PGY 1 - YEAR: 2015-2016 CORE CURRICULUM WORKSHOPS LOCATION: Rm. RS 2029 (33 Russell Street) START TIME: 9:00 am - 12:00 pm Please check website http://postgrad.utpsychiatry.ca/core-curriculum/ or U of T PORTAL for updated schedule Goal: To provide a comprehensive foundation in general psychiatry, for developing psychiatric residents, including exposure to the basic sciences underlying psychiatric practice and an overview of the major clinical issues in adults. Readings: All residents attending the Core Curriculum lectures will be expected to have read the appropriate chapter in 10th Edition of Synopsis of Psychiatry or other assigned reading prior to the Core Curriculum lecture itself. Electronic Access - Go to utoronto.ca; then click on “library”; then click on “electronic resources” and in the text box, enter “Kaplan & Sadock.” Both the child & adolescent text along with the comprehensive text appear as the first few listings followed by the concise textbook 3rd edition (2008). You can then connect through the link either using the utorid or library card. Feedback: On day of lecture, you will be expected to complete a paper Supervisor’s Evaluation Form of each presenter. Attendance: Core Curriculum attendance will be monitored. You will be required to Sign-in each morning by 9:00am. The attendance sheet will be removed promptly at 9:20am. Attendance rates below 70% may result in an “unsatisfactory” rating, and will become part of your academic file. Exam: Based on the content of each Core Curriculum session as well as Neuroimaging week. All exams are mandatory and must be written on assigned dates. Not writing the exam will be viewed as a major breach of professionalism. Workshop Lesson Plan & Handouts will be posted on Blackboard for residents to review & print as required BlackBoard Log in to the Portal https://portal.utoronto.ca/ UTORid: *** Password: *** Courses you are teaching: PGME-FOM-PERM-PSY: Postgraduate Psychiatry Program > CORE CURRICULUM ORIENTATION MORNING 9:00 am Wed. June 24, 2015 RS-2029 33 Russell St. 1. BASIC SKILLS IN EMERGENCY PSYCHIATRY Email: Jodi.Lofchy@uhn.on.ca Tel: 416-603-5500 Block Coordinator: Dr. Jodi Lofchy Educational Objectives Residents will have an appreciation of the common clinical presentations in the psychiatric emergency room. Residents will develop skills to complete and document a risk assessment in the emergency room. Residents will have the knowledge to manage the high risk patient from a biopsychosocial perspective. Date July 8 July 15 Title Chapter(s) Introduction to Emergency Psychiatry (full day 9:00 to 5:00) pp. 907-919, inclusive Community Resources Chapter in Synopsis TBA July 22 Medically Compromised Patient July 29 The Suicidal Patient Aug 5 9:00Behaviors-Ethical & Philosophical Issues 10:30Hospitalization Aug 12 Models of Psychotherapy in the ED (Supportive PT/DBT) 897-907 Section 59. Basic Ethical Principles 1383 and 1386; Suicide 897-907 Presenters Drs. Jodi Lofchy, Justin Delwo B. Poynter Dr. Martin Svihra Room Dr. Ilana Shawn Helliwell Centre at TGH Seminar Rm 1&2 RS2029 Gerstein Centre RS2029 Dr. Jodi Lofchy RS2029 Dr. Ian Dawe RS2029 Dr. C. Wiebe Edward McAnanama RS2062 Aug 19 ED and the Psychotic Patient Personality Disorders in the ED Aug 26 Pages: 907918 chapter 7.2, 27 pp 791-794 & 799-801 Dr. Simuran Brar See Lesson Plan Dr. Matt Levy Dr. Justin Delwo RS2029 RS2029 breakout rooms T412 and RS4088 PM: PRAT SUMMER PICNIC Sept 2 Sept 9 Homelessness in the ED Persons with Developmental Disabilities in the ED RS2029 Dr. Yona Lunsky, Juveria Zaheer and Amanda Sawyer RS2029 1TBD = Readings to be determined based on evaluation of the textbook chapters on psychiatric emergencies, identification of sections of other relevant chapters and supplemental readings if needed 2. FOUNDATIONS OF THE PATIENT EXAMINATION Email: Andrew.Lustig@camh.ca Tel: 416-979-535-8501x32841 Block Coordinator: Dr. Andrew Lustig Educational Objectives Awareness of the components of a complete Psychiatric Interview and acquisition of new interviewing skills Acquire skills to complete a formal Mental Status Examination. Become familiar with Psychological Testing and understand basic Psychiatric Rating scales. Date Title Chapter(s) Presenters Room pp. 380-395. Dr. J. Geagea Dr. L. Buckley Adam Quastel 7.1, 7.4 Drs. David Goldbloom & Molyn Leszcz RS2029 Psychological Assessment 7.6, 7.9 Dr. Susan Abbey RS2029 Oct 21 Assessment of the Depressed and the Anxious Patient 15.1 pp 532551;Chapter 16.1 pp 579-582, 1 6.2 pp 587-594 Susan Abbey Dr. Ari Zaretsky Dr. Peter Voore RS2029 Breakout rooms RS2062 and RS4088 Oct 28 9:00-10:15 – Cultural Psychiatry Basics Getting Started 10:30-12:00 Dr Crystal Pinto Drs Andermann, Fung & Munshi RS2029 Sep16 9:00 - Assessment of: Psychotic Patient 10:30 - Substance Abuse Disorders (SUDs) Sep 23 No teaching Sep 30 9:00a.m. - Psychiatric Interviewing Oct 7 No teaching - Mindfest Oct 14 RS2022 3. SUBSTANCE RELATED DISORDERS Email: pamela.stewart@camh.net Tel: 416-535-8501 x 6687 Block Coordinator: Dr. Pam Stewart Through readings, case presentations and interactive discussions, this block will familiarize residents with the principles and practice of addiction psychiatry. Educational Objectives Be familarized with an approach to assessment of the addicted individual. Develop confidence in treatment of a variety of addictions in special populations, including persons with concurrent disorders. Understand the most common substances of addiction potential and their effects Date Title Nov 4 PRAT FALL RETREAT 9:00-10:30 A conceptual framework for Nov 11 addictive disorders (cells to society) and its treatment 10:30-12:00 Heroin and Opioids 9:00-10:30 Overview of Inpatient Medical Withdrawal 10:30-12:00 Withdrawal Management Principles to Outpatient Care 9:00-10:30 Nicotine and Cannabis 10:30-12:00 Cocaine, Hallucinogens and other Stimulants 09:00-10:30 Psychosocial Interventions 10:30-12:00 Putting it all Together: the complex picture of comorbidity Nov 18 Nov 25 Dec 2 Chapter(s) Presenters Room pp. 380-395 pp. 395-413 pp. 448-456 Dr. Peter Selby RS2022 Dr. Keyghobad Araki Dr. Kam Balchand RS2029 Dr. Tony George Dr. Keyghobad Araki pp.413-419 pp. 428-438 pp. 444-448 Dr. Pamela Stewart Dr. Adam Quastel RS2029 RS2029 4. NEUROPSYCHIATRY Block Coordinator: Dr. Mark Rapoport Email: Mark.Rapoport@sunnybrook.ca Tel: 416-480-4085 Educational Objectives To learn how to complete a cognitive and neurological examination. To appreciate the behavioral consequences of common neurological disorders such as stroke, Parkinson’s disease and traumatic brain injury. To develop an approach to the diagnosis and management of dementia. Date Dec 9 Title Neuropsychiatry: Traumatic Brain Injury Stroke & Cognitive Examination Dec 16 Part II: Psychiatric Aspects of Parkinson’sRelated Disorders and the Neurological Examination for Psychiatrists. Dec 23Jan 1 U of T Seasonal holiday - University Closed Jan 6 Epilepsy and Dementia Chapter(s) See Lesson Plan 10th Edition of Synopsis of Psychiatry .N/A in Synopsis, but the following chapters in full edition may be helpful: 2.2 Cerebrovascular Disease2.6 Movement Disorders Chapter 2.4 Neuropsychiatric aspects of Epilepsy Presenters Room Shree Bhalerao Dr. Gayla Tennen RS2022 Dr. Mario Masellis RS2029 Dr. Karl Farcnik Dr. Mark Rapoport Dr. Ron Keren Sanjeev Kumar RS2029 Chapter 10.3 Dementia 5. BIOLOGICAL THERAPIES: THE FOUNDATIONS Email: Justin.delwo@mail.utoronto.ca Tel: 416 530-6000 x 3663 Fax: 416 530-6706 Block Coordinator: Dr. Justin Delwo Educational Objectives To review the pharmacokinetics and pharmacodynamics of commonly prescribed psychotropic agents. To review novel and innovative pharmacological treatment avenues in psychiatry. To discuss the role of naturopathic medicine, ECT, and other stimulation based therapies in Psychiatry. Date Jan 13 Chapter(s) Title 09:00-10:30 Introduction to psychopharm 10:30-12:00 Pharmacology of antipsychotics Presenters Room Dr. Justin Delwo 36 Dr. Serge Le Blanc Jan 20 09:00-12:00 Pharmacology of antidepressants / antimanics 36 Jan 27 09:00-10:30 Pharmacology in Medical illness 10:30-12:00 ECT 36 Feb 3 09:00-12:0010:30 Innovative therapies 10:45-12:00 Cultural psychopharmacology Feb 10 09:00-12:00 Psychopharmacology in Women Drs. Tara Burra and Justin Delwo Dr. S. Sockalingam Dr. Dan Blumberger Dr. J. Downar Drs. Daniel Mueller and Ken Fung Dr. Simone Vigod Dr. Gail Robinson RS2029 RS2022 RS2029 RS2029 RS2029 RS2029 RS2022 6. QUANTITATIVE & EXPERIMENTAL METHODS IN PSYCHIATRY Block Coordinators: Dr. Paul Kurdyak/ Dr. Simone Vigod Email: Paul_Kurdyak@camh.net Tel: 416-629-5232 simone.vigod@wchospital.ca Phone: 416-323-6400 x 4080 Fax: 416-323-6356 Topic Titles & Time Division To Be Clarified with Dr. Kurdyak – each morning is to be divided into two sessions with 1 related to textbook topics and 1 related to critical appraisal Educational Objectives To understand the fundamentals of psychiatric epidemiology. To understand the basics of psychiatric research methodology. To develop a framework for critical appraisal of clinical research literature Date Feb 17 Feb 22,25, 26 Title Critical Appraisal1 NEUROIMAGING WEEK (full day 9:00 to 5:00) Chapter(s) section 4.7 "Epidemiology and Biostatistics", pages 169 to 177. Presenters Dr. Paul Kurdyak / Dr. Simone Vigod Dr. Jonathan Downar Room RS2029 Feb 22, 25 RS2029; Feb 26–RS2022 Feb 23 Neuroanatomy Day ( full day 9:00 to 5:00) Feb 24 PRAT WINTER RETREAT Mar 2 Mar 9 Chapter 3.1 Neuroanatomy Kaplan and Saddock Drs. Jonathan Downar, Anne Agur Critical Appraisal2 section 4.7 “Epidemiology and Biostatistics”, pages 169 to 177. Dr. Paul Kurdyak / Dr. Simone Vigod/Dr. Juveria Zaheer Critical Appraisal3 Section 4.7 “Epidemiology and Biostatistics”, pages 169 to 177 Dr. Paul Kurdyak / Dr. Simone Vigod UofT-Medical Sciences Building Rm: 1106 1 King's College Circle RS2029 RS2029 7. THE CONTRIBUTION OF PSYCHOLOGICAL SCIENCES Email: Yona.Lunsky@camh.ca Tel: 416-535-8501 x 37813 Block Coordinator: Dr. Yona Lunsky Educational Objectives for Developmental Seminars PGYI Date Mar 16 Mar 23 Mar 30 Title Learning Theory Chapter(s) Pg 133-169 Cognitive Development and Temperament Attachment Theory Pg 133-169 Pg 133-169 Presenters Room Dr. Yona Lunsky RS2029 RS2022 Dr. Yona Lunsky Drs. Robert Maunder & Dr. Jon Hunter RS2029 RS2029 8. PROFESSIONALISM AND PSYCHIATRY Email: elia.abi.jaoude@utoronto.ca Tel: 416-603-5800 x2149 Fax: 416-603-5182 Block Coordinator: Elia Abi-Jaoude Educational Objectives To identify and reflect on common clinical scenarios in which psychiatrists encounter professionalism dilemmas To apply basic techniques of ethical reasoning in clinical situations. To analyze case examples relevant to professionalism in psychiatry. . Date Title Apr 6 Introduction to bioethics and professionalism Apr 13 Professionalism through the lens of Quality and Safety Chapter(s) See Lesson Plan N/A Apr 20 Conflict of Interest See Lesson Plan Apr 27 Boundary Issues in Psychiatric Practice See Lesson Plan Presenters Room Dr. Pier Bryden RS2029 Dr. Lesley Wiesenfeld RS2029 RS2022 Dr. M. Shuchman Dr. D. Goldbloom Dr. E. Abi-Jaoude Dr. Gail Robinson RS2029 RS2029 9. HUMAN SEXUALITY Block Coordinator: Dr. Arielle Salama Email: SalamaA@smh.ca Tel: 416 864 3090 Fax : fax 416 864 5480 Educational Objectives Have an understanding of normal human sexual development Have an understanding of the broad range of non-pathological as well as pathological human sexual behavior. Be able to conduct and interpret a full sexual history as part of a psychiatric assessment Date Title Chapter(s) Presenters May 4 Sexual dysfunction Chapter in Synopsis TBA Dr. Arielle Salama May 11 Sexual and Gender Identity Chapter in Synopsis TBA Dr. Arielle Salama Room RS2029 RS2029 10. SOCIOCULTURAL DIMENSIONS OF PSYCHIATRY Email : ken.fung@uhn.on.ca Tel : 416-603-5349 Block Coordinators: Drs. Ken Fung/Alpna Munshi Alpna.munshi@camh.ca Tel : 416-535-8501 x34902 Educational Objectives To develop a set of attitudes necessary for culturally competent psychiatric practice, including self-reflection, awareness, and open-mindedness To acquire some basic knowledge of socio/cultural/spiritual influences on the history of psychiatry; mental health and mental illness; and inequities and disparities facing diverse populations To develop and practice a basic repertoire of cultural competent skills necessary in cross-cultural clinical care, including interviews, use of interpreters, and cultural formulation.. Date Title Chapter(s) Presenters Room Cultural Psychiatry I May 18 9:00 – 10:00 – Global Mental Health 10:00-10:30 – clinical and career aspects of cultural psychiatry 10:45-12:00 - undocumented peoples' and refugee mental health Dr. Carolina Vidal Lisa Andermann Dr. Michaela Beder RS2029 Cultural Psychiatry II – Aboriginal Mental May 25 June 1 9:00-12:00 June 6-10 June10 2015 8:30-1:30p.m Dr Peter Menzies Dr Seema Khan Dr. Crystal Pinto health 9:00-9:45 9:45-10:30 10:45-12:00 RS2029 PGY 1 - EXAM Boardroom RS2029 Jun6-RS2022, 7-10-CS801 Neuroscience Week Psychiatry Neuroscience Day TBA TBA