area, the milestones take a developmen- members (myself and Dr. Servis) were part of assessment for training programs has long
tal perspective, asking us to consider how of the original general milestone develop- been criticized as inadequate. Any training
the residents are progressing along diff erent ment. Th e other members provided a “fresh director who has had the frustration of pass-
competencies on a semiannual basis, and look” and approached the process from the ing along a resident they considered less than
throughout the course of their training. Four perspective of a PM fellowship training di- adequate because of perfunctory evaluations,
to fi ve levels are defi ned, ranging from the rector. Th e group met June 6–7, 2014. In giving mediocre but passing scores, under-
typical beginning trainee to a level expected advance of the meeting, the chairs of each stands that this is so. Training directors are
of a graduate. Th e fi fth level is included as an subspecialty committee worked together on not alone in their frustration and there is a
“aspirational” target for exceptional trainees the “general competencies”—those compe- growing fear that if we, as educators, do not
that exceed the usual expectations. tencies that tend to cut across the specialties address this problem, the government or oth-
Th e development of the psychiatry residency and have much in common: Practice-Based er interested parties will take this on instead.
milestones took about two years and incor- Learning and Improvement, Professional- If this is successful, the result will be a more
porated various feedback processes and pilot ism, Interpersonal Communication Skills, fl exible evaluation system that allows us to
tests. Th e competencies were subdivided, and System Based Practice. Th e subspecialty give thoughtful and constructive feedback to
resulting in 22 psychiatry subcompeten- committee was given the task of creating the our residents. In addition, this tool may add
cies. Residencies will begin implementation Patient Care and Medical Knowledge mile- curriculum development and a way for fel-
of these milestones in July of 2014. Some stones. Th e workgroup then was permitted lows to think about their own learning needs.
of the challenges that will accompany the to edit and make changes to the remaining Th e devil, however, is in the details. I believe
implementation of the milestones will be general competencies with the intent of mak- the members of our subspecialty commit-
the development of new assessment tools ing them more relevant to psychosomatic tee made a great start; however, we will need
that incorporate milestones, the targeting of medicine. In the end, we created what I be- everyone’s help so that this well-intended re-
particular milestone assessment in appropri- lieve to be an excellent fi rst draft. In general, form will live up to its potential.
8

NEWSLETTER OF THE ACADEMY OF PSYCHOSOMATIC MEDICINE - Summer 2014
JOURNAL EDITOR’S UPDATE
Most Cited Psychosomatics Articles in 2012
You are probably aware that Psychosomatics: Th e Journal of Consultation and Liaison Psychiatry
Larsen KA, Kelly SE, Stern TA, Bode Jr. RH,
is the offi cial journal of the Academy of Psychosomatic Medicine. What you might not have
Price LL, Hunter DJ, et al: Administration
realized is that the journal has been alive and kicking for 55 years! During this tenure the
of olanzapine to prevent postoperative delir-
journal has had only three editors-in-chief: Wilford Dorfman, MD (the founding editor),
ium in elderly joint-replacement patients: A
Th omas Wise, MD, FAPM (editor emeritus), and myself. randomized, controlled trial. Psychosomat-
Not surprisingly, the journal’s goals are to serve the Acad- ics 2010; 51:409-418.
emy and its membership and to further the mission of the De Leon J, Wynn G, Sandson NB: Th e phar-
Academy—to advance medical science, education, and macokinetics of paliperidone versus risperi-
health care for persons with comorbid psychiatric and done. Psychosomatics 2010; 51:80-88.
general medical conditions, and to provide national and Chen C-K, Tsai Y-C, Hsu H-J, Wu I-W, Sun
international leadership in the furtherance of those goals. C-Y, Chou C-C, Lee C-C, Tsai C-R, Wu
M-S, Wang L-J: Depression and suicide risk
Psychosomatics has remained vibrant in large part due to
in hemodialysis patients with chronic renal
the academic productivity of Academy members and to
failure. Psychosomatics 2010; 51:528-528.
others who seek out new knowledge, who teach, and who e6.
provide clinical care at the interface of psychosomatic
Benford DM, Caplan JP: Psychiatric sequelae
medicine and other disciplines. Since Psychosomatic
of Spice, K2, and synthetic cannabinoid
Medicine became a recognized subspecialty of Psychiatry,
receptor agonists. Psychosomatics 2011;
interest in the fi eld has grown. Th is has translated into an 52:295.
ever-increasing number of submissions to the journal; for Th eodore A. Stern, MD, FAPM
Morasco BJ, Loftis JM, Indest DW, Ruimy S,
example, in the past fi ve years the number of submissions Editor-in-Chief, Psychosomatics
Davison JW, Felker B, Hauser P: Prophylac-
has increased by a staggering 50%.
tic antidepressant treatment in patients with
In response to this explosion of new knowledge and essential clinical pearls, we have increased hepatitis C on antiviral therapy: A double-
blind, placebo-controlled trial. Psychoso-
the number of pages printed in each issue of the journal, and we will continue to add more
matics 2010; 51:401-408.
published pages in the years to come. To manage the available number of published pages
(and to avoid delays between acceptance and publication), our acceptance rate of submissions Most Cited Articles in 2013
has dropped to 23%. Th erefore, only the best of our high-quality submissions passes through Chwastiak LA, Rosenheck RA, Kazis LE: As-
the peer-review process successfully. sociation of psychiatric illness and obesity,
physical inactivity, and smoking among a
Our heartfelt thanks go out to many of you: the hundreds of reviewers who provide invalu-
national sample of veterans. Psychosomatics
able advice on the science, readability, and practicality of submitted works; the members of
2011; 52:230-236.
our editorial board; and our three deputy editors (Jason Caplan, MD, FAPM, Oliver Freud-
Weinstein AA, Kallman Price J, et al: Depres-
enreich, MD, FAPM, and Margaret Stuber, MD, FAPM). Our review process keeps the bar
sion in patients with nonalcoholic fatty liver
high for acceptance and leads to publication of revised and improved manuscripts.
disease and chronic viral hepatitis B and C.
Despite the growing volume of submissions (of review articles, original research, perspectives, Psychosomatics 2011; 52:127-132.
case reports, and letters to the editor), the time from submission of an article to a decision Neufeld KJ, Hayat MJ, et al: Evaluation of
about its publishability has plummeted; in 2014, the average time from submission to a two intensive care delirium screening tools
fi nal decision has been only 11.3 days! Moreover, the time from an article’s acceptance to its for non-critically ill hospitalized patients
appearance in print is only four to six months. However, more and more of our readers are **Poster Presentation: American Psycho-
not relying solely upon the hard copies that they receive with their subscription, but they are pathological Association Annual Meeting;
New York, NY, March 4, 2010 Psychoso-
downloading articles at an accelerating pace. Over the past three years the number of times
matics 2011; 52:133-140.
articles in Psychosomatics have been viewed electronically has increased signifi cantly, with al-
most 182,000 article downloads in 2013—and this trend continues. In addition, the fact that Steinbrecher N, Koerber S, Frieser D, Hiller
Psychosomatics can now support video and supplementary materials will provide authors with W: Th e prevalence of medically unexplained
symptoms in primary care. Psychosomatics
the capacity to discuss their work and to show enhanced graphics, much like they might ac-
2011; 52:263-271.
complish with an engaging YouTube video. Electronic initiatives also include mobile access to
journal content (e.g., apps for researchers in institutions via the Science Direct app, and apps Dubovsky AN, Arvikar S, Stern TA, Axelrod L:
Th e neuropsychiatric complications of glu-
for personal or member subscribers via the Health Advance Psychosomatics app).
cocorticoid use: Steroid psychosis revisited.
Th ank you for your contributions and for your support of the journal and its mission. To- Psychosomatics 2012; 53:103-115.
gether we will keep Psychosomatics and the fi eld of psychosomatic medicine moving forward.
Reserve your hotel room today for the Annual Meeting! See page13.
9
Summer 2014 - NEWSLETTER OF THE ACADEMY OF PSYCHOSOMATIC MEDICINE
SIG Updates
Bioethics HIV/AIDS Psychiatry Medicine & Psychiatry
Co-Chairs: Mary Ann Cohen, MD, FAPM Co-Chairs: Mary Ann Cohen, MD, FAPM, Chair: Th omas Heinrich, MD, FAPM
and Rebecca Weintraub Brendel, JD, MD, and Kelly L. Cozza, MD, FAPM
APM’s Medicine & Psychiatry SIG consists of
FAPM
Th e HIV/AIDS Psychiatry SIG had much to Academy members who have either completed
Interest in bioethical issues has markedly in- celebrate at its 10th Anniversary at the APM combined training or who are practicing in the
creased over the last year with the welcoming 2013 Annual Meeting and, with the support fi eld of integrated medical/psychiatric care.
of new members, high attendance at our SIG of APM leadership, this celebration contin- Th e goal of this SIG is to bring professionals
symposia, and a bioethics-focused Visiting ues. Since 2003, our SIG has grown from practicing psychosomatic medicine together
Professorship at UCLA–Olive View. With 32 to 330 members. Since 2012, thanks to to discuss important topics such as building
116 attendees, a symposium on decisional founding member and World Psychiatric careers that integrate medicine and psychiatry,
capacity, chaired by Henry Bleier, set the re- Association President, Pedro Ruiz, our SIG clinical cases, research initiatives, and training
cord for the highest attendance at our Bio- became a Section of the WPA. issues. If you are interested in joining our
ethics SIG symposia! Google Group, please email me at theinric@
In May 2014, members of our SIG presented
mcw.edu.
At the 2014 APM Annual Meeting, our SIG at the AAPDP and APA meetings in New
will present a collaborative SIG symposium York.
Th e Medicine & Psychiatry SIG will once
with the Palliative Care SIG: “CPR, Autono-
In June 2014, the Society for Liaison Psy- again be gathering at the Association of
my, and Medical Futility: Confl icting Rights
chiatry presented SIG member and Academy Medicine and Psychiatry’s Annual CME
and Responsibilities in the Physician-Patient
Councillor Phil Bialer, MD, FAPM, with the Conference which will be held at the
Relationship.”
SLP Lifetime Scientifi c Achievement Award. Blackstone Renaissance Hotel in Chicago on
Th e Bioethics SIG Bibliography Task Force, His acceptance speech was on the history of October 10 and 11, 2014. Th is conference
comprised of Chair Dr. Cynthia Geppert HIV psychiatry. has a wonderful line-up of speakers who will
and members Drs. Laura Roberts, James be teaching about integrated care models,
In September 2014 at the WPA World Con-
Kimball, and Kristin Bezai, began work on internal medicine, psychopharmacology, and
gress in Madrid, members of our SIG will
updating the annotated bioethics bibliog- neuropsychiatry as well as the popular resident
present an Intersectional Symposium: “HIV
raphy for psychosomatic medicine psychia- clinical vignette competition. In addition, the
Psychiatry as Paradigm for Psychosomatic
trists. Th is bibliography is now 15 years old conference will feature Paul Summergrad,
Medicine: Preventing Transmission, Caring
and much has changed since its publication: MD, FAPM, as our Keynote Speaker.
with Compassion, and Improving Adher-
Preisman RC, Steinberg MD, Rummans TA,
ence.”
Youngner SJ, Leeman CP, Lederberg MS,
Cohen MA, Surman OS, Blum JA: An an- In November 2014 at the APM Annual
notated bibliography for ethics training in Meeting, our SIG will present two symposia:
consultation-liaison psychiatry. Psychoso- • Update on HIV-Associated Neurocogni- Association of
matics 1999; 40:369-379. tive Disorder: Prevention, Screening, and Medicine &
Cavin Leeman has volunteered to serve as a Current Controversies Psychiatry
consultant to the task force and several of the • Depression in Patients with HIV: Current
original authors, including Marguerite Led- Research and Clinical Approaches to Screen-
ANNUAL CME MEETING
erberg, MD, FAPM, have off ered to make ing, Management, and Treatment
contributions to the process.
Our SIG continues to work on continual October 10–11, 2014
SIG member Xavier Jimenez has accepted his quarterly updating of the HIV Psychiatry Chicago, Illinois
appointment as editor of the Bioethics SIG Annotated Bibliography developed by SIG
web page and it should be up and running members Oliver Freudenreich, MD, FAPM, The Blackstone
before the annual meeting. Xavier has also and Maria Ferrara, MD, along with other Renaissance Hotel
joined the Bibliography Task Force. consultants in conjunction with the Research
We welcome suggestions for new members and Evidence-Based Practice Committee. www.assocmedpsych.org
and invite you and your colleagues to attend We welcome suggestions for new members
our meetings and to join our APM Bioethics and invite you and your colleagues to attend
SIG! our meetings and to join our APM HIV/
AIDS SIG!
10

NEWSLETTER OF THE ACADEMY OF PSYCHOSOMATIC MEDICINE - Summer 2014