Pearls of Wisdom

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Pearls of Wisdom

New “clinical pearls” from Academy members have been added to the Member Resources section of the website.

At the Academy’s 2016 and 2017 Annual Meetings, several speakers were recorded giving brief presentations about key topics in our subspecialty.

For example, Lydia Chwastiak, MD, MPH, FAPM, University of Washington School of Medicine, Seattle, advocates the use of measurement-based care to improve outcomes in depression treatment.

Research, she says, has shown that therapists consistently over-estimate how well their patients are doing in treatment. So, measurement-based care can be challenging for therapists.

In her own establishment, lack of progress is discussed as a routine part of treatment—providing an opportunity to engage patients in collaborating to identify what is affecting their functioning.

“It may seem daunting to incorporate measurement-based care,” Dr. Chwastiak admits—which is why she provides basics on what’s needed to make a start and recommends small steps at a time.

Here are the latest clinical pearls, accessible only via the Member Resources section of the website (log-in is required):

Lydia Chwastiak

Lydia Chwastiak, MD, MPH, FAPM
University of Washington School of Medicine, Seattle, WA
The use of measurement-based care to improve outcomes in depression treatment (6:43 minutes)

Joseph Bienvenue, MD, PhD
Johns-Hopkins University, Baltimore, MD
Critical illness and intensive care related psychiatric problems (7:30 minutes)

Mary Ann Cohen, MD, FAPM
Icahn School of Medicine at Mount Sinai, New York, NY
HIV Psychiatry (10:31 minutes)

Paula Zimbrean, MD, FAPM
Yale University School of Medicine, New Haven, CT
Evaluation of addictive disorders in liver transplant candidates (12:22 minutes)

Paul Desan

Paul Desan, MD, PhD, FAPM
Yale New Haven Hospital, New Haven, CT
Consulting on psychiatric care for residents (3:56 minutes)

Nancy Byatt

Nancy Byatt, DO, MBA, FAPM
University of Massachusetts Memorial Medical Center, Worcester, MA
Decision-making regarding psychiatric medication for pregnant patients (4:47 minutes)

Davin Quinn, MD
University of New Mexico Hospital, Santa Fe, NM
Catatonia mimics (8:47 minutes)

Fremonta Meyer, MD, FAPM
Dana-Farber Cancer Institute/Brigham & Women’s Hospital, Brookline, MA
Tamoxifen and considerations for C-L psychiatrists (9:50 minutes)

Tom Wise, MD, FAPM
Johns-Hopkins University, Baltimore, MD
Taking a sexual history and why it is important (9:24 minutes)

John Michael Bostwick

J. Michael Bostwick, MD, FAPM
Mayo Clinic, Rochester, MN
Suicide and suicidality in C-L Psychiatry (5:48 minutes)

If you are interested in contributing a vignette, please email Mary Jo Fitz-Gerald, MD, at

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