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The Primary Care Companion For CNS Disorders
68th Annual Meeting, Oct 27, 2021
Schizophrenia Research, 2021
Journal of the American Academy of Child & Adolescent Psychiatry, 2017
Suicide Among Diverse Youth, 2017
Since the turn of the millennium, suicide among Southeast Asian diverse youth has increased. It h... more Since the turn of the millennium, suicide among Southeast Asian diverse youth has increased. It has become one of the leading causes of mortality in young people globally. Therefore, it has become a public health concern in developing countries such as those in Southeast Asia (SEA). Suicide was identified to be one of the five leading causes of death in people aged 15–29 years (Patton et al. Lancet. 2009;374(9693):881–92). There appears to be specific predisposing and risk factors, psychiatric diagnoses, and access to means of self-harm among youth who either thought of suicide, attempt suicide, or complete suicide in the majority of these countries. Fortunately, some countries have taken steps to prevention and intervention. In other countries, the stigma of mental illness is still profound. This stigma can translate into their adopted countries such as the USA, where there are profound difference in Asian-American mental healthcare utilization (Abe-Kim et al. Am J Public Health. 2007;97(1):91–98). We performed a literature search of the most recent publications with the most recent statistics and epidemiology of suicide among youth from Southeast Asian ethnicity and found that there are very limited studies or literature. But, there are studies studying mental health among Asian-Americans. The countries we will focus on in this chapter are Brunei, Cambodia, Malaysia, the Philippines, Thailand, and Vietnam.
Negative thought patterns or thought processes have been shown to be the core cognitive theories ... more Negative thought patterns or thought processes have been shown to be the core cognitive theories of depression. Seligman and his colleague’s positive psychology exercises (PPEs) have been instrumental in treating patients with mental illness. Decades ago our focus was diagnosing and treating youth mental illness. We have also identified risk factors and some prevention models that are fundamental for promoting positivity and resiliency in our youth today. There is a paucity of research on positive psychiatry and psychology in children and adolescents. There is an increasing need for studies on youth positivity, wellness, and resilience. This chapter will expound on how youth mental health experts and trainees can be more familiar with and use positivity in their patient’s treatment formulation to enhance resiliency in youth.
Anxiety disorders, as the most common psychiatric condition (Kessler et al., Arch Gen Psychiatry ... more Anxiety disorders, as the most common psychiatric condition (Kessler et al., Arch Gen Psychiatry 62:593–602, 2005), pose a significant public health problem. Through our current disease model approach, while we have been studying weaknesses and problems causing anxiety disorders, we do not fully understand the biopsychosocial strengths that shield people from or help them overcome anxiety disorders. While clinicians are trained to elicit the predisposing, precipitating, and perpetuating factors at length, we still need to explore protective factors in more depth.
AM:STARs: Substance Use and Abuse Among Adolescents, Vol. 25, No. 1, 2014
Academic Medicine, 2021
In May 2020, the Coalition for Physician Accountability’s Work Group on Medical Students in the C... more In May 2020, the Coalition for Physician Accountability’s Work Group on Medical Students in the Class of 2021 Moving Across Institutions for Post Graduate Training (WG) released its final report and recommendations. These recommendations pertain to away rotations, virtual interviews, Electronic Residency Application Service opening for programs and the overall residency timeline, and general communications and attempt to provide clarity and level the playing field during the 2020–2021 residency application cycle. The WG’s aims include promoting professional accountability by improving the quality, efficiency, and continuity of the education, training, and assessment of physicians. The authors argue the first 3 WG recommendations may disproportionately impact candidates from historically excluded and underrepresented groups in medicine (HEURGMs) and may affect an institution’s ability to ensure equity in the selection of residency applicants and, thus, warrant further consideration. ...
Journal of the American Academy of Child & Adolescent Psychiatry, 2018
Academic Psychiatry, 2021
In March 2018, the American Association of Directors of Psychiatric Residency Training (AADPRT) f... more In March 2018, the American Association of Directors of Psychiatric Residency Training (AADPRT) formed the Diversity and Inclusion (D&I) Committee. One of the committee’s goals was to understand the AADPRT membership’s composition and their perceptions of D&I. This study’s objective was to identify the demographic characteristics of the AADPRT membership. Program directors were invited by email to participate in an anonymous survey. The survey collected participants’ demographic information including gender, race/ethnicity, training background, age, disability/differently abled status, job role, geographic region where their program is located, type of program, and their program’s community setting. Two hundred fifty six of 657 AADPRT members (39%) completed the survey. Respondents were mostly White (64.5%) followed by Asian/Southeast Asian (17.6%), Hispanic/Latinx (4.3%), and Black (1.6%). Only 13.3% of the participants were international medical graduates. Women were more prevalent (61.7%) than men (37.5%), and 9.4% self-identified as members of the LGBTQ+ Community. This study represents the first systematic investigation into the diversity among psychiatry program directors throughout the USA and Canada. Future qualitative studies are needed to better understand the reasons behind this initial study’s findings. Potential concerns requiring exploration include the possibility of the program director role serving as a “glass ceiling” for some women and a “leaky pipeline” in academia for groups underrepresented in medicine.
Academic Psychiatry, 2021
Journal of the American Academy of Child & Adolescent Psychiatry, 2018
Academic Psychiatry, 2019
Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, Jan 6, 2018
A Faculty Development Task Force surveyed the American Association of Directors of Psychiatric Re... more A Faculty Development Task Force surveyed the American Association of Directors of Psychiatric Residency Training membership to assess faculty development for graduate medical education faculty in psychiatry departments and barriers to seeking graduate medical education careers. An anonymous Survey Monkey survey was emailed to 722 American Association of Directors of Psychiatric Residency Training members. The survey included questions about demographics, the current state of faculty development offerings within the respondent's psychiatry department and institution, and potential American Association of Directors of Psychiatric Residency Training faculty development programming. Two open-response questions targeted unmet faculty development needs and barriers to seeking a career in graduate medical education. Results were analyzed as frequencies and open-ended questions were coded by two independent coders. We limited our analysis to general psychiatry program director response...
MedEdPublish, 2017
This article was migrated. The article was not marked as recommended. There is a renewed interest... more This article was migrated. The article was not marked as recommended. There is a renewed interest in teaching and cultivating compassionate patient-centered care among trainees and faculty. Much of the erosion in medical professionalism can be attributed to what has been labeled the "Hidden Curriculum." We have identified eight archetypal areas where the Hidden Curriculum exerts influence on trainees and faculty. These include: Lack of Accountability to Patients, The Influence of Legal Phobia, Physician and Nursing Overload (how documentation and busy work detracts from patient-centered care), Negative Attitudes and Apathy from Teachers, The Influence of the Electronic Health Record (EHR) in Patient Depersonalization, The Negative Effect of "Work-Life" Balance, The Concept of the "Difficult Patient," and the Negative impact of Evidence-Based Medicine on a Patient-Centered Approach. We believe that we need to focus and assess the residents and faculty...
The Primary Care Companion For CNS Disorders
68th Annual Meeting, Oct 27, 2021
Schizophrenia Research, 2021
Journal of the American Academy of Child & Adolescent Psychiatry, 2017
Suicide Among Diverse Youth, 2017
Since the turn of the millennium, suicide among Southeast Asian diverse youth has increased. It h... more Since the turn of the millennium, suicide among Southeast Asian diverse youth has increased. It has become one of the leading causes of mortality in young people globally. Therefore, it has become a public health concern in developing countries such as those in Southeast Asia (SEA). Suicide was identified to be one of the five leading causes of death in people aged 15–29 years (Patton et al. Lancet. 2009;374(9693):881–92). There appears to be specific predisposing and risk factors, psychiatric diagnoses, and access to means of self-harm among youth who either thought of suicide, attempt suicide, or complete suicide in the majority of these countries. Fortunately, some countries have taken steps to prevention and intervention. In other countries, the stigma of mental illness is still profound. This stigma can translate into their adopted countries such as the USA, where there are profound difference in Asian-American mental healthcare utilization (Abe-Kim et al. Am J Public Health. 2007;97(1):91–98). We performed a literature search of the most recent publications with the most recent statistics and epidemiology of suicide among youth from Southeast Asian ethnicity and found that there are very limited studies or literature. But, there are studies studying mental health among Asian-Americans. The countries we will focus on in this chapter are Brunei, Cambodia, Malaysia, the Philippines, Thailand, and Vietnam.
Negative thought patterns or thought processes have been shown to be the core cognitive theories ... more Negative thought patterns or thought processes have been shown to be the core cognitive theories of depression. Seligman and his colleague’s positive psychology exercises (PPEs) have been instrumental in treating patients with mental illness. Decades ago our focus was diagnosing and treating youth mental illness. We have also identified risk factors and some prevention models that are fundamental for promoting positivity and resiliency in our youth today. There is a paucity of research on positive psychiatry and psychology in children and adolescents. There is an increasing need for studies on youth positivity, wellness, and resilience. This chapter will expound on how youth mental health experts and trainees can be more familiar with and use positivity in their patient’s treatment formulation to enhance resiliency in youth.
Anxiety disorders, as the most common psychiatric condition (Kessler et al., Arch Gen Psychiatry ... more Anxiety disorders, as the most common psychiatric condition (Kessler et al., Arch Gen Psychiatry 62:593–602, 2005), pose a significant public health problem. Through our current disease model approach, while we have been studying weaknesses and problems causing anxiety disorders, we do not fully understand the biopsychosocial strengths that shield people from or help them overcome anxiety disorders. While clinicians are trained to elicit the predisposing, precipitating, and perpetuating factors at length, we still need to explore protective factors in more depth.
AM:STARs: Substance Use and Abuse Among Adolescents, Vol. 25, No. 1, 2014
Academic Medicine, 2021
In May 2020, the Coalition for Physician Accountability’s Work Group on Medical Students in the C... more In May 2020, the Coalition for Physician Accountability’s Work Group on Medical Students in the Class of 2021 Moving Across Institutions for Post Graduate Training (WG) released its final report and recommendations. These recommendations pertain to away rotations, virtual interviews, Electronic Residency Application Service opening for programs and the overall residency timeline, and general communications and attempt to provide clarity and level the playing field during the 2020–2021 residency application cycle. The WG’s aims include promoting professional accountability by improving the quality, efficiency, and continuity of the education, training, and assessment of physicians. The authors argue the first 3 WG recommendations may disproportionately impact candidates from historically excluded and underrepresented groups in medicine (HEURGMs) and may affect an institution’s ability to ensure equity in the selection of residency applicants and, thus, warrant further consideration. ...
Journal of the American Academy of Child & Adolescent Psychiatry, 2018
Academic Psychiatry, 2021
In March 2018, the American Association of Directors of Psychiatric Residency Training (AADPRT) f... more In March 2018, the American Association of Directors of Psychiatric Residency Training (AADPRT) formed the Diversity and Inclusion (D&I) Committee. One of the committee’s goals was to understand the AADPRT membership’s composition and their perceptions of D&I. This study’s objective was to identify the demographic characteristics of the AADPRT membership. Program directors were invited by email to participate in an anonymous survey. The survey collected participants’ demographic information including gender, race/ethnicity, training background, age, disability/differently abled status, job role, geographic region where their program is located, type of program, and their program’s community setting. Two hundred fifty six of 657 AADPRT members (39%) completed the survey. Respondents were mostly White (64.5%) followed by Asian/Southeast Asian (17.6%), Hispanic/Latinx (4.3%), and Black (1.6%). Only 13.3% of the participants were international medical graduates. Women were more prevalent (61.7%) than men (37.5%), and 9.4% self-identified as members of the LGBTQ+ Community. This study represents the first systematic investigation into the diversity among psychiatry program directors throughout the USA and Canada. Future qualitative studies are needed to better understand the reasons behind this initial study’s findings. Potential concerns requiring exploration include the possibility of the program director role serving as a “glass ceiling” for some women and a “leaky pipeline” in academia for groups underrepresented in medicine.
Academic Psychiatry, 2021
Journal of the American Academy of Child & Adolescent Psychiatry, 2018
Academic Psychiatry, 2019
Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, Jan 6, 2018
A Faculty Development Task Force surveyed the American Association of Directors of Psychiatric Re... more A Faculty Development Task Force surveyed the American Association of Directors of Psychiatric Residency Training membership to assess faculty development for graduate medical education faculty in psychiatry departments and barriers to seeking graduate medical education careers. An anonymous Survey Monkey survey was emailed to 722 American Association of Directors of Psychiatric Residency Training members. The survey included questions about demographics, the current state of faculty development offerings within the respondent's psychiatry department and institution, and potential American Association of Directors of Psychiatric Residency Training faculty development programming. Two open-response questions targeted unmet faculty development needs and barriers to seeking a career in graduate medical education. Results were analyzed as frequencies and open-ended questions were coded by two independent coders. We limited our analysis to general psychiatry program director response...
MedEdPublish, 2017
This article was migrated. The article was not marked as recommended. There is a renewed interest... more This article was migrated. The article was not marked as recommended. There is a renewed interest in teaching and cultivating compassionate patient-centered care among trainees and faculty. Much of the erosion in medical professionalism can be attributed to what has been labeled the "Hidden Curriculum." We have identified eight archetypal areas where the Hidden Curriculum exerts influence on trainees and faculty. These include: Lack of Accountability to Patients, The Influence of Legal Phobia, Physician and Nursing Overload (how documentation and busy work detracts from patient-centered care), Negative Attitudes and Apathy from Teachers, The Influence of the Electronic Health Record (EHR) in Patient Depersonalization, The Negative Effect of "Work-Life" Balance, The Concept of the "Difficult Patient," and the Negative impact of Evidence-Based Medicine on a Patient-Centered Approach. We believe that we need to focus and assess the residents and faculty...